Symptoms and treatment of painless myocardial ischemia

Painless myocardial ischemia can occur as an independent phenomenon or be combined with other forms of coronary disease. This condition is characterized by a temporary disruption of the blood supply to the heart muscle. Most often, this disease occurs in men after 40 years. It does not cause unpleasant symptoms, so you can find out about the problem only by doing an electrocardiogram.

As you know, not all pathological processes in the body are accompanied by unpleasant sensations.

Some diseases may not affect the well-being of a person, but this does not reduce their danger: painless myocardial ischemia belongs to them.

Types and symptoms of silent myocardial ischemia

Painless myocardial ischemia is divided into three types:

1. Occurs in people suffering from coronary artery stenosis, but provided that they have not had a heart attack or angina pectoris.
2. The second type of the disease develops in patients with myocardial infarction, but in the absence of angina pectoris.
3. The third type worries people suffering from angina pectoris.

The second and third types of the disease include pathologies in people with previously diagnosed coronary heart disease. The peculiarity of this pathological process is that in the arteries, which should provide the myocardium with a sufficient amount of blood, blood circulation is disturbed.

There are no symptoms of the disease, so people do not seek medical help in time. This can lead to heart rhythm and conduction disturbances.

Unpleasant symptoms can occur only if painless myocardial ischemia is combined with other diseases.

Why there are no signs, science has not been able to find out to date.

Diagnosis of painless myocardial ischemia

The most effective study is the electrocardiogram. It allows you to identify any deviations. But before that, an initial examination and questioning of the patient is carried out.

The patient must tell the doctor:

• about all complaints;
• about past illnesses;
• about the drugs you take.

After that, the pressure is measured, it is determined whether there are wheezing in the lungs or a heart murmur.

Diagnosis of almost any disease consists of a complete blood count. This study helps to identify the presence of inflammatory processes in the body. A biochemical blood test is also necessary. With it, check the amount of sugar, cholesterol and insulin.

A stress test is often prescribed. It combines exercise and echocardiography. It allows you to determine how the heart works during stress.

Diagnosis of the disease may require the intervention of a therapist to determine the general condition of the body.

How is painless myocardial ischemia treated?

With painless myocardial ischemia, treatment is necessary that will reduce the risk of developing coronary heart disease and improve the quality of life of the patient.

Pathology therapy the following methods:

• non-drug;
• medical;
• surgical.

Remember that self-medication or the use of traditional medicine does not guarantee further recovery. All actions must be coordinated with the doctor.

Non-pharmacological treatment of painless myocardial ischemia

Non-drug treatment consists of limiting stress and anxiety. The patient also needs to avoid excessive physical exertion, but therapeutic exercises are recommended. It allows you to feel better. However, it is necessary to engage only after consulting a doctor.

Medical treatment of painless myocardial ischemia

To restore blood circulation and improve well-being, the patient is prescribed special drugs:

• Antiplatelet agents. They reduce blood clotting.
• Beta-blockers, which promote vasodilation.
• Calcium antagonists do not allow this chemical element to penetrate into the heart muscle.
• Hypocholesterolemic drugs are needed to lower blood cholesterol levels.
• ACE inhibitors help lower blood pressure.

If the patient began to be disturbed by pain, then Nitroglycerin may be prescribed, antiarrhythmic drugs are used to normalize the heart rhythm.

Surgical treatment of painless myocardial ischemia

For the treatment of the disease, the following types of surgical intervention are used:

1. coronary angioplasty. A special stent is installed in the narrowed vessel, which prevents the narrowing of the lumen.
2. Coronary artery bypass grafting. To bypass the affected areas of the coronary arteries, shunts are applied, in the role of which the saphenous vein of the thigh is most often used.

In more serious cases, a heart transplant may be needed.

Prevention of painless myocardial ischemia

Painless myocardial ischemia can have serious consequences for human health, so every effort must be made to avoid its development.

Preventive measures include:

1. Refusal to use cigarettes and minimize the consumption of alcoholic beverages.
2. Avoid conflict and stressful situations. In some cases, it will be useful to take a sedative.
3. Body weight control. Excess weight causes problems in the work of the cardiovascular system. Low calorie products allow you to avoid excess weight and its attendant problems.
4. Regular exercise. It is necessary to systematically provide the body with a normal level of physical activity.
5. Diet control. Food should be free of fatty, smoked, salty foods. You need to eat more vegetables, fruits and dairy products.
6. Passing preventive examinations. Timely diagnosis will avoid serious problems.

Treatment of painless myocardial ischemia should not be delayed. Therefore, it is advisable to contact a cardiologist at the slightest suspicion of a deterioration in the functioning of the heart.