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What about old people with bad hearts?

A bad heart in the elderly is the most common reference in the general public to patients with cardiovascular disease in the elderly. And for different elderly cardiovascular disease patients, the treatment is absolutely different. Therefore, we first need to clarify what kind of heart disease the elderly is, such as whether it is coronary heart disease, or arrhythmia, or other types of heart disease.

Nowadays, the highest incidence of coronary heart disease in the elderly, if it is coronary heart disease, I suggest that first of all, the cardiology department formal consultation, first to clarify the degree of coronary artery stenosis and cardiac function. In this way, we can make a better diagnosis and treatment program for the next diagnosis and treatment basis.

If it is atrial fibrillation, the patient should first check whether there are other diseases such as abnormalities in the A-function, if not then we can further make further treatment programs according to the patient's condition. For example, whether it is drug treatment or surgical treatment. Drug treatment, the patient how often to review, this is all need to solve the problem.

If an elderly person is suffering from heart failure, then the first thing to do is to clarify what is the primary disease of heart failure? For example, whether it is coronary heart disease, or cardiomyopathy and other diseases. Find the primary disease, timely and appropriate treatment, of course, in addition to the treatment of primary disease, heart failure patients, symptomatic treatment is also necessary, which requires a case-by-case analysis.

Of course, there can be so many possible heart conditions that older people can develop that it really isn't possible to cover them all in one article. Everyone is different, and all that can be said is that everyone seeks medical attention in a timely manner and lets a medical professional decide how you want to be treated.

A bad heart in the elderly is one of the hottest topics and a common condition that plagues the prognosis and quality of life of the elderly. The human heart is like a transfusion pump, ready to pop out fresh blood to feed the body's various tissues and organs nutrients, running absorption metabolism, if people's heart is not good, of course, physical fitness will not be very good, because if the heart is not good, the blood supply will be insufficient. The heart is the basis of human life, if the heart has a problem, the patient's life support is not safe.

First of all, it is clear that the heart is made up of valves. Heart tissue, coronary artery composition, any one of the parts or organs have problems will appear heart disease, such as the most common valve disease rheumatic heart disease, mitral valve closure insufficiency, stenosis of the heart valves, atrial septal defects. Damage to the heart tissue can lead to rheumatic myocarditis and cardiomyopathy. Coronary arteries are affected by coronary spasm, myocardial ischemia, angina pectoris, myocardial infarction. Arrhythmias may occur if there is damage to the conduction tissue of the heart, or nerve disorders, musculoskeletal nerves. Premature beats, atrial fibrillation, atrioventricular block. Any of these diseases will appear obvious symptoms will appear typical angina pectoris, chest tightness, shortness of breath, panic, sweating, and in severe cases may appear cardiogenic shock endangering human life, so that patients with bad heart especially the elderly. Once these serious problems occur, how to achieve the best preventive treatment and improve the prognosis and quality of life is a great concern and very difficult problem. What should elderly people with bad heart do and what do they need to pay attention to? Here are some tips for you.

1. You need to pay attention to salt intake, try not to eat salted vegetables, squash, andControl the amount of salt, salt intake may increase the spasm of small arteries will appear after the rise in blood pressure, blood pressure will appear after the rise in the functional structure of the heart after the size of the change in the size of the heart, heart failure arrhythmia, and sometimes may induce cardiogenic shock, serious times will appear edema shortness of breath, can not lie down.


2. Reduce emotional fluctuations, avoid staying up late and overworked, pay more attention to rest, reduce the amount of activity, do not eat too fast, the amount of food should not be too much, reduce the intake of animal offal, reduce the burden on the heart if necessary, you need to eat fewer meals, eat seven or eight minutes of fullness for each meal, and so on, after you finish your meals, feel that I have not eaten enough to eat the meal, which means that you have had enough. Do low salt, low fat, low cholesterol, don't smoke, don't drink alcohol, don't drink strong tea and coffee, keep a good enough sleep.

3. Timing medication, this timing must be regular, do not say eat a drug stop a meal without regularity, in this case the effect of the drug may not be able to achieve optimal treatment, may play the opposite role. Standardized drug treatment, in order to play in the best treatment time to maintain the best therapeutic effect of the drug.

