Coronary insufficiency
The coronary insufficiency gathers a series of diseases due to a lack of oxygenation of the cardiac muscle (Myocarde), generally secondary with an attack of the coronary arteries.
It can appear by:
- a Angina pectoris, also called angor: thoracic Pain of generally short duration.
- a Myocardial infarction,
- a Cardiac failure of the ischemic type,
- a quiet myocardic Ischaemia which is the objectivation, using complementary examinations, of a myocardic suffering, without the patient complaining about pains.
Diagnosis
Suspecté by the private clinic:
- patient having risk factors
- thoracic Pain
- signs of cardiac failure, for example breathlessness (dyspnea)
Specified by noninvasive complementary examinations:
- Electrocardiogram of rest
- Electrocardiogram of effort (test of effort)
- myocardic Scintiscanning
- echocardiography of stress
Confirmed by
- primarily the Coronarographie,
- more rarely, at least for the moment, the thoracic scanner multi bars.
See article: coronary Artery.
Treatment
Treatment of the coronary lesion
It can be:- medicamentous
- : anti incorporating plate (aspirine, plavix), hypocholestérolémiants (statines), anti-angineux (béta-blocking, inhibiting calcic)
- a dilation of the responsible artery by way endoluminale (Angioplastie coronary)
- a surgery by aorto-coronary Bridging.
Treatment of the consequences of the coronary attack
to see articles:- Cardiac failure;
- Myocardial infarction;
Treatment of the risk factors of the Athérome
It is necessary:- to stop the nicotinism;
- to treat a diabetes, a Dyslipidémie, a arterial Hypertension;
- to practice a physical ativity of regular endurance (fast walk, bicycle) 45mn per day
- to adopt a standard food Mediterranean Mode even Mode crétois
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