Atherosclerotic atherosclerosis


is one of the manifestations of coronary heart disease, which usually develops as a result of atherosclerosis of the coronary arteries( see).It is characterized by an increase in the size of the heart, especially the left ventricle, signs of heart failure and various heart rhythm disturbances. Often the development of cardiosclerosis is preceded by angina( see).

Symptoms: dyspnea, attacks of cardiac asthma, congestive wheezing In the lower parts of the lungs, evidence of left ventricular failure. Later, right ventricular failure is associated with an increase in the liver, ascites, and peripheral edema. Often there are tachycardia, extrasystole, atrial fibrillation, atrial-ventricular and intraventricular conduction disorders. At inspection often other signs of an atherosclerosis, especially aorta are found out. Along with diffuse cardiosclerosis, it is possible to develop focal cardiosclerosis, usually as a result of a myocardial infarction( see).

Lechenie. The use of coronary dilatation, as in angina pectoris( see), and drugs prescribed for heart failure

Prevention of atherosclerotic cardiosclerosis is and prevention of atherosclerosis( see).


Accordingly, doctors distinguish two types of cardiosclerosis: atherosclerotic( with arterial atherosclerosis) and myocarditis( after the inflammation of the myocardium).

There is evidence of the possibility of developing cardiosclerosis due to prolonged intoxication of the myocardium with alcohol. Alcoholic cardiopathies eventually end with cardiosclerosis, heart weakness.

The fact that cardiologists increasingly have to use the term "heart of an obese" can not but worry.

In a person who is overweight, the heart is surrounded and permeated with fat. Naturally, and its contractility significantly decreases. As a rule, it happens in people who eat monotonously, preferring meat, fatty dishes that use little in the diet vegetables, fruits and other vitamin-rich foods.

To identify cardiosclerosis in the early stages is not easy. The fact is that his symptoms are similar to manifestations of many other diseases. They can be detected with the help of electrocardiographic, ultrasound, X-ray studies. Perhaps, most definitely cardiosclerosis is indicated by the presence of arrhythmia.

In the initial period of development of cardiosclerosis, no special treatment is usually required. You just need to eat right, lead an active lifestyle, more out of the open air. And if there are arrhythmias, heart failure, the patient should be under the systematic supervision of a doctor. The treatment prescribed by him is intended to prolong the period of compensation, to delay the progression of the process. And this in no small measure depends on the patient himself.

First of all, suffering from cardiosclerosis should restrict animal fats in the diet, there are enough protein products( milk, cottage cheese, albumen omelets, meat, poultry, fish, legumes), vegetables, fruits.

I'll have to completely abandon alcohol and smoking. We must try to get rid of extra pounds, because they overload the work of the heart.

For normal functioning of the heart is important and systematic, moderate, maintaining its tonus load. This morning exercises, physical exercise, walk in the air, playing badminton, table tennis, but without the elements of competition. How long does it take to train? I would not strictly regulate it: it all depends on the budget of your time and strength. One is enough for five minutes, the other half-hour. Some like walking more, others are swimming. Well, when the training is systematic and enjoyable, then they are of more use.

A few words about the fashionable running these days. This is a good kind of physical training. He, in my opinion, should be started in his youth and continue in his mature years. But imagine a middle-aged person or already retired by age, who suddenly starts running to improve his health without any preparation. Is it dangerous! It happens that the elderly, suffering from cardiosclerosis, come after such an experiment in the clinic with myocardial infarction.

The main thing in training is systematic and choosing a load that does not exceed the capabilities of the patient's body. What exactly should be your load, consult with the attending physician.

The response to physical stresses can also be controlled based on subjective data. If the load meets the possibilities of the heart, a person does not feel fatigue, he does not have shortness of breath, and the rhythm of cardiac contractions after exercise does not increase more than 10-15 beats per minute.

Thus, the rational organization of diet, work, rest is the strategic line of behavior for the sufferer of cardiosclerosis, which should be adhered to for many years to maintain a good vitality and efficiency.

History of atherosclerotic cardiosclerosis


Heart poorly supplied with blood

Atherosclerotic cardiosclerosis is a syndrome that develops due to the progression of IHD.The outcome of this syndrome is myocardial infarction. This pathology occurs more and more often. This defeat of the heart is manifested in the fact that the heart muscle and endocardium, that is, its inner shell, are poorly supplied with blood for a long time and scar tissue is sometimes formed. First let's see what causes lead to such a state of the heart.

Causes of the disease

The main cause of the disease can be recognized by the name of cardiosclerosis - atherosclerotic, which means the appearance of atherosclerotic plaques in the vessels. Their formation begins with the fact that in the channel of the vessel tissue is damaged, and this place is layered with circulating cholesterol and fatty deposits. Over time, the volume of the plaque increases, which leads to a greater narrowing of the lumen of the vessel. Because of this, the flow of blood, nutrients and oxygen is disrupted, and the vessel itself becomes crooked.

Atherosclerotic plaque in the vessel

If the vessel is too clogged with plaques, it provokes heart disease. Due to regular hypoxia of the heart muscle, IHD occurs, and in the absence of effective treatment, the syndrome discussed by us begins to develop. In this condition, the heart muscle is not able to function properly, the cells of the muscle heart tissue are lost, and the damages are tightened by the connective tissue. In this position, the heart can not contract properly. There are two forms of the disease.

