Postmiocardiac cardiosclerosis: causes, symptoms and treatment

Postmiocardial cardiosclerosis appears on thebackground of the inflammatory process, in medicine called myocarditis. Pathology causes the degradation of muscle tissue, instead of which the connective tissue grows. But if the muscles in the normal state are elastic and can contract, the connective tissues are not capable of this, and therefore the functioning of the heart is complicated. Postmiocardial cardiosclerosis is associated with heart failure, arrhythmia.

It is important

Postmiocardial cardiosclerosis is often observed,If myocarditis was triggered by allergy or systemic pathologies. Statistics indicate an increased incidence of cases leading to cardiac rhythm disturbances.

Postmiocardial cardiosclerosis often affects people at a young age.

Classification

It is customary to distinguish two subtypes of the disease:

• focal, when the tissues are partially affected, while the affected areas may differ in size, size, location;
• diffuse, when all tissues are equally affected.

Features

The diagnosis of "postmyocardial cardiosclerosis" is putIn the case when the disease is detected on the basis of a number of known signs. In this medicine, there are cases when even the diagnosis did not oblige to take medication measures. This is due to the fact that in a mild form pathology is eliminated by the body on its own, without outside help. As a rule, for such cases, the presence of clinical manifestations is not characteristic.

But more serious manifestations of the disease are alreadyoblige to take various measures to save the health and even the life of the patient. Symptoms inherent in the disease are also characteristic of a number of other cardiac disorders, which makes it very difficult to determine the exact cause of the ailments. An important feature of the pathology in question is that its manifestations are usually recorded when the disease has reached a serious stage.

Symptomatology

At the beginning of the pathology formation, it is noted:

• arrhythmia;
• lowering of pressure;
• low cardiac conduction;
• heart murmurs.

Symptoms become more palpable with time, whenthe volume of affected tissues grows, especially if a diffuse change in the myocardium occurs. Postmiocardiac cardiosclerosis manifests itself as a number of side effects that worsen the quality of life of the victim:

• dyspnea;
• regular sensation, as if there is not enough air;
• weakness;
• fatigue;
• heartache;
• cough;
• swelling of the legs, hands, in the abdomen;
• pale skin;
• sensations that precede syncope;
• The limbs are constantly felt cold.

In the development of pathology will also manifest:

• arrhythmias;
• bradycardia;
• tachycardia;
• systolic noises.

Diagnostic features

Postmiocardial cardiosclerosis (ICD code 10I20.0-I20.9) is complicated in diagnosis precisely because of the similarity of the manifestations of the disease with a number of other cardiac pathologies. As a rule, only an experienced doctor can put a correct diagnosis and choose the appropriate treatment. To identify the disease and determine its shape, as well as the extent of the defeat, it will be necessary to conduct a series of studies, to pass the tests.

If a person notices the ones described abovemanifestations, it is necessary to visit the doctor urgently to examine the heart. Most often in the first place, electrocardiography is prescribed. This study is indispensable if the patient has already suffered a viral, infectious disease that was severe and could provoke cardiac complications. When a severe disease is identified, treatment is necessary. Postmiocardiac cardiosclerosis in adolescents and adults is a dangerous diagnosis.

How to determine?

Patient with suspected disease in the firstthe queue is auditioned by the doctor. This helps to determine the presence of noise and to identify whether there are attenuated tones. The pressure is also measured. For pathology, the values ​​are lower, but there may be normal indices.

Several laboratory, clinicalways of determining the disease and isolating it against the background of other pathologies. Postmiocardial cardiosclerosis (ICD code 10 I20.0-I20.9) is detected during radiography and ultrasound. The first study makes it possible to clarify whether the size of all areas of the heart is normal or something is enlarged. Ultrasound gives a correct assessment of the thickness of the walls of the myocardium. Learn both the individual elements of the heart, and the entire body as a whole. Usually studies show that the cavities are enlarged. More often it is observed on the right.

Development of the disease

At a late stage, postmyocardialcardiosclerosis (ICD 10 I20.0-I20.9) leads to the fact that the communicating cavities are not blocked by valves, even if necessary. In this case, the blood can move back. To fix the phenomenon, resort to echocardiography.

The electrocardiogram makes it possible to determine whether the pulse of the heart is normal, and also to estimate the deviations in different periods.

Often, with the progression of pathology in the ventricle of the heart on the right observe diffuse changes. To find scar tissue, resort to radionuclide diagnosis.

Blood tests rarely show a deviationfunctioning of the heart system from the norm. Biochemistry remains normal. However, this allows us to distinguish between the pathology and the consequences of a heart attack and stroke, for which an increase in the concentration of cholesterol and lipoproteins is characteristic.

