Treatment of coronary artery disease

Classification of IBS

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CHD (coronary heart disease) is a complex disease of the heart and blood vessels, having different clinical symptoms. This diversity of manifestations due to the fact that CHD has a number of clinical forms, the most common of which is angina. Modern medicine distinguishes such types of CAD as sudden cardiac arrest (cardiac death), silent ischemia, myocardial infarction, infarction, syndrome X, heart failure and heart rhythm disorders. Let us consider these clinical forms.

Sudden coronary death

Sudden coronary death is also known as primary cardiac arrest. Usually it is associated with electrical instability of the heart muscle. Sudden death is considered as an independent form of coronary heart disease only in the case that it is impossible to diagnose a different form or reason, and CPR (in the case of their application) have not been successful. Sudden coronary death was acknowledged as such, if it was instantaneous (with witnesses) or within six hours from the onset of a heart attack.

Angina

Angina as a form of ischemic heart disease in turn is divided into effort angina and angina at rest.

Angina can be a new-onset, stable, progressive or spontaneous. It is characterized by chest pain during physical or emotional stress, increased blood pressure and increased tachycardia. The pain may be burning, and heaviness and discomfort often go in the left hand, the back. Usually the attack lasts for up to ten minutes, often up to half an hour. Stable angina is diagnosed in cases where the attacks occur after certain loads in a period of not less than three months. The severity of stable angina in coronary artery disease is determined by the threshold of physical or emotional stress, which can carry people.

About progressive angina say in the case of gradual increase of the frequency of relapses and deterioration tolerability of human physical activity. During spontaneous angina attacks can occur at rest, at night or in the morning, without apparent reason.

Myocardial infarction

Myocardial infarction occurs when the appearance of minor or major necrosis in the heart muscle. In the case of a heart attack a person should be hospitalized,otherwise it may be fatal or very serious complications. Myocardial infarction develops severe and prolonged pain, shortness of breath. Possible cardiogenic shock, pulmonary edema, severe arrhythmia, sudden drop in blood pressure and death.

Postinfarction cardiosclerosis

Myocardial infarction can be diagnosed as a complication of coronary heart disease two months after suffering a heart attack. On postinfarction cardiosclerosis say only if the person is showing signs of congestive heart failure and sclerosis of the myocardium, but the angina, or other coronary artery disease do not exist. Myocardial infarction is characterized by tearing of the heart muscle, dysfunction of the papillary muscle, development of intracardiac thrombosis, disturbances of heart rhythm and conduction.

Arrhythmic form

Arrhythmic form of ischemic heart disease is manifested by dyspnea. The patient may develop cardiac asthma or pulmonary edema. Arrhythmia is quite difficult to differentiate from angina pectoris. You can do this by carefully analyzing all the results of electrocardiographic studies and monitor observation of the patient.