4. usually in addition to standardized drug therapy, if suddenly appear chest tightness and shortness of breath, sweating chest tightness for a long time, and once more than 10 ~ 20 minutes or so without relief, may be the coronary artery insufficient blood supply caused by myocardial cells ischemia, hypoxia and so on, chest tightness, shortness of breath, fatigue, etc., it is recommended to go to the hospital to do an electrocardiogram, you can orally take danshen drip pills and nitroglycerine treatment, the effect of medication In the case of not obvious, this situation must promptly seek medical attention.

5. Do a good job of physical examination, in general, the most common checks are liver and kidney function, blood viscosity, blood lipids, blood sugar, blood pressure. At the same time, including electrocardiogram, cardiac ultrasound can assess the usual suction and the size of the heart's function, so as to do a good job of prevention in advance, to prevent the occurrence and development of complications.

Elderly heart is not good, this is a relatively common topic, but also a serious threat to the quality of life of the elderly, some older people may be due to these myocardial injuries, myocardial metabolism appear cardiac function decline heart failure, recurrent edema, chest tightness and shortness of breath, must be repeated over a long period of time and frequent hospitalization, long-term standardization of drug therapy, may be the patient will be presented with a long period of anxiety and depression state, so that we should be positive to face! This disease, from the etiology of the treatment of the original disease, to improve the healing to prevent the progression of the disease, improve the quality of life of the elderly, to enjoy a better life in old age!

Two of the most common problems associated with a bad heart in the elderly:Coronary heart disease and heart failure.

Dr. Cardiovascular Wang describes both the treatment and lifestyle aspects of.

First, drugs

1. Treatment for coronary heart disease must be formalized/...

First go to the hospital to confirm whether coronary heart disease, if so, there is no formal treatment, in terms of medication, there is no aspirin plus statin, there is no control of the three highs, against the above ten points to see if they have done it, if not why?

2. Heart failure must also be diagnosed with a specialist to clarify the cause of the heart failure and whether the treatment is formalized

There is no use of betalactam plus prilosec/sartan.

Anyway, medication is a doctor's business, and we can just take our medication regularly and on time as prescribed by the doctor.

Secondly, we focus on life.

: The principle of eating is low-salt, low-fat, low-sugar, the amount of food should be relatively small, heart failure patients, eat must be less, eat more will increase the burden on the heart.

:Light green tea white water-based, heart failure patients control the total amount of water, because most heart failure, aggravation of the condition will have water and sodium storage, meaning that the body has more water, swollen legs, abdominal distension and other conditions.

:: Be sure to keep the bowels clear, avoid dryness, many coronary heart disease, heart failure patients, just because of the bowel pressure and sudden death.

:: It's a good idea for people with heart failure to keep an observational record of their urine output, because once urine is low, there's more water in the body and heart failure worsens.

:: Ensuring sleep is a must, if a heart failure patient sleeps and can't lie flat, or lies flat and holds his breath, or wakes up at night holding his breath, that means the left heart failure has worsened, seek medical attention as soon as possible.

: Effectively controlled coronary artery disease can be active and even exercise in moderation, but in patients with heart failure, it is not recommended that people be active, especially with grade 3 or higher cardiac function, where wheezing at the first sign of activity can exacerbate the heart failure.

A bad heart in the elderly is nothing more than medication and life. I wonder if Dr. Wang got to the point?

Comments are welcome!

The health of the heart is very important to all of us. Many people think that heart disease is a hereditary disease and that as long as there is no history of heart disease in their family, they will not develop heart disease. In fact, it is not, even if there is no history of disease in the family, it is also very likely to suffer from heart disease.

How do we go about protecting our heart in our daily lives?3 practical ways to teach you!

First.Ensure that you get enough sleep on a daily basis, and it is recommended that you get 8 hours of sleep per day.. Long-term sleep deprivation of the population, the chances of angina, stroke and coronary heart disease will be greatly increased, sleep habits are not good people do not worry, slowly to develop a good sleep habits.

Secondly, you need to get enough exercise... Exercise is very good for heart health and can greatly reduce the chance of heart disease. Here is the frequency of exercise rather than time, it is recommended to maintain 3 times a week and above the number of exercise, each exercise time in half an hour and above, according to their own physical ability to choose suitable for their own, pay attention to do not force themselves.

