How to treat coronary artery spasm

summary

The occurrence of coronary heart disease is caused by coronary artery spasm, but in this case, most of them are accompanied by coronary atherosclerosis. The pathophysiological basis of coronary heart disease is based on coronary atherosclerosis. The imbalance of myocardial oxygen supply and demand is the pathophysiological basis of myocardial ischemia and hypoxia. How to treat coronary artery spasm.

How to treat coronary artery spasm

First: sublingual nitroglycerin 0.6-1.2mg, nifedipine (chewed) 10mg, can not alleviate repeated administration (pay attention to blood pressure).

Second: intravenous drip of nitroglycerin 10-30 μ g / min, the decrease of blood pressure in patients with hypertension is not more than 30%, and that in patients with normal blood pressure is not more than 10%. Xiaoxintong 10-20mg was taken orally every 4-6 hours.

Third: oral nifedipine 10-20mg, once every 4 or 6 hours; or oral diltiazem (thiazolone) 30-60mg, once every 4 or 6 hours, but attention should be paid to the prohibition of heart failure or slow arrhythmia, atrioventricular conduction disorders. In view of the fact that in individual cases, patients only have a good response to a certain calcium antagonist, sometimes two or three antagonists need to be used at the same time, but attention should be paid to the dosage and blood pressure. Only in a few cases, verapamil is used orally at the same time, or 2.5-5.0mg intravenously. Usually, nifedipine (xintongding) or nicardipine with strong effect on blood vessels should be selected first.

matters needing attention

Eat less or no animal fat, with vegetable oil as the source of fatty acids, such as peanut oil and rapeseed oil; eat less food with high sterols, such as pork, eggs and shrimp; eat more vegetables and fruits with more cellulose. Appropriate to eat more fish, fish cholesterol for high-density lipoprotein, to prevent arteriosclerosis.