What should the elderly do with chest tightness, shortness of breath and insufficient blood supply to the heart?

The old man, with coronary heart disease, has been suffering from chest tightness and asthma for nearly a year, which is aggravated during exercise and relieved during rest. There was no obvious abnormality in the lungs, but echocardiography showed that the left ventricular diastolic function was weakened. Therefore, the causes of chest tightness and asthma in the elderly are caused by coronary heart disease and cardiac insufficiency, that is, heart failure.

First, the cause of asthma:

The causes of chest tightness and asthma are the heart and lungs.

After examination, there was no obvious abnormality in the lungs of the elderly. CT examination is only mild tracheitis, and the treatment according to tracheitis has no effect, so the possibility of pulmonary asthma is not great.

Old people have coronary heart disease. When coronary heart disease leads to heart failure, it can cause chest tightness, palpitation and shortness of breath after exercise, which is called fatigue shortness of breath and can be improved after rest. This situation mostly belongs to the third grade of cardiac function and moderate heart failure; If the symptoms of shortness of breath occur at rest, it is the fourth grade of cardiac function and severe heart failure.

In addition, stomach upset, heartburn and stomach upset in the elderly may be related to heart failure. When heart failure occurs, gastrointestinal blood stasis may cause stomach discomfort, indigestion, loss of appetite and other symptoms. Of course, we can't rule out the diseases of the stomach itself.

Second, the treatment suggestions:

1, actively treat coronary heart disease and improve myocardial ischemia;

2, cardiotonic drugs: such as cedilanid, digoxin and so on. It can enhance myocardial contractility and has a good therapeutic effect on heart failure. It is the most effective drug to treat cardiac insufficiency, but it must be used under the guidance of a doctor.

3. Improve cardiac function: Captopril can be taken orally, which can improve cardiac function. It can be used to treat heart failure and cardiac insufficiency, and can be taken in small doses. Can also be used as a long-acting preparation, such as enalapril.

Third, life care and attention:

1, live a regular life, avoid fatigue, ensure adequate sleep, and avoid mental tension and emotional excitement. In severe heart failure, bed rest is the main way. After the heart function is improved, get out of bed properly.

2, reduce the gastrointestinal burden, should be a small amount of meals, eating should not be too full, so as not to increase the gastrointestinal burden, induced heart disease. In addition, spicy food should be avoided to reduce gastrointestinal irritation.

3, low-salt diet, avoid smoking, alcohol, do not drink strong tea or coffee.