Diffuse cardiosclerosis symptoms and treatment methods

What to do if the patient is diagnosed with ischemic heart disease or diffuse cardiosclerosis (what it is, discussed above), not everyone knows.

First of all, you should pay attention to your daily diet and, if possible, eliminate fatty and spicy foods from it, as well as table salt (something that will provoke the development of atherosclerosis and arterial hypertension) or at least limit its use. Priority should be given to fish, vegetables and fruits, various broths and cereals.

In addition, you should bring into your life minimal physical exertion, for example, morning exercises, begin to walk in the evenings. In a word, to refuse, as far as possible, a sedentary lifestyle. It will be useful to swim, Scandinavian walking.

Therapy for cardiosclerosis is aimed at eliminating the manifestations of the underlying disease, improving metabolic processes in the myocardium, eliminating signs of heart failure and impaired conduction and rhythm.

Cardiosclerosis is treated with diuretics, peripheral vasodilators, and antiarrhythmic drugs. All patients with cardiosclerosis are shown to limit physical activity. In the presence of a cardiac aneurysm, surgical treatment may be indicated; in severe conduction disturbances, implantation of a pacemaker.

Diagnostic examination of the heart

In order to confirm the diagnosis, after studying the medical history of a patient who is suspected of coronary artery disease or diffuse cardiosclerosis, the doctor will give a referral for diagnosis. It will be held in several main areas:

  • laboratory blood tests – they will allow you to assess the level of cholesterol in the blood, get information about the general condition of a person, the presence of concomitant diseases;
  • ECG – allows you to track the heart rate and heart rate, as well as identify changes observed in the work of the body;
  • Ultrasound – it will allow you to evaluate the work of the heart, as well as to study the features of the changes observed in the muscle of the organ;
  • MRI – makes it possible to determine the location of the pathological focus, even if we are talking about diffuse small focal cardiosclerosis.

After the results of the examination are obtained, we can talk about effective treatment of diffuse cardiosclerosis, which will help alleviate the patient’s condition, relieve him of the existing symptoms.

It’s no secret that you need to start by eliminating the root cause of the disease, so the treatment of ischemia will be prescribed first. It is selected in each case individually, but its basis remains the same:

  1. organic nitrates – antianginal drugs that promote vasodilation, improving blood flow, and also reduce the oxygen demand of the heart muscle;
  2. beta-adrenergic receptor blockers – necessary to reduce myocardial oxygen demand. A vivid example of this group of drugs is anaprilin. Such drugs are prescribed to improve the tolerance of physical exertion, increase the stamina of the body;
  3. calcium antagonists are another group of drugs that are used in the treatment of coronary heart disease and cardiosclerosis. They act in a direction similar to previous drug groups, they are necessarily part of the treatment.

Given the fact that diffuse atherosclerosis also becomes the cause of cardiosclerosis, it is important to take care of increasing vascular conduction. For this purpose, a special diet should be followed. It is as follows:

  1. exclude fried and fatty foods from the diet;
  2. replace meat with fish;
  3. minimize the amount of animal fats consumed, replacing them with vegetable;
  4. limit the amount of fluid you drink, as well as table salt;
  5. saturate the diet with vegetables and fresh fruits.

If you are interested in the question – how long do they live with diffuse cardiosclerosis, then the answer will directly depend on the timeliness of its detection and the quality of treatment. To a greater degree, the further course of the disease is determined by the person himself, because, having abandoned bad habits, having reviewed his daily regimen and diet, he already makes a big contribution to the treatment, getting good chances of recovery.

Of course, it is impossible to restore pathologically altered areas of the myocardium, but you can stop the progression of the disease, alleviate your condition.

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Diffuse cardiosclerosis is a complete irreversible pathological process. Treatment excludes personal initiative and takes place only under the supervision of a cardiologist.

Complex therapy includes the following steps:

  1. Drug stabilization.
  2. Surgery for indications.
  3. Dieting.
  4. Healthy lifestyle and prevention.

Depending on the severity of the sclerotic process, conservative treatment can take place on an outpatient or inpatient basis.

Group Action Name of the drug
Nitrates To increase blood flow and reduce the load on the heart. Nitroglycerin, nitrosorbide.
Calcium antagonists With hypertension, to relieve vasospasm. Diltiazem, nifedipine.
Beta blockers With hypoxia, to normalize blood pressure. Anaprilin, metoprolol, inderal.
Statins With elevated cholesterol. Atorvastatin, atoris, rosuvastatin.
Glycosides With heart failure. Digoxin.
Metabolites Nutrition for the regeneration of muscle tissue. It has been produced, Mildronate.
Thinners Take for life with ischemia, arrhythmias, in a post-infarction state, after 45 years. Lospirin, clopidogrel, magnoric.

Proper nutrition

Patients with a diagnosis of diffuse cardiosclerosis should adhere to a diet.

  • refuse fried, spicy (onions, garlic), fatty and foods with high cholesterol;
  • limit the intake of salt, sugar, tea, coffee, turnip, radish;
  • include in the diet foods rich in vitamins and minerals (dietary meat products, kefir, milk, fruit and vegetables);
  • consumption of fish dishes;
  • include the intake of olive or linseed oil, nuts.

In case of failure of conservative therapy, surgical practice is resorted to:

  • vascular bypass;
  • stenting;
  • implantation of a pacemaker.

With the formation of an aneurysm, an operation is required to excise the lesion, followed by prosthetics of healthy tissue.

Therapy for this disease should be prescribed as soon as possible after diagnosis.

