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Heart attack treatment

Causes of a heart attack

One of the most formidable forms of coronary heart disease is ischemic necrosis of the area of \u200b\u200bthe heart muscle, which occurs as a result of an acute discrepancy between myocardial oxygen demand and its delivery by the coronary vessels.

Myocardial infarction is a narrower concept than myocardial necrosis. The latter includes myocardial infarction itself (coronary, ischemic) and non-coronary necrosis of the myocardium, which can be observed with secondary coronary insufficiency (dysmetabolic, steroid, adrenal necrosis). In the case of transmural myocardial infarction, necrosis of the bulk of the ischemic myocardium develops. In non-transmural (large focal, subendocardial) myocardial infarction, most of the ischemic myocardium is not necrotic.

Although transmural and non-transmural myocardial infarctions have corresponding electrocardiographic criteria, recently these concepts have been used mainly as pathological ones, since there is often a discrepancy in ECG data. The ECG cannot accurately determine the depth and extent of damage to the heart muscle.

Acute myocardial infarction is considered as such up to 28 days. The emergence of a new myocardial infarction within 3 to 28 days from the onset of the disease is called recurrent myocardial infarction, and after 28 days - repeated myocardial infarction.

One month after myocardial infarction, a diagnosis of exertional angina is established (with the definition of the functional class according to the Canadian classification, taking into account the results of the test with dosed physical activity, the amount of oxygen taken per unit of work - metabolic units) and postinfarction cardiosclerosis.

4 months after myocardial infarction, the patient is referred to VTEK, where the question of further tactics is decided - "to start work", "to be recognized as disabled" (disability groups III-II) or "to continue incapacity for work".

Adequacy coronary circulation the metabolic needs of the myocardium are determined by three main factors:

• the value of the coronary circulation,
• the composition of arterial blood (first of all, the degree of its oxygenation),
• myocardial oxygen demand.

The size of the coronary circulation depends on the level of blood pressure in the aorta and the resistance of the coronary vessels. Myocardial oxygen demand can increase with an increase in blood pressure, physical or psycho-emotional stress. The likelihood of developing acute myocardial infarction is highest in the morning hours, which is associated with circadian (daily) changes in the tone of the coronary vessels, the concentration of catecholamines and the ability of blood to clot.

The most common cause of acute myocardial infarction is rupture of an atherosclerotic plaque with thrombosis of the coronary vessels and their subsequent more or less pronounced stenosis.

Arachidonic acid, which is part of lipids, plays an important role in the pathogenesis of myocardial infarction. It was found that in the process of its metabolism, compounds are formed that affect the circulatory system, including platelets and the vascular wall.

Thromboxane A2 is a compound that is formed in platelets due to their adhesion and aggregation in response to the action of psychoemotional or physical stress and hypercatecholaminemia. Thromboxane A2 has two important properties: it significantly enhances platelet aggregation and vasoconstriction. In the process of metabolism of arachidonic acid, prostacyclin is also formed - a compound with properties opposite to thromboxane A2. Prostacyclin is formed by intact endothelial cells of arterial vessels. Its action is opposite to that of thromboxane A2.It counteracts platelet adhesion and aggregation and dilates blood vessels. The balance between thromboxane and prostacyclin formation is critical to maintaining normal blood flow in the coronary arteries.

Cyclic peroxides of polyunsaturated fatty acids play an essential role in the disturbance of this balance. These are potent inhibitors of prostacyclin synthesis in the walls of arterial vessels. An increase in the concentration of peroxide in blood plasma and tissues causes an equilibrium shift towards thromboxane A2, which triggers a cascade of reactions that destroy the artery wall. If this is not counteracted by prostacyclin, then a parietal, and then an occlusive thrombus is formed. Thus, the main mechanism for the development of acute myocardial infarction is considered to be thrombosis of the coronary arteries in conditions of rupture of atherosclerotic plaque and insufficient decomposition of coronary collaterals. Expressed collateral vessels can slow down the rate of development of necrosis and limit the size of the infarction zone, thus affecting the survival of patients.

In the case of myocardial infarction, defensive reactions the body, in particular, there is an infiltration of necrotic tissue with neutrophils and monocytes (inflammatory reaction). The necrotic myocardium is gradually replaced connective tissue... This process ends with the formation of a scar (scar) at 4-6 weeks from the onset of acute myocardial infarction.

One of the brightest and persistent symptoms acute myocardial infarction is chest pain. It occurs in 80-90% of patients. Pain in acute myocardial infarction differs from that in angina pectoris in intensity, duration and the fact that it is not eliminated by nitrates, and sometimes narcotic analgesics... Compressive pain, less often burning, tearing, cutting, usually localized in the retrosternal area, less often in the lower third of the sternum and in the epigastric region. Often radiates to the left arm, shoulder, shoulder blade, spine, neck, lower jaw, ear. The pain, as a rule, is wavy: it intensifies, then decreases, after a while it repeats again with even greater force. Sometimes the pain syndrome is characterized by only one prolonged intense attack.

A feature of pain in acute myocardial infarction is its pronounced emotional coloring. Patients experience fear of death, some of them are agitated, restless, to relieve pain they rush about the room; some moan, afraid to budge even a step. Subsequently, a sharp general weakness develops. However, the pain in acute myocardial infarction is not always so strong, sometimes it is completely absent.

