How to treat severe cardiomyopathy?

Heart problems have gradually become an epidemic problem in modern life because the incidence of heart disease has increased year by year, posing a greater health threat to more and more people. In addition, modern living conditions have caused many people to neglect exercise, which reduces the strength of the heart and greatly increases the probability of heart disease. Cardiomyopathy is a common heart disease. It has a great impact on the patient's life. People with cardiomyopathy cannot be too excited, cannot do a lot of exercise, etc. This shows how serious the harm is. Let’s take a look at how to treat severe cardiomyopathy. I hope everyone can understand.

Senile cardiomyopathy refers to an unexplained degenerative disease of the myocardium in the elderly during the aging process. It is an important cause of heart failure in the elderly and one of the diseases that cause death in the elderly. Elderly patients with cardiomyopathy often experience palpitations and shortness of breath after activity.

1. General treatment

Patients with heart failure should emphasize bed rest. Elderly patients can slow down their heart rate, reduce or alleviate the cardiac load, and prolong cardiac diastole time to facilitate venous return and increase myocardial blood supply. At the same time, oxygen consumption is reduced, cardiac function is improved, and special attention should be paid to actively preventing and treating respiratory tract infections to minimize the chance of inducing heart failure. Once a respiratory tract infection occurs, antibiotics, expectorants, and antiasthmatic measures should be used as soon as possible to control it. In addition, appropriate oxygen inhalation to replenish energy, electrolyte supplementation (potassium, magnesium), antiarrhythmic and anticoagulant measures should be taken.

2. Cardiotonic drugs

(1) Clinical practice of digitalis preparations has shown that digitalis cardiotonic agents are still the first-line drugs for the treatment of heart failure. For elderly patients with cardiomyopathy who suffer from heart failure and rapid atrial fibrillation, this medicine can have a good effect in strengthening the heart and adjusting the heart rhythm. Small doses of sediginol C (Digoxin) or digoxin are administered, but the elderly are prone to hypoxemia, and their sensitivity to digitalis increases when their myocardial disease occurs. In addition, the elderly often have impaired renal function, so small doses should be used to avoid digitalis poisoning.

(2) Other positive inotropic drugs In recent years, non-digitalis cardiotonic agents have been used to treat heart failure with good results. It may still be effective for patients with heart failure who are not responsive to digitalis. At present, it is advocated that such drugs are only suitable for patients with severe heart failure or those who have a poor response to conventional digitalis treatment, and are administered intravenously for a short period of time but not for long-term use.