Usually it is aimed at eliminating several manifestations:

  • elimination of ischemic symptoms;
  • preservation of the heart muscle and restoration of the patient’s normal state of health;
  • eliminate the development of heart failure;
  • restore normal heart rate.

Treatment of diffuse cardiosclerosis is conservative and surgical.

In the initial stages of the disease, drug therapy is usually recommended.

In order to improve heart function and normalize heart rate, the following drugs are prescribed:

  • calcium antagonists (Diltiazem, Nifedipine et al.);
  • adrenaline beta-blockers (Egilok, Bisoprolol);
  • ACE inhibitors (enalapril);
  • nitrates (Nitroglycerin, Nitrosorbide).

If cholesterol is very high, then statins are prescribed. Diuretics are also used to eliminate edema. In order to prevent the formation of blood clots in the vessels, Cardiomagnyl, Thrombo-ass, Aspirin are used.

If drug treatment did not bring the expected result, surgery is used. It is also used in severe cases in the late stages of the development of this disease.

Among surgical methods, the following are used:

  • installation of a pacemaker;
  • stenting;
  • bypass surgery.

If an aneurysm develops, it is necessary to urgently perform an operation, otherwise the patient may die. The affected area is removed and a prosthesis is installed in its place.

What to do if the patient is diagnosed with ischemic heart disease or diffuse cardiosclerosis (what it is, discussed above), not everyone knows.

First of all, you should pay attention to your daily diet and, if possible, eliminate fatty and spicy foods from it, as well as table salt (something that will provoke the development of atherosclerosis and arterial hypertension) or at least limit its use. Priority should be given to fish, vegetables and fruits, various broths and cereals.

What is a disease?

This disease develops slowly, over the years, often preceded by coronary heart disease. Therefore, according to the international classification of diseases, the disease code is 120.125.

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Often, heart failure appears. In place of scars formed as a result of myocardial infarction or infectious diseases, tissue atrophy appears. Then they are replaced by another tissue. Such sites are located on the entire surface of the myocardium.

Most often, diffuse cardiosclerosis appears in older people, but there is information about the development of this disease in fairly young people.

Cholesterol plaques in the vessels often contribute to the appearance of the disease. They exacerbate the condition of the patient. Therefore, it is important to monitor lipid metabolism.

Whether such a disease can cause death, the answer is rather positive. How long they live with this chronic disease depends on the severity of the process, the time of seeking medical help, as well as on the patient’s mood, the thoroughness of the implementation of medical recommendations.

Complications of Cardiosclerosis

Cardiosclerosis can be complicated by progressive chronic heart failure, the formation of heart aneurysm, atrioventricular blockade, the development of ventricular paroxysmal tachycardia, which pose a serious threat to the patient’s life. Rupture of the wall of the aneurysm of the heart leads to tamponade of the pericardial cavity.

Possible causes of development

Scarring muscle tissue is always preceded by destructive processes that can be caused by systemic diseases or general factors.

Disease Pathological processes
Atherosclerosis The deposition of cholesterol inside the vessels leads to insufficient blood supply to the myocardium, causing its dystrophy with development into scarring.
Ischemia Damage to the coronary arteries, in which the most pronounced form of the disease is noted.
Myocarditis Inflammation in the heart with the formation of foci of connective tissue.
Cardiomyopathy (Cardiodystrophy) Changing the size of the heart of a different nature – thickening, compression, expansion, disrupting nutrition and destroying cardiomyocytes.
Arterial hypertension It causes arteriosclerosis, which, in turn, leads to myocardial ischemia.
Diabetes Diabetic lesion of small capillaries with subsequent hypoxia.
Rheumatism Inflammation of the connective tissue with localization on the surface of the heart.

Preparations

From medicines, first of all, attention should be paid to drugs from the group of statins. These drugs help to lower blood cholesterol, thereby preventing atherosclerosis from developing. Such drugs include Atorvastatin, Lovastatin and others.

Another mandatory medicine for prescribing to patients with a diagnosis of cardiosclerosis is Aspicard (ASA, cardiomagnyl, acetylsalicylic acid). It contributes to some blood thinning, which improves its rheological properties and reduces the risk of ischemic events in the myocardium.

It will be useful to use some metabolic drugs, such as Mildronate, B vitamins. These drugs improve metabolic processes in the cells of the heart muscle, which improves its reparative properties and functional activity.

To reduce pain in the heart, you can use Nitroglycerin, Molsidomin (or Dilacid), validol, Zelenin drops. These drugs affect the blood vessels of the heart, cause their expansion and thereby contribute to the improvement of blood circulation in them.

From cardioprotectors it is recommended to use “Thiotriazolinum” or “Trizidinum”. Their main function is to improve the resistance of cardiomyocytes to stress and to prevent the development of necrotic changes.

Another mandatory medicine for prescribing to patients with a diagnosis of cardiosclerosis is Aspicard (ASA, cardiomagnyl, acetylsalicylic acid). It contributes to some blood thinning, which improves its rheological properties and reduces the risk of ischemic events in the myocardium.

To reduce pain in the heart, you can use Nitroglycerin, Molsidomin (or Dilacid), validol, Zelenin drops. These drugs affect the blood vessels of the heart, cause their expansion and thereby contribute to the improvement of blood circulation in them.

From cardioprotectors it is recommended to use “Thiotriazolinum” or “Trizidinum”. Their main function is to improve the resistance of cardiomyocytes to stress and to prevent the development of necrotic changes.

Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.

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