Treatment of reperfusion in patients with myocardial ischemia

This article is professionally consulted by Master, Doctor Do Xuan Chien - Head of Department of Examination & Internal Medicine and Professional Advisor - Department of Medical Examination and Internal Medicine - Vinmec Ha Long International Hospital.

Before learning about reperfusion treatment, we will provide the most basic information about ischemic heart disease.
Coronary arteries have a network shape made up of blood vessels on the surface of the heart and are responsible for supplying the heart with blood and oxygen. Accordingly, ischemic heart disease is a disease that occurs when the heart's arteries are narrowed, making it difficult for blood and oxygen to reach the heart. Besides myocardial ischemia, the disease has other names such as ischemic heart disease, coronary heart disease and CHD.
Myocardial ischemia is a partial or complete blockage of the coronary arteries - the network of blood vessels that surround the heart and nourish the heart. If reperfusion is not treated in time, an area of ​​the back of the heart will become necrotic, known as a myocardial infarction. It is considered the leading cause of death from cardiovascular disease.

There are many causes of myocardial ischemia, but coronary artery disease is the most common cause of myocardial ischemia. The accumulation of fat and cholesterol in the coronary arteries creates plaques, hindering the circulation of blood. Over time, the plaque grows, it can rupture, forming a blood clot that blocks an artery to the heart.
When the coronary artery is constricted, this also causes this condition, even if it does not have plaque. Besides, smoking, stress are factors that cause blood flow to the heart to be temporarily interrupted.
In addition, when the metabolic demands of the heart increase, such as excessive physical activity, or in acute bleeding diseases... also causes ischemia to the myocardium.
If you are physically sedentary, have a fatty disorder, or have diabetes, high blood pressure, heart rhythm disorders, use of alcohol, stimulants, your risk of disease will be much higher than normal.

3.1 Changing lifestyle, building a balanced diet Lifestyle and nutrition are two important factors that help you prevent and treat myocardial ischemia effectively. It's never too late for you to change, build a healthy, positive lifestyle. You can start today by:
No smoking. Control related diseases such as high blood pressure, high blood fat, diabetes... Build a balanced diet with lots of heart-healthy foods such as oily fish, vegetables, fruits, whole grains. seeds, foods rich in vitamin E ... At the same time, you must limit eating foods containing saturated fat and foods high in salt. Weight control. Don't let yourself do hard work, overwork, and fall into a state of stress. Exercise regularly and regularly. 3.2 Treatment of myocardial ischemia with drugs Depending on the specific condition of each patient, the doctor will have appropriate indications. Patients are not allowed to use other people's prescription to treat their disease.

3.3 Reperfusion therapy In addition to the above measures, ischemic heart disease is also treated with reperfusion. It is a method of opening a blocked coronary artery by “intervention” (surgical intervention or primary angioplasty), or with fibrinolytic drugs. Thrombolysis requires correct, immediate, urgent diagnosis, and treatment as soon as possible.
With ST-segment elevation acute myocardial infarction, fibrinolysis or angioplasty with or without stenting can open the blocked coronary artery and reperfuse the damaged myocardium. Thrombolytic drugs have been widely used in clinical practice because of their ease of use, acceptable cost, and do not require expensive and modern equipment.
In settings where emergency angioplasty is not available, fibrinolytic therapy remains a simple and quick option to achieve early restoration of blood flow.
Hope the above information has helped you gain basic knowledge about coronary heart disease in general as well as ischemic heart disease in particular and current reperfusion treatment is also a preventive measure. effective cardiovascular diseases to always have a healthy heart.
Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading medical professionals, modern equipment and technology, but also stands out for its examination and consultation services. comprehensive and professional medical consultation and treatment; civilized, polite, safe and sterile medical examination and treatment space.
Master. Doctor Do Xuan Chien is former Deputy Head of Cardiology Department of Phu Tho Provincial General Hospital with more than 11 years of experience working in Cardiology and Metabolic Pathology. Currently, he is the Head of the Department of Medical Examination and Internal Medicine, Vinmec Ha Long International General Hospital.
Associate Professor. Dr. Hoang Dang Mich has over 42 years of medical career, has strengths in the specialized fields of Liver - Kidney - Immune pathology... Currently, he is a Specialist Consultant of General Internal Medicine Department of Examination. Medicine & Internal Medicine, Vinmec Ha Long International General Hospital.
Customers can directly go to Vinmec Health system nationwide to visit or contact the hotline here for support.
Article referenced source: Vietnam Society of Cardiology