Aortic sclerosis is extremely harmful and should be treated promptly if any adverse reactions occur. At present, Western medicine is a good choice, which can be adjusted by dilating blood vessels, relieving vascular movement disorders, regulating blood lipids, and anti-lipidemia. 1. Western medicine treatment of aortic sclerosis 1. Dilate blood vessels and relieve vascular movement disorders ① Isosorbide mononitrate, 20 mg each time, 2-3 times a day; sustained-release capsules, 40 mg each time, once a day; ② Nitrobenazine sustained-release tablets (Baixintong), 30 mg, once a day; ③ Diltiazem (Hexinshuang sustained-release tablets) 60 mg, once a day. 2. Regulate blood lipids If blood lipids are still higher than normal on the basis of a reasonable diet and moderate exercise, lipid-lowering drugs can be used. ① Drugs that lower triglycerides include: fenofibrate, atorvastatin, and gemfibrozil; ② Cholesterol-lowering drugs include: simvastatin, fluvastatin, pravastatin; 3. Anti-lipidemia Drugs that prevent platelet adhesion and aggregation can prevent thrombosis and the occurrence and development of vascular occlusive diseases. Commonly used drugs include: enteric-coated aspirin, ticlopidine, etc. 4. Thrombolytics and anticoagulants For patients with intra-arterial thrombosis causing stenosis or obstruction of the artery lumen, thrombolytic drugs and anticoagulants such as urokinase, recombinant tissue-type plasminogen activator, heparin, etc. can be used. In addition to the above treatments for arteriosclerosis, interventional treatments can also be used, including recanalization, revascularization or bypass transplantation of narrowed or occluded blood vessels, especially coronary arteries, renal arteries and limb arteries, to restore arterial blood supply. 2. Complications of Aortic Sclerosis 1. Abdominal aortic aneurysm It is usually discovered during physical examination because of a pulsating mass in the abdomen. A murmur can be heard in the corresponding part of the abdominal wall, and the femoral artery pulsation may be weakened. 2. Thoracic aortic aneurysm It can cause chest pain, shortness of breath, dysphagia, hemoptysis, vocal cord paralysis due to compression of the recurrent laryngeal nerve, tracheal displacement or obstruction, and compression of the superior vena cava and pulmonary artery. |
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