Heart disease in the elderly and prevention.

Myocardial infarction in the elderly and prevention.

Heart disease is one of the most common diseases in the world and is trending upwards. According to the study, 17.9 million people worldwide die from heart disease each year. That means that every hour at least 204 people die from heart disease.

Ischemic heart disease or angina, most of them have chest tightness. Pain position It is often in the middle of the chest, slightly indented downwards, and often hurts deep inside. Sometimes this pain is centered in the lower chest and may reach the upper abdomen. It’s a pain feeling, usually tight and uncomfortable.

Sometimes it feels like it’s been strapped or something lumped over your chest. There may be anguish to the throat. Sometimes there is a pain in the shoulder, upper arm, or the inside of the arm. And maybe it’s on the wrist or the fingers. This can sometimes be anguished in the left jaw and neck.

The duration of the pain usually lasts 2-10 minutes and is often recovered by resting. If it hurts longer and rests and doesn’t heal. So the ischemia is very severe.

Other symptoms that may be common, Some have giddy, palpitations. The pulse is faster or slower than usual. Some of them have perspiration, fainting. Cold, nausea, vomiting. In the elderly, you may experience fatigue. And difficulty breathing, along with tightness in the chest or feeling exhausted until unconscious. Or in cases of severe symptoms, it can be sudden death. This usually occurs within 2-3 hours after the onset of the condition and it happens suddenly.

These symptom mechanisms It is caused by thrombosis in the narrowing coronary artery. However, although no one can tell when the coronary arteries will clog, and when is myocardial infarction? But whenever there is a thrombosis in the coronary artery, Patients often have chest tightness, there is an important warning symptom.

Factors that cause acute myocardial infarction.
Factors that cause acute myocardial infarction, such as diabetes, hypertension, and hyperlipidemia. This is very common and requires great care in the elderly. This group of patients needs a heart examination from the doctor. Other risk factors include smoking and severe snoring or sleep apnea.

There is clear evidence that the patient lacks oxygen, resulting in rapid vascular deterioration. It can easily provoke thrombosis. In addition, the patient has acute myocardial infarction from the thrombosis. There’s another group of patients to watch out for, is a group with angina, which has not clotted. This group of patients has specific symptoms when the heart has to work hard, it’s when exertion and the heartbeat fast.

This group of patients relies on risk factor control alongside the use of the drug, which often works. Or, in that case, as much. It may be necessary to consider the coronary artery enlargement balloon. or cases of multiple sclerosis. The doctor will consider the surgery.

Risk factors for myocardial in the elderly.
Risk factors that cannot be changed and corrected, such as:

  1. Gender, based on past statistical data Found in men more than women.
  2. Age, There is found in patients with ischemic myocardial infarction in middle age. To the elderly. Males aged 45 and over and females are 55 years of age or older.
  3. Genetics, People with a history of the same family suffer from ischemic myocardial infarction. In particular, families with symptoms of middle age and older are at greater risk of developing the disease than those who do not have a family history of the disease.

Risk factors that can be changed and corrected

  1. Diseases, such as diabetes, high blood pressure, hyperlipidemia, obesity, etc.
  2. Risky behavior from smoking, not exercising, and chronic stress

Myocardial infarction symptoms.
The heart is a muscle that pumps blood to feed the tissue and pumps blood to the lungs for dialysis. In the functioning of the heart muscle, it must be given nutrients. and oxygen from the coronary arteries, which are available in three strands. If one of the strands is clogged with a blood clot or stenosis from the blood vessels. Until the muscles in that area are ischemic within 20 minutes. The muscles in that area will die. Myocardial infarction may experience many or fewer symptoms. An important symptom is that patients with angina often have chest tightness (Angina Pectoris). It’s like having a heavy load on your chest. There’s a lot of squeezing.

Pain under the left bone may hurt the jaw and left arm. Pain is often associated with physical activity, such as running fast, walking up high stairs, heavy Lifting, extreme stress The pain usually does not exceed 15-30 minutes. Once rested, the pain disappears. Sometimes there is a sore shoulder, neck, jaw. back, abdominal pain, especially chest pain. Breathing is suffocated, tired, dizzy, fainting, nausea, vomiting, sweating. If you have chest pain and have the above symptoms for the first time, you should see a doctor. Or long-standing chest pain and the severity hasn’t changed. May take existing medications and seek medical advice.

If you have chest pains before and have any of the following symptoms, seek medical attention. This syndrome is called Unstable Angina.

  1. It hurts so much that sweating, fainting, or gasping.
  2. Pain during rest
  3. It hurts more than before.
  4. Pain for more than 20 minutes
  5. Take the pills but not recover from the pain.

For elderly patients or some diabetics, there is no chest tightness, But there’s a palpitation, fainting. or other rare symptoms, such as abdominal painม can’t breathe enough, short breath, restlessness, fatigue, palpitations, sweating.

Prevention of ischemic myocardial infarction in the elderly. Importantly, controlling the risk factors that cause the disease. This is especially true for the control and treatment of common diseases such as diabetes, high blood pressure, hyperlipidemia, obesity, and unhygienic behavior modifications include smoking. Control your body weight from being too fat.

  1. Aerobic exercise regularly. 30 minutes at a time, at least 5 times a week.
  2. Eat foods that are beneficial to the body, such as fish, vegetables, and fruits.
  3. Do not eat foods that are spicy or high in cholesterol.
  4. Relax your mind to reduce stress.
  5. Take medicine strictly, carry lozenges (use in under the tongue) for immediate use

For the prevention of ischemic heart disease or angina in the elderly can be achieved by:

  1. Exercise regularly and do not exercise with high strength, such as weight lifting or fast running.
  2. Stop smoking, according to the World Health Organization’s report has found that smokers are three times more likely to have ischemic heart disease than those who don’t smoke.
  3. Always monitor your health and blood pressure and avoid risk factors for high blood pressure, such as reducing diets that contain high sodium.
  4. Choose a meal with an emphasis on fresh fruits and vegetables. Avoid eating high-fat foods. A fermented food, as well as spicy dishes.
  5. Get enough sleep for at least 6-8 hours.
  6. Control your body weight to the right level and evaluate the waistline because most people with high waistlines are at greater risk of heart disease. Normal waistline Men should not exceed 36 inches, and women should not exceed 32 inches.
  7. Chill out so that you don’t get too much emotional and psychological stress. It can be done simply by breathing slowly and taking a deep breath, it makes slowing down your heartbeat and lowering blood pressure.

Therefore, prevention of ischemic heart disease or angina is the best method because it costs very little and does not suffer for treatment.

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