And then there's the need to quit smoking and drinkingThe risk of developing heart disease is compounded by the fact that prolonged smoking causes some of the substances within tobacco to adhere to the walls of the blood vessels. Excessive alcohol consumption can cause direct and irreversible damage to the heart muscle, which can lead to heart disease. If you want to protect your heart, quitting smoking and drinking is a very necessary thing to do.

Although it is said that cardiovascular and cerebrovascular diseases are getting younger and younger in the last decade or so, it is undeniable that the elderly are still the main force of cardiovascular and cerebrovascular diseases, and the older the person, the higher the risk of suffering from cardiovascular and cerebrovascular diseases, given the same other high-risk factors.



Expression error!

Due to the lack of medical knowledge of many patients, they have a vague perception of the disease and the site, often based on the site of the pain to determine the organ is good or bad, such as coronary heart disease this kind of cardiovascular disease, their common symptoms are mostly chest pain, chest tightness, which will give patients and their families a feeling of a bad heart, not to mention that coronary heart disease is one of the cardiac diseases.

However, in fact, the root of the problem of coronary heart disease lies in the blood vessels rather than the heart. The patient's blood vessels have serious narrowing and blockage, and the blood cannot circulate normally, which subsequently affects the normal work of the heart, and it is not that the heart is not good at that time, but that the heart's need for blood energy has not been met, and so it cannot work normally.

For these patients, on the one hand, it is necessary to improve the lifestyle and dietary habits, quit smoking and limit alcohol; on the other hand, it is necessary to proactively search for the source of the cause of the disease and carry out the treatment of the cause.

Of course, these patients are life-threatening, so the risk classification should also be determined based on the patient's age, associated diseases, degree of stenosis, clinical symptoms and other information, and certain insurance measures should be carried out, such as emergency medication, first aid, and, if necessary, direct stenting or bypass surgery.



Expression is correct!

The patient's heart is not good, and the most clinically compatible condition is "heart failure".

Patients may have heart failure due to a variety of reasons, but as long as the diagnosis is made, then it is very difficult to treat, because the mechanism of heart failure is more complex, is a kind of vicious circle, even if you regulate the dietary habits every day, take the relevant drugs, but it is still very difficult to break the cycle of the circle, reversing the condition, the vast majority of patients will continue to decline in cardiac function, and ultimately endangering the life of the patient.

The treatment of patients with heart failure is generally divided into two directions, survival and treatment.

Survival means prolonging the time of life, regardless of other issues, by applying cardiotonic, diuretic, and vasodilator drugs to improve cardiac function, ensure the supply of blood and oxygen to other organs, slow down the rate of deterioration, and improve clinical symptoms.

The treatment is to explore the cause of the heart failure, make certain assessments to see if termination can be done to avoid continued damage to heart function, and then reinforce myocardial activity through neuromodulation to break through the vicious cycle and restore a strong cardiac ejection, reversing the condition.


I hope my answer will help you!

If there's anything you don't understand, comment and private message me!

That's a good question, and what can be done about the fact that older adults today do have a high prevalence of cardiovascular disease?



First, pay attention to the physical examination, it is recommended that the elderly at least once a year physical examination, the heart is not good people focus on the heart check clearly, such as routine electrocardiogram, dynamic electrocardiogram, cardiac ultrasound, if there is chest pain, need to check the three infarctions, if necessary, to do the coronary artery angiography examination, when the stenosis is more than 50% stenting is recommended implantation treatment, when the stenosis of the lesser when you can be appropriate medication, and at the same time need to cooperate with the examination of liver and kidney function, blood lipids, blood pressure monitoring, etc. At the same time, it is necessary to check the liver and kidney function, blood fat and blood sugar, monitor blood pressure and so on. If there is any problem, it should be treated in time, and if there is no major problem, it should be reviewed regularly.



Secondly, patients with bad heart should pay attention to keep warm in normal times, especially the temperature drop or temperature difference is relatively large, pay attention to the appropriate increase or decrease in clothing, especially in the change of seasons when cardiovascular disease is very easy to attack or even aggravate.



Third, it is recommended to pay attention to the usual diet, less oil and salt, control the intake of high-fat foods, appropriate exercise, weight control, prevention of obesity, try to maintain a cheerful mood, soothe the emotions, do not worry too much for the children, overworked on the heart is not good! But said, the elderly still will not listen, will still worry about their children.

