What is the best way to treat myocardial ischemia

The treatment of myocardial ischemia must not be ignored. After all, the occurrence of this disease will have a great impact on our health. Current treatment methods commonly include drug therapy, such as antiplatelet drugs or calcium ion blockers.

(1) Antiplatelet drugs

Prevent and treat thrombosis, prevent coronary artery and cerebral artery thromboembolism, and reduce the risk of myocardial infarction, stroke, and cardiovascular death in patients with stable angina pectoris. If there are no contraindications, it should be taken for a long time. Commonly used drugs include aspirin, clopidogrel, etc.

(2) β-blockers

It can slow down the heart rate, reduce myocardial oxygen deprivation, and prevent sudden death, such as metoprolol or its sustained-release tablets. Beta-blockers are the first choice for stable angina pectoris. They can be used in combination with nitrates to complement each other. Generally, the dose should be started at a small dose and adjusted according to the treatment response and heart rate changes.

(3) Calcium antagonists

It can inhibit myocardial contraction, reduce myocardial oxygen consumption, dilate coronary arteries, relieve coronary artery spasm, and improve myocardial blood supply. Commonly used drugs include verapamil, nifedipine, etc.

(4) Statins

Lowers cholesterol in plasma, stabilizes arterial plaques, and prevents plaques from falling off and forming blood clots, such as atorvastatin, rosuvastatin, etc.

(5) RAS system blockers

It can prevent ventricular remodeling and improve cardiac function, such as benazepril and valsartan.

(6) Nitrates

Dilate coronary arteries and increase myocardial blood supply, such as isosorbide mononitrate.

(7) Thrombolytic drugs

Dissolves rapidly formed thrombi and is used for acute myocardial infarction.