Ischemic heart disease treatment

 Ischemic heart disease treatment: is aspirin the answer?

Ischemic heart disease Coronary artery disease, also known as coronary artery disease; is One of the most common heart diseases 

occurs when the arteries that supply the heart muscle become hardened; Meaning that cholesterol and other things accumulate in it, which causes its narrowing and failure in supplying the heart muscle with sufficient oxygen; Which may later lead to an increased risk of heart attacks or angina pectoris. 

Ischemic heart disease treatment

Treatment of ischemic heart disease: 

is aspirin the solution? 

After reviewing the specific medical condition of the person with ischemic heart disease, assessing the extent of his risk of heart attacks, and whether the patient previously underwent a catheterization process or the installation of cardiac networks, and other factors 

for an accurate medical diagnosis; The doctor may recommend a dose of aspirin between 75-162 milligrams, and a fixed daily dose of 81 milligrams; It is worth noting that healthy people who do not have any risk factors that may increase the risk of clots are not recommended, in this case, the risks of its use may outweigh the benefits, so it is used only 

in people who have previously suffered from heart attacks and strokes, And people who have factors that increase their risk of heart attacks and strokes.

It should be noted that based on the updated medical recommendations to date; It is recommended that the treatment of people with ischemic heart disease includes anti-platelet aggregation drugs, whether aspirin or clopidogrel, and in some cases aspirin can be or is prescribed with another anti-platelet drug.

Although aspirin does not It is considered the ultimate solution for cases of ischemic heart disease, its use is very important, as it is the cornerstone of anticoagulant treatments in such diseases, as it helps reduce the risk of heart attacks and strokes that may be associated 

with this disease, by preventing the formation of Blood clots in the arteries, it inhibits enzymes that inhibit the ability of platelets to produce substances that cause blood clots, and it has been found that the use of aspirin reduces the risk of serious vascular events by about 

a quarter of patients are at high risk because they suffer from vascular disease, including This includes ischemic heart disease, but at the same time aspirin can increase the risk of bleeding, but the benefits of its use in people with ischemic heart disease far outweigh these risks, and it will also be used within A treatment plan under medical supervision.

Important instructions when using aspirin, during the treatment period, check the instructions for each drug, including aspirin; Here are some of its instructions: 

If aspirin causes stomach discomfort: 

Take a dose of aspirin with food; If aspirin causes stomach discomfort, and if the discomfort persists, you should inform your doctor about it. 

If aspirin is taken simultaneously with non-steroidal anti-inflammatory drugs (NSAIDs): for example; ibuprofen (Ibuprofen); You should space your aspirin dose 8 hours before your aspirin dose and 30 minutes after you take it. 

If you are taking aspirin with other medicines that contain aspirin: 

Avoid combinations that combine aspirin with caffeine or sodium, for example, and stick to your aspirin dose. 

If symptoms indicate the presence of bleeding: 

such as; tarry stool color, blood in the stool, or wounds that do not heal and bleed; You should see a doctor immediately. 

What other ways to treat ischemic heart disease? 

In addition to aspirin, there is another group of drugs and surgical procedures that can be used to treat ischemic heart disease, and the choice among them depends on the patient's condition and what the doctor deems appropriate, and these treatments are divided into the following: 

Medications for the treatment of ischemic heart disease, and these drugs aim either to lower blood pressure or expand blood vessels, and in some cases, it may be necessary to try several medications to reach the appropriate medication for each individual patient, and the medications used in the treatment of ischemic heart disease are the following: 

Other blood thinners: 

In addition to aspirin, some other blood thinners can be used, which prevent blood clots and protect against heart attacks, and these drugs include the following: Clopidogrel. Rivaroxaban (Rivaroxaban). 

Ticagrelor (Ticagrelor). Prasugrel Statins: 

These drugs are used if a person suffers from high levels of cholesterol in the blood, as they work by preventing the formation of cholesterol and increasing the number of low-density lipoprotein (LDL) receptors in the liver, and this helps to get rid of harmful cholesterol in the body. 

which reduces the risk of heart attacks, and it should be noted that these drugs are not suitable for everyone, examples of which are the following: 


Simvastatin (Simvastatin). 


Pravastatin (Pravastatin). 


A drug used to widen blood vessels, available in different pharmaceutical forms including sprays, patches, and tablets, and works by relaxing blood vessels, allowing blood to flow easily in them, and this relieves pressure on the heart, and examples of these drugs are glyceryl Glyceryl trinitrate and isosorbide mononitrate, these medications can cause some annoying side effects including headache, dizziness, and redness of the skin. 


These are drugs that slow the heartbeat and lower blood pressure, which helps reduce the need for oxygen. 

Therefore, they help prevent recurring attacks. 

Examples of these drugs are the following: 



Metoprolol (Metoprolol). 

Nebivolol (Nebivolol). 

Calcium channel blockers: 

These medications are used if beta-blockers alone are ineffective or the patient cannot take them. 

It disappears with time, including headaches and redness of the face. Examples include the following: 

Amlodipine. Verapamil. Diltiazem (Diltiazem). 

Angiotensin-converting enzyme inhibitors (ACE inhibitors): 

These are medicines used to treat high blood pressure. 

They work by blocking the activity of a hormone called angiotensin II, which causes blood vessels to narrow. It also impairs blood flow throughout the body. 

Side effects include dry cough and dizziness. . Angiotensin II receptor blockers (ARBs): These medications are used to lower blood pressure as an alternative to ACE inhibitors, because they do not cause coughing, but can cause mild dizziness. 

Surgical procedures for ischemic heart disease In some cases of ischemic heart disease, it may be necessary to perform some surgical procedures, depending on the patient’s condition, and these procedures are the following: 

Catheters and stents: 

It is a treatment that uses a special balloon to expand the narrowed or blocked artery, to help Restore blood flow to the heart. 

During the procedure, the doctor usually places a small mesh tube called a stent in the artery to keep it open. 

Open-heart surgery (CABG): 

During this procedure, the surgeon takes a blood vessel from another part of the body, especially the leg or arm, and uses it to create a new way for blood to flow around the blocked artery. 

Tips to prevent ischemic heart disease It is possible to prevent ischemic heart disease by controlling various risk factors, and the most important tips that help prevent ischemic heart disease are the following: 

Stop smoking, as smoking is one of the main risk factors for seizures. heart disease and passive smoking should be avoided. 

Reduce foods that increase the risk of heart disease, and focus on foods that are low in saturated fats, trans fats, monounsaturated and polyunsaturated fats found in olive oil and fish, and foods rich in fiber, and low in salt and sugar. Increase physical activity. 

The goal is to get at least 150 minutes of moderate exercise each week, or 75 minutes of vigorous aerobic activity each week. 

Maintain a healthy weight. 

Losing just 5 to 10 percent of your current weight will reduce your risk of coronary artery disease. Try to avoid and reduce stress as much as possible

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