The elderly's plump type myocardium disease prevents the prognostic _'s prevention and health care

The elderly's plump type myocardium disease prevents the prognostic _'s prevention and health care
Prognosis: The rotating to return to make a variation more naturally of HCM, most patient courses of disease make little progress, there are few initial symptoms, can survive for a long time. But dying suddenly can take place at any stage of course of disease, it is relatively serious to and flow out condition of a patient obstructing in later period, there are more symptoms, rhythm of the heart is not normal or in heart failure, the prognosis is bad. The old patient often has no symptom or has slight symptoms, symptom is aggravated after 60- 70 years old more, the prognosis is better.
Prevent:
1.First class prevention HCM has illness coming on and mainly relates to inherent cause. To the crowd or individual with history of HCM family, should be deemed endangering a patient high of HCM. Tackle these crowds and individuals, carry on hygiene, medical propagation and education concerned, and do the relevant inspection in time, such as the interesting supersound is pursued, do the genetic inspection if necessary, in order to find HCM in early days.
2.Second prevention To making a definite diagnosis of the patient of HCM, should instruct them how to change the bad habits and customs, avoid moving vigorously, prevent fainting and dying suddenly. Do dynamic electrocardiogram, monitor regularly, find malignant arrhythmia in time, detection have die suddenly dangerous patient highly, and offer calcium antagonist and - receptor to block the medicine treatment according to the condition.
3.Tertiary prevention Faint in breaking out repeatedly, erupt the danger that HCM patient of the arrhythmia in heart failure highly dies suddenly simultaneously, the reason of dying suddenly mainly causes for the arrhythmia, should take and resist the arrhythmia medicine, if amine iodine ketone, getting involved to treat, planting into DDD or and installing the pace maker etc.. Improve the left room function, prevent from dying suddenly, improve and survive quality and survival rate.
4.The community intervenes Community's medical worker, to the residents in the community, the propagation and education needing to carry on about the medical knowledge of HCM respect, check regularly to patient and relative to have family nature HCM, instructs them how to prevent taking exercises and excessively excited vigorously, find and die suddenly what is inclined to and endanger patients high in time, and instruct them how to seek medical advice.
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