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What should I pay attention to in myocardial ischemia?
Can myocardial ischemia be cured?
Myocardial ischemia can be controlled. Myocardial ischemia does not include transient coronary artery spasm, and most of them are caused by coronary heart disease. It is a clinical syndrome caused by coronary insufficiency, acute and temporary myocardial ischemia and hypoxia.
Rest immediately when you have an attack. Generally, symptoms can be eliminated after stopping activities. If the symptoms are obvious, take nitroglycerin immediately under the tongue. The key is to actively treat the cause. It is suggested to go to the hospital for a coronary CT or coronary angiography to determine the specific degree of coronary artery occlusion, and then decide the treatment plan, drug treatment, stent or bypass. At the same time, we should control blood and blood lipids and adjust our emotions and pressures.
Nursing measures for patients with myocardial ischemia?
1, quit smoking wine
Nicotine in cigarettes will increase fibrinogen in blood, lead to blood viscosity and increase the incidence of myocardial ischemia. Excessive ethanol will increase the oxygen consumption of the heart and increase the burden on the heart.
2, a reasonable diet
Patients with myocardial ischemia should eat less and more meals, eat less cholesterol-rich foods (egg yolk, cream, fat, animal viscera) and sugars, and eat more fresh vegetables and fruits.
3. Feel comfortable and peaceful.
When people are too excited, they can raise blood pressure, enhance myocardial contraction and aggravate myocardial ischemia and hypoxia.
4. Avoid hypoxia
Patients with myocardial ischemia are very forbidden to lack oxygen, so they should always ventilate in the room. For example, patients with coronary heart disease are prone to chest tightness and other symptoms, which will aggravate the degree of arteriosclerosis.
Step 5 drink water regularly
Patients with coronary heart disease, especially the elderly, have increased blood viscosity. Water can dilute blood and promote blood flow, so it is necessary to develop the habit of drinking water regularly.
6, avoid hot and cold
Cold can cause peripheral blood vessels to contract and the heart rate to accelerate; In hot summer, sympathetic nerves are easy to get excited, which will also accelerate the heart rate and increase the burden on the heart.
7. Proper exercise
Patients with myocardial ischemia should not only insist on exercise, but also strictly master the word "degree". Overload exercise can easily lead to acute ischemia and hypoxia of cardiovascular and cerebrovascular diseases, which may lead to acute myocardial infarction.
Dietary contraindications of myocardial ischemia?
1, thermal control
A healthy diet is very important for patients with myocardial ischemia. Patients with myocardial ischemia should control their calories and maintain their ideal weight.
2. Control the quality and quantity of fat intake.
Many studies have proved that long-term intake of large amounts of fat is the main factor causing arteriosclerosis in animals. It also proves that the quality of fat has a greater influence on blood lipids. Saturated fatty acids can increase blood cholesterol, and polyunsaturated fatty acids can reduce blood cholesterol. It is generally believed that the ratio of polyunsaturated fatty acids, saturated fatty acids and monounsaturated fatty acids (p∶s∶m) in the diet is 1∶ 1∶ 1.
Step 3 control sugar intake
Carbohydrate is the main source of human thermal energy. Excessive intake of carbohydrates (that is, too many staple foods in our people's diet structure) will cause excess calories, which will also be converted into fat in the body, resulting in obesity and elevated blood lipids. Studies have proved that fructose is higher than sucrose and sucrose is higher than starch in carbohydrates.
4. Appropriately increase dietary fiber intake.
Dietary fiber can adsorb cholesterol, prevent cholesterol from being absorbed by human body, promote cholic acid to be discharged from feces, and reduce the production of cholesterol in the body, so it can reduce blood cholesterol. Therefore, there should be enough dietary fiber in the diet to prevent and treat myocardial ischemia.
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