Focal cardiosclerosis of the interventricular septum

The treatment of cardiosclerosis is aimed at treating the underlying disease and includes:

  • antiarrhythmic drugs;
  • cholesterol lowering drugs;
  • cardiac glycosides;
  • anticoagulants;
  • antihistamines;
  • vasodilators.

Currently, a sufficiently effective method for the treatment of cardiosclerosis has not been developed. It is impossible to turn connective tissue back into cardiomyocytes with the help of some medications. Therefore, the treatment of this disease is usually aimed at eliminating the symptoms and preventing complications.

Surgical and conservative methods are used in the treatment. The first include:

  • Heart transplantation. It is considered the only effective treatment option. Indications for this operation are: a decrease in cardiac output of up to 20% or less of normal, the absence of serious diseases of internal organs, the low effectiveness of drug treatment.
  • Coronary artery bypass grafting. It is used for progressive vasoconstriction.
  • The implantation of pacemakers. This operation is carried out with cardiosclerosis, accompanied by severe forms of arrhythmia.

If the disease has led to the formation of aneurysm of the heart, surgery may be prescribed to eliminate it. In the process of surgical intervention, the affected area is removed or strengthened. Such actions help prevent tearing of weak heart muscle.

For treatment, drugs are used whose action is aimed at eliminating the symptoms of heart failure:

  • Beta-blockers: Metoprolol, Bisoprolol, Carvedilol;
  • Angiotensin-converting enzyme inhibitors: Enalapril, Captopril, Lisinopril;
  • Diuretics: Butemanide, Furosemide;
  • Cardiac glycosides – for example, digoxin;
  • Aldosterone Antagonists – Spironolactone.

These drugs modify the work of the heart, providing regulation of the load. As a prevention of thrombosis, blood thinners can be used.

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If on an ECG and ultrasound it was possible to determine the initial degree of progression of cardiosclerosis, it can be treated conservatively. A complex therapy regimen is prescribed, including drugs that correct heart function and eliminate pathological signs. The following groups of drugs are prescribed:

  • diuretics;
  • cardiac glycosides;
  • beta-blockers;
  • aldosterone antagonists;
  • ACE inhibitors;
  • antiplatelet agents;
  • antiarrhythmic.

If a woman is planning a pregnancy in the future, with a diagnosis of cardiosclerosis of the heart, it is necessary to undergo complex treatment before conception. Since the disease is dangerous, in severe cases, doctors recommend an interruption, therefore, during the planning of the child, it is necessary to inform the gynecologist about the existing pathology and determine with it the further plan of action.

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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.