Palpitations and rapid heartbeat may be caused by heart disease, such as insufficient blood supply to the myocardium, arrhythmia, etc., which may cause such phenomena. At this time, you can take Compound Danshen Drops or Betaloc Tablets under the guidance of a doctor. Go to the hospital's cardiovascular department for examination in time and receive timely and good treatment. We should also pay more attention to health care in daily life to avoid causing greater harm to our health. Treatment of myocardial ischemia Drug treatment: Since the mechanism of myocardial ischemia is mainly the imbalance between myocardial blood (blood oxygen) supply and demand, the treatment of myocardial ischemia is nothing more than increasing myocardial oxygen supply and/or reducing myocardial oxygen consumption, so that the myocardial oxygen supply and demand can be restored to a balanced state. 1. Antiplatelet drugs prevent and treat thrombosis, prevent coronary and cerebral artery thromboembolism, and reduce the risk of myocardial infarction, stroke, and cardiovascular death in patients with stable angina pectoris. If there are no contraindications, they should be taken for a long time. Commonly used drugs include aspirin, clopidogrel, etc. 2. Beta-blockers can slow down the heart rate, reduce myocardial oxygen deprivation, and prevent sudden death, such as metoprolol or its sustained-release tablets. Beta-blockers are the first choice for stable angina pectoris. They can be used in combination with nitrates to complement each other. Generally, the dose should be started at a small dose and adjusted according to the treatment response and heart rate changes. 3. Calcium ion blockers can inhibit myocardial contraction, reduce myocardial oxygen consumption, dilate coronary arteries, relieve coronary artery spasm, and improve myocardial blood supply. Commonly used drugs include verapamil, nifedipine, etc. 4. Statins lower plasma cholesterol, stabilize arterial plaques, and prevent plaques from falling off and forming blood clots, such as atorvastatin and rosuvastatin. 5. RAS (renin-angiotensin-aldosterone system) system blockers can prevent ventricular remodeling and improve cardiac function, such as benazepril and valsartan. 6. Nitrate drugs, such as isosorbide mononitrate, dilate coronary arteries and increase myocardial blood supply. 7. Thrombolytic drugs dissolve acutely formed blood clots and are used for acute myocardial infarction.The hazards of myocardial ischemia 1. Hypoxia Oxygen is an indispensable substance for the activity of myocardial cells and is transported to cells through the blood. Insufficient blood supply to the myocardium will immediately cause hypoxia. 2. Weakened aerobic metabolism. Hypoxia caused by myocardial ischemia can directly lead to weakened aerobic metabolism of myocardial cells and reduced production capacity, resulting in insufficient energy supply for cardiac activity, causing angina pectoris, arrhythmias, and decreased cardiac function. 3. Influence on cardiac contractile function Myocardial ischemia, hypoxia and lack of energy will affect the contractile function of the heart. According to research statistics, if 20% to 25% of the myocardium stops contracting, left ventricular failure will usually occur. If more than 40% of the myocardium cannot contract, there will be severe cardiac pump failure and cardiogenic shock is prone to occur. 4. Damage to cardiac diastolic function Myocardial ischemia damages diastolic function, which is mainly manifested in the simultaneous existence of poor myocardial contraction and poor relaxation. Increased ventricular filling pressure can not only cause pulmonary congestion, but also cause complex metabolic disorders and myocardial activity disorders. |
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