Experience of coronary heart disease aged care home.docVIP

 PAGE \* MERGEFORMAT 4 Experience of coronary heart disease aged care home Some of the elderly patients with coronary heart disease usually no obvious symptoms, only ECG changes, although some recurrent angina or myocardial infarction history, but a variety of reasons, many patients are unable or unwilling to hospitalization. In response to this demand, we have to be active in the family bed treatment methods and experience will now be reported as follows: A clinical data General information: The group of 43 cases, male 26 cases, female 17, aged 63-83 years were characterized by ECG, respectively, ST-T changes, arrhythmia, myocardial infarction graphics, some patients also after 24 hours Holter observed or diagnosed by echocardiography and so on. Two treatment The patients were divided into two major types: Type 1 patients with recurrent angina or myocardial infarction angina pectoris after repeated again recently; arrhythmia, or ECG have a more severe ischemic changes in those. Type 2 patients, usually fewer symptoms, and symptoms to a lesser extent, or only mild ischemic changes in ECG. Type 2 patients is the key observation and treatment of the object, inspect 2 -3 times a week, angina pectoris or myocardial infarction occurred in situ as soon as rescue therapy, and to ECG monitoring until the symptoms disappear, or transfer to hospital in stable condition treatment. For the second patient visits a week, times, details of consultation medical history, observe the heart rate, heart rate and other changes of the ECG review on a regular basis. All patients are oral drugs and extend the highest degree of reduction in blood viscosity drug treatment, often are isosorbide dinitrate, long-acting nitroglycerin, nifedipine, verapamil, compound Danshen, dipyridamole, aspirin, etc.. Plus those who have the arrhythmia with antiarrhythmic drugs, such as mexiletine, propafenone, amiodarone, etc., if angina pectoris, cardiac arrhythmia, acute myocardial infarction, or