The elderly's plump type _'s treatment of healing solution of myocardium disease

The elderly's plump type _'s treatment of healing solution of myocardium disease
1.Treat the principle
(1)Relieve clinical symptom: Palpitation after the activity, breathing hard, dizzy, etc. It is in heart failure and improving the dynamics measure of the blood flow to resist.
(2)Prevent from dying suddenly: Die suddenly the high persons who endanger the factor should be monitored tightly, avoid moving about vigorously. To have symptom, have, faint history, interventricular septum plump and light and electrocardiogram getting normal, can observe regularly, does not need special treatment. But the person who has clear history of family should be treated.
(3)Promote plumply to disappear and prevent plump progress, lighten the left room and flow out one is narrow.
2.Generally treat
(1)Avoid excited violent physical sport, have obvious symptom, obstruct lighter patient have a rest, in excited or excessive sports, may obstruct and display or make originally obstructing symptom becomes more serious. Because of the violent physical exertion, especially equal-length sports, can increase the after-load of left room, the orthosympathetic tension increases, the humoral catecholamine activity is strengthened, the fatal room rhythm of the heart incident is not normal, or stimulate, aggravate potential flowing out one and obstructing.
(2)Even when in heart failure, should be very careful to load and strengthen the medicine of myocardium contractile force by reducing the heart, for instance foreign digitalis and diuretic,etc. can be aggravated and obstructed in the ventricle. But in heart failure can use foreign digitalis with the fast room when being quiver.
(3)Heart patient obstructed to have apt to take place hotbed, membrane of inflammation under infective heart like valve disease in the. So should prevent and cure and infect actively. Such as respiratory tract, having tooth pulled out, before and after operation,etc..
(4)When surgery anaesthetize, anaesthetize, can cause the intersection of abdominal cavity and angiectasis outside the hard membrane, load before and after lowering the heart, should try hard to avoid.
3.Drug therapy
(1) - receptor blocks medicines: Can weaken the contractile force of the cardiac muscle, slow down the heart rate, the vascular expansion of periphery while lightening sports. Thus lighten and flow out one and obstruct and the pressure steps are bad, increase a fulling of amount of ventricle relaxation, reduce myocardium oxygen consumption, prevent the arrhythmia, improve the cardiac muscle, increase the heartbeat amount, can relieve and have difficulty in breathing, prevent the angina pectoris and emergence that fainted. The administration should begin with low dose, the adding amount progressively after suiting. Should choose the medicine appropriately according to the characteristics of the elderly's physique, weight. Report, ask Lip river with U.S.A. at home Treat HCM, can improve symptom, prevent from the arrhythmia, raise in the early period of relaxation the ratio of velocity of flow of E peak of bicuspid valve to velocity of flow of A peak of later period of relaxation and valve open average acceleration of blood flow, reduce the left room internal diameter and left room and flow out a pressure rank badly, but appearing amount of the heartbeat and heart index do not change. Indicate the left room is improved, arrange blood resistance to lower. receptor blocks pharmaceuticals in the course of using, should avoid the side effect, slow, atrio-ventricular block should be jealous of using on the serious sinus aroused in interest.
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