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Notice: Constant NETCAT_MODULE_CAPTCHA already defined in /home/heartat/public_html/netcat/admin/lang/Russian.php on line 104

Notice: Constant NETCAT_MODULE_CALENDAR already defined in /home/heartat/public_html/netcat/admin/lang/Russian.php on line 107

Notice: Constant NETCAT_MODULE_DEFAULT already defined in /home/heartat/public_html/netcat/admin/lang/Russian.php on line 1059

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Notice: Use of undefined constant prefix - assumed 'prefix' in /home/heartat/public_html/netcat/require/index.php(221) : eval()'d code on line 75

Notice: Use of undefined constant suffix - assumed 'suffix' in /home/heartat/public_html/netcat/require/index.php(221) : eval()'d code on line 76

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ИНФАРКТ МИОКАРДА

heart-attack.ru  » Инфаркт миокарда


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ИНФАРКТ МИОКАРДА

Сердечный приступ

ИБС - ишемическая болезнь сердца - ЛЕЧЕНИЕ за ГРАНИЦЕЙ - Heart-attack.ru -2008

Инфаркт миокарда (известный также как сердечный приступ) - это смерть сердечной мышцы вследствие внезапной закупорки коронарной артерии сгустком крови.

Коронарные артерии - это кровеносные сосуды, снабжающие сердечную мышцу кровью и кислородом. Закупорка коронарной артерии лишает сердечную мышцу крови и кислорода, вызывая ее повреждение. Повреждение сердечной мышцы в свою очередь вызывает боль и давление в груди. Если в течение 20 – 40 минут кровоток не будет восстановлен, начнется необратимый процесс отмирания сердечной мышцы.

Отмирание сердечной мышцы продолжается от 6 до 8 часов, по истечение которых сердечный приступ считается "завершенным". Мертвая мышца замещается рубцовой тканью.

Каждый год приблизительно один миллион американцев переносит сердечный приступ. В результате этого 400 000 человек из них умирает.

Благодаря росту общественной осведомленности в отношении сердечных приступов и изменению образа жизни, в последние четыре десятилетия наблюдалось значительное уменьшение случаев наступления инфаркта миокарда. Были протестированы такие антикоагулянтные лекарственные средства с улучшенными свойствами, как "хирудин" и "хирулог", и теперь они могут применяться в процессе лечения. В настоящее время так же исследуется значение "супераспиринов" (Reopro и Integrilin). Разрабатываются более эффективные образцы тканевых плазминоген активаторов. Парамедики все больше имеют возможность снимать показания кардиограммы на месте, ставить диагноз сердечного приступа и сразу направлять пациентов в больницы, имеющие возможность проводить чрескожную черезпросветную коронарную ангиопластику и расширение артерии. Это может помочь сэкономить время и уменьшить повреждения сердца.

Как показывают данные последних исследований, дальнейшее снижение уровня холестерина ЛНП, даже больше ранее предложенного уровня, может еще более уменьшить риск наступления сердечных приступов. Исследователи также выяснили, что на развитие атеросклероза могут также влиять воспалительные процессы и этот вопрос в данное время также является предметом исследований. По предварительным данным, с помощью генной инженерии также можно разработать лекарство, вычищающее бляшки из артерий ("молекула чистильщик").

Инфаркт миокарда происходит, когда сгусток крови полностью преграждает коронарную артерию, снабжающую кровью сердечную мышцу, и сердечная мышца отмирает. Сгусток крови, который становится причиной сердечного приступа, обычно образуется на месте разрыва атеросклеротической, холестериновой бляшки на внутренней стенке коронарной артерии.

Наиболее распространенным симптомом инфаркта миокарда является боль в груди. К наиболее частым осложнениям после перенесения инфаркта миокарда относятся сердечная недостаточность и фибрилляция желудочков.

Факторы риска развития атеросклероза и инфаркта миокарда включают в себя повышенный уровень холестерина, повышенное кровяное давление, употребление табака, диабет, принадлежность к мужскому полу, и наличие в семейном анамнезе случаев сердечных приступов в раннем возрасте.

Сердечные приступы диагностируются с помощью электрокардиограмм и измерения содержания сердечных ферментов в крови. Чем раньше будет открыта заблокированная коронарная артерия, тем меньше будет повреждено сердце и тем лучшие прогнозы в отношении риска наступления сердечного приступа можно будет дать.

Медикаментозное лечение инфаркта миокарда может включать использование анти-тромбоцитарных, антикоагулянтных и фибринолитических лекарственных средств, а так же ингибиторов ангиотензин-конвертирующих ферментов (АКФ), бета-блокираторов и применение кислорода.

Оперативное лечение инфаркта миокарда может включать коронарную ангиографию с чрескожной черезпросветной коронарной ангиопластикой, расширение коронарной артерии, обходное сосудистое шунтирование коронарной артерии. Пациенты, страдающие от сердечных приступов, на несколько дней подлежат госпитализации для выявления нарушений сердечного ритма, нехватки дыхания, боли в груди.

Дальнейшее появление сердечных приступов можно предотвратить с помощью бета-блокираторов, ингибиторов АКФ, отказа от курения, снижения веса, физических упражнений, мониторинга кровяного давления, должного контроля при диабете, употребления пищи с низким содержанием холестерина и поли-насыщенных жиров и пищи богатой омега-3-жировыми кислотами, принимая мультивитамины с повышенным содержанием фолиевой кислоты, снижая уровень холестерина ЛНП и повышая уровень холестерина ЛВП.

БЕРЛИНСКИЙ КАРДИОЦЕНТР –Германия

КАРДИОЛОГИЧЕСКИЙ ЦЕНТР НИДЕРБЕРГ – Германия

КАРДИОЦЕНТР IMedical – Израиль

КАРДИОЦЕНТР ОАО МЕДИЦИНА - МОСКВА

ОФОРМИТЬ ЗАЯВКУ на ЛЕЧЕНИЕ


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ОФОРМИТЬ ЗАЯВКУ на ЛЕЧЕНИЕ

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