Heart problems, not a small matter, it is recommended that the elderly usually pay close attention to the underlying conditions, focusing on the usual prevention, once the onset of timely medical treatment, the condition may be more serious Oh!

When you have a bad heart, the first thing you need to do is to find out where in the heart the problem is, and then you can treat it. Because heart disease, in many cases, is irreversible, early diagnosis makes sense for patients.

The heart is like a house with many parts. The blood vessels that feed the heart are the equivalent of the plumbing inside the house, and the valves in each atrium are the equivalent of the doors to the room. Utilizing the appropriate tests to give a patient a diagnosis begins by clarifying which part of the heart's function is being observed.

Ultrasound in the heart is mainly used to examine the structural aspects of the heart, such as the shape of the heart, and the normal size of the four small chambers in the heart, and the opening and closing of the doors (valves) of the chambers. It is not sensitive to abnormalities in heart movement and internal conditions of the heart muscle.

CT coronary angiography and coronary DSA are now widely used in the blood supply system of the heart. If the heart is a house, then the coronary arteries are the pipes that supply the house with water and oxygen. The coronary arteries are located outside the heart and provide a constant supply of oxygen and nutrients to the heart.

Diabetes mellitus, hypertension, dyslipidemia, smoking and other bad habits will make the impurities in the blood vessels more and more and the flow of water less and less smooth.CTA and DSA, as the technology widely used nowadays, especially for the diagnosis and screening of coronary heart disease, both are invasive and radioactive, and they are also insensitive to myocardial injuries and cardiac motion.

ECG is used for heart rhythm check. It detects whether the heart is beating too fast, too slow, stopping, beating early, or beating erratically.

Cardiac magnetic resonance is a new direction in cardiac examination that has been widely used in international clinics in the last decade. Almost all cardiovascular disease-related problems, including structural whole-heart motion, localized ventricular motion, valve function, blood flow patterns, myocardial perfusion, myocardial activity, and myocardial metabolism can be solved at once.

Of course, cardiac MRI is not perfect, first of all, it requires very high requirements for patient cooperation. If the patient can not cooperate, the image is poor, and the quality of the image can not meet the requirements of a clear diagnosis. Secondly, it is expensive and not as popular as ultrasound.

What cannot be denied, however, is the accuracy of MRI in the diagnosis of cardiac disease and its ability to meet multiple clinical diagnostic needs at once.

Thick blood clogs blood vessels. Thin the blood with natural substances.

People with a bad heart usually have to exercise moderately, it can be a simple walk after meals or square dancing, you can also go to the gym, in short, can be active on the activity, good for the body. But do not do too strenuous exercise, to grasp the amount of exercise, each time a slight sweat can be. This will not cause a second burden to the heart, by the way, can also lose weight, the control of blood pressure is also beneficial.

Avoid smoking and alcohol, do not eat heavy food, and eat a light diet. Less anger, maintain a good and stable mood is beneficial to heart health. Can also be adjusted from the diet, the following recommendations for the heart maintenance of some of the benefits of food, usually may wish to eat more~!

1, a variety of nuts such as almonds, peanuts, rich in amino acids and unsaturated fatty acids, can improve the heart's resistance to disease.

2, Job's tears and black sesame seeds can maintain the elasticity of blood vessels, prevent arteriosclerosis and protect heart health.

3, soybeans, potatoes, corn, kelp, etc., containing a variety of rich nutrients, can promote cholesterol absorption, and stabilize blood pressure. People with cardiac insufficiency can eat more of these foods.

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1, the elderly heart can be through the diet to regulate, there are many foods for the heart have a good therapeutic effect, broccoli contains protein also has the role of protecting the heart, celery is also very good to protect the heart, celery is rich in celery alkaloids, its leaves are rich in vitamin C, cellulose on heart disease has a very good prevention and treatment effect.

2, the elderly heart bad can eat more potatoes, most of the heart disease, the body will lack of potassium, eat more potatoes, for heart disease patients also have a very good therapeutic effect, potatoes contain vitamin c, potassium, iron and other important nutrients in the body, but also a high potassium food.

3, the elderly heart is not good, must avoid strenuous exercise, in terms of exercise as long as the four degrees, in order to ensure that the best health effects, because the heart mitral discernment insufficiency, patients can not be strenuous exercise, every time you go to exercise to control the amount of exercise, to the slightest sweat shall prevail.

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