  1. Diffusive large-focal form of cardiosclerosis.
  2. Diffuse fine focal form. The sclerosis sites do not exceed two millimeters.

It can be concluded that it is necessary to prevent the formation and development of atherosclerotic plaques themselves, and for this it is necessary to recall the causes of their appearance and vascular damage.

High blood pressure negatively affects the vessels

Arterial hypertension.

  • Incorrect power.
  • Diabetes mellitus: with it there is a violation of carbohydrate metabolism.
  • Smoking: nicotine leads to an increase in bad cholesterol in the blood, causes vasospasm, increases the adhesion of platelets, which leads to a violation of blood flow.
  • Obesity.
  • Hypodinamia: lack of muscle activity leads to a decrease in metabolism.
  • Increased amount of cholesterol in the blood. It should be noted that the increased production of cholesterol inside the body depends on how much we consume cholesterol: the less it gets from the outside, the more it forms inside, and just this leads to its settling on the walls of the vessels. If cholesterol is not enough, it will cause a breakdown in the nervous system, and if too much, it will lead to the development of atherosclerosis.
  • The history of the disease can tell a lot not only about the past and present state of the patient, but also its future, since the presence of certain diseases, such as diabetes mellitus and coronary artery disease, may give rise to the suggestion of the future development of cardiosclerosis. If these causes and risk factors are present in a person, he needs to be particularly attentive to his condition and observe the symptoms.

    Symptoms of the disease

    Atherosclerotic cardiosclerosis has almost no symptoms of its own, because this syndrome is concealed under the guise of acute ischemic lesions. There are three groups of symptoms that indicate:

    Chest pain is one of the symptoms of

    of coronary insufficiency;

  • violation of contractile cardiac function;
  • conduction and rhythm disturbance.
  • At the onset of clinical manifestations may not be at all, but later there may be certain signs that indicate the development of the disease and the progression of scarring-sclerotic processes.

    • Vaginal pain, giving to the left arm, scapula and epigastric region.
    • Recurrent myocardial infarction.
    • Increased fatigue.
    • Dyspnoea, initially manifested with heavy loads, and then with ordinary walking.
    • Pulmonary edema. Attacks of cardiac asthma.

    If against this background heart failure develops, then peripheral edema, congestive pulmonary phenomena and hepatomegaly join. Severe form of cardiosclerosis is accompanied by ascites and pleurisy.

    Diagnostic methods

    First of all, the doctor will pay attention to the patient's medical history, namely, the presence of IHD, arrhythmias, atherosclerosis and so on. Of course, the exact symptomatology is important, so the patient needs to describe all the signs in as much detail as possible. Further studies are conducted that will help in the formulation of an accurate diagnosis. Let's pay attention to four main types of

    Biochemical blood test

    Biochemical blood test. This helps to detect an increase in beta-lipoproteins and hypercholesterolemia.

  • ECG.This study is important for identifying signs of coronary insufficiency, rhythm disturbances, post-infarct scars and mild hypertrophy.
  • Echocardiography. The findings of this study will reveal a violation of myocardial contractility.
  • Bicycle ergometry helps to recognize the functional reserves of the heart and the degree of myocardial dysfunction.
  • Treatment of

    Atherosclerotic cardiosclerosis is treated only under medical supervision. No self-medication can even go speech. General treatment aims to achieve three goals:

    1. to alleviate and eliminate coronary insufficiency, which helps to make vasodilators and sometimes anticoagulants;
    2. cure heart failure;
    3. to eliminate conduction and rhythm disturbances.

    In case of a heart attack, take nitroglycerin

    To improve coronary circulation, the doctor can advise, in case of an attack, to take nitroglycerin, and then within a month to take aspirin, but in small doses. In addition, drugs are prescribed to help cope with arrhythmia. For example, for treatment of atrial fibrillation, novocainamide or quinidine may be administered. Treatment of arrhythmia often has a positive effect, at least temporary.

    If blockade of cardiac patency is revealed, the treatment is performed in a hospital and it is selected in accordance with the blockade stage. If it has a third degree, it is possible to use ventricular electrostimulation. During treatment, you should avoid drinking coffee, and it is also useful to follow a diet with restriction of salt, fried and fatty foods.

    If an aneurysm of the heart is detected, then it is necessary to intervene surgically. If it is saccular, excision is performed, if it is flatter, then elastic tissue is sewed to the site, which can be cut from the diaphragm.

    Preventative measures

    Correct way of life and sport is the guarantee of a long life

    If we take into account that atherosclerotic plaques play a decisive role in the development of the disease, we must do everything possible to prevent their appearance. This will apply to primary prevention, which includes a correct lifestyle:

    • physical activity;
    • correct, healthy, high-quality food;
    • rejection of bad habits and so on.

    Secondary prevention is aimed at treating the same diseases that lead to the development of cardiosclerosis. To do this, you need to visit a doctor in a timely manner and conduct a complete examination of the body. Thanks to this, cardiosclerosis either does not develop at all or will not progress, creating a threat to the life of the patient.

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