Important nuances

When you visit your doctor for the first timediagnosis of pathology to the patient must be mentioned, what diseases he had had before. In the case when the anamnesis contains a myocarditis, the probability of development of disturbances increases in times.

Whether we cure postmiokardic cardiosclerosis? Unfortunately, in our days science still does not know the ways to reverse the negative process. Exception - the easiest form of the disease, which the body wins its resources.

A definite positive effect is provided by the gene therapy being developed now. True, such treatment is expensive and still at an insufficient level.

Electrocardiogram in postmiocardial cardiosclerosis

It is commonly believed that the ECG is the most carefulmethod of determining the pathology, giving fairly accurate results. As a rule, in a personal medical book, the results of the study are recorded as "signs of cardiosclerosis," which is due to insufficient knowledge of the disease and its manifestations, as well as associated pathologies.

Diffuse form: features

Very often there is a diffuse formpathology, provoked by X-ray irradiation. Such an effect on the human body leads to various pathological processes, including the death of normal cells of the cardiac tissue.

Radiation sickness provokes postmyocardialcardiosclerosis, the treatment of which has not been developed to this day, at the same time is not a key factor. If the patient has been diagnosed with such pathology, the survival rate is determined by concomitant acute diseases. The most effective practice of treating a diffuse form is the elimination of the causes that led to the death of muscle tissue.

How to treat?

Symptoms usually draw the attention of the patient tothe moment when the pathology has already developed substantially, the tissues of the myocardium have undergone a change over a large area. In such a situation, regression through known medical methods is not possible.

Therapeutic measures are prescribed in such a way as to slow down the death of the heart tissue and prevent complications, as well as improve the performance of the cardiovascular system as a whole.

With what to begin?

The first thing that usually begins treatmentdisease, is the identification of the causes that led to pathology. In some cases, it is triggered by an infection, then antibiotics or antiviral treatment are prescribed, guided by the specific nature of the pathogen.

In case of system failures, measures are taken to combat the main disease that provoked complications in the heart.

In some cases, the main reason is allergy. Here, the efforts of doctors concentrate on identifying the allergen and eliminating it.

In addition, prescribe drugs that can normalize and stimulate the heart.

What medications help

Drug therapy includes all those drugs that are usually used in heart failure. The most common are:

• antioxidants;
• diuretics;
• vasodilators.

The definition in favor of this or that variant occurs when taking into account the specifics of a specific case. For this purpose:

• daily monitoring of the heart;
• trial therapeutic course.

Additional medical events

The help of drug therapy has a complex effect on the body: a special diet, restriction of loads. Arrhythmia is compensated for by the drugs developed for this.

With bradycardia additionally setImplant, which through electrical impulses controls heart contractions. An aneurysm usually involves an operation. The most difficult case is a situation where heart transplantation is required.

In recent years, many funds are invested inmedical research in this area, which allows us to hope that we will be able to invent a regression method in pathology with the return of quality of life to patients. It is assumed that it will be possible to find a method for eliminating pathology by stem cell transplantation, but the theory has not been thoroughly elaborated yet.

On what count?

The most frequent question of people who haddiagnosed postmiocardial cardiosclerosis: "Are they taken to the army?" It all depends on the form of the disease and the degree of its development. The light form will not be an obstacle to the service, while complex cases will cause the disability to be assigned. Of course, in this case it is impossible to serve in the army.

Disability is appointed if, as a resulta person becomes unsuitable for work. Practice shows that cases of lethal outcome in pathology are quite frequent. Many of them are associated with the development of complications: stroke, heart attack.

Prevention

The most effective method of preventiondisease is a comprehensive, responsible approach to one's health. When diagnosing infectious diseases, it is impossible to run them, delay them with treatment to a doctor, and treat them strictly in accordance with the doctor's recommendations, resorting only to traditional medicine.

If the patient does not follow the recommendations of a specialist, the likelihood of complications in the heart, in the first place - postmiocardiac cardiosclerosis, is high. Self-medication also leads to this.

Additional measure for the prevention of pathology - vaccination against infections:

• diphtheria;
• rubella;
• flu.

If the patient is characterized by frequent colds,it is necessary to take measures to increase immunity. If allergies are not uncommon, an immunologist and an allergist should be examined. If violations of immunity were found, therapy is necessary:

• antioxidants;
• vitamin;
• immunomodulating.

The most favorable forecasts in cases whenCardiosclerosis affected only small areas of muscle tissue. In this situation, a complete restoration is possible. Also, options are positively evaluated when there is no arrhythmia.

If over time the processes of substitution of the connectingmuscle tissue continue, the prognosis worsens. Also, additional fears cause arrhythmia, weak blood circulation and aneurysm. It should be remembered that the first stages of the disease are almost impossible to notice, therefore, preventive measures are much more effective than treatment.