There are the following atypical forms of acute myocardial infarction:

• peripheral type - clinical forms: left-handed, left-sided, ulnar, upper-spinal, cervical, mandibular, ear, dental, laryngeal-pharyngeal;
• cerebral type - clinical forms: with episodes of fainting, crisis (hypertensive crisis), hemiplegic, similar to food toxicoinfection;
• abdominal type - clinical forms: esophageal, in the form of a perforated stomach ulcer, acute cholecystopancreatitis;
• painless type - clinical forms: asthmatic, arrhythmic, collaptoid "decompensation" (progressive total heart failure).

Of painless forms myocardial infarction is most often asthmatic, which occurs in the form of cardiac asthma or pulmonary edema. More often, this onset of acute myocardial infarction is observed with widespread myocardial infarction, as well as in the case of myocardial infarction, which develops against the background of cardiosclerosis or heart failure. In the case of repeated heart attacks, the asthmatic form is observed more often than with primary ones. Basically, this form of onset of myocardial infarction occurs in the elderly and senile age. In this case, there may be no pain behind the breastbone, and the only symptom of the disease is cardiac asthma.

The asthmatic form is more common in the case of a mastoid infarction. This is due to the formation of relative insufficiency of the mitral (left atrioventricular) valve, which leads to the rapid development of heart failure. Therefore, a rough systolic murmur appears above the apex of the heart, it is well conducted into the armpit, the tone above the apex also weakens, signs of expansion of the left atrium and left ventricle appear. On auscultation, a protodiastolic gallop rhythm and an accent of the II tone above the pulmonary artery are found.

The abdominal form is observed more often in the case of lower heart attacks. In this case, pain appears in the epigastric region, accompanied by nausea, vomiting, bloating (paresis of the stomach and intestines). The pain can be localized both in the epigastric region and in the right hypochondrium. On palpation of the abdomen, the anterior abdominal wall tense and painful. Only a recorded ECG helps in some cases to avoid unnecessary gastric lavage or even surgery.

Cerebrovascular forms can occur in the form of episodes of fainting, stroke, hypertensive crisis. Only later, when the patient comes to his senses, there is pain in the region of the heart, and with it the thought of myocardial infarction.

The stroke form of the onset of myocardial infarction is associated with local ischemia of the brain tissue, which occurs as a result of simultaneous spasm (or thrombosis) of the cerebral and coronary arteries. The stroke form mainly occurs in the form of hemiparesis. The diagnosis is confirmed by ECG and EchoCG data in dynamics and cT scan brain. Sometimes myocardial infarction begins immediately with cardiogenic shock.

How is a heart attack treated?

Treatment of acute myocardial infarction carried out immediately, immediately after diagnosis. Treatment involves:

• analgesia (morphine hydrochloride, promedol, analgin, droperidol, nitrates),
• stabilization of systemic hemodynamics,
• improving blood supply to the myocardium (thrombolytic therapy),
• a decrease in myocardial oxygen demand (strict bed rest, adrenergic blockers - esmolol, obzidan, atenolol, metoprolol),
• sedative therapy.

Establish continuous oxygen therapy or better infusion of oxygenated perfgoran at a dose of 2 ml / kg - intravenously or at a dose of 1 ml / kg - intratracheally. Everything therapeutic measures are carried out under monitoring of ECG, heart rate, P2-capillary blood.

Basic principles of drug therapy:

• thrombolytic, anticoagulant and antiplatelet therapy.
• basic therapy: p-blockers; aspirin (cardiomagnyl); clopidogrel (atherocardia); nitrates, if there is a need for hemodynamic unloading of the heart (left ventricular failure) or with relapses of pain syndrome;
• aCE inhibitors (captopril, enalapril, lisinopril, ramipril, trandolapril);
• glucose-insulin-potassium mixture or corvitin;
• lipid-lowering drugs (statins, maxepa).

Efficiency thrombolytic therapy in the case of acute myocardial infarction due to early restoration of the patency of the infarct-dependent coronary artery. This concept is based on three important points:

• in the first 12 hours after the onset of acute transmural myocardial infarction, complete occlusion of the coronary artery is observed in 85% of patients;
• the introduction of thrombolytic agents into the coronary or systemic circulation of patients with acute heart attack the myocardium provides recanalization of a completely "closed" coronary artery in 60-80% of patients;
• early restoration of patency of the previously "closed" coronary artery helps to reduce the size of the necrosis area and the degree of left ventricular dysfunction, improve immediate and long-term results of treatment.

The effect of the "opening" of the coronary artery determines the "salvation" of the myocardium, that is, the preservation of the vital activity and contractility of one or another part of the muscle fibers, which without such treatment remains irreversibly damaged. After 6-12 hours from the appearance of the first clinical signs It is practically impossible to eliminate irreversible damage to the myocardium of acute myocardial infarction.

Early pathological remodeling of the left ventricle is a thinning, stretching and bulging of the infarction zone with the possible formation of an acute aneurysm of the heart. In this case, the undamaged part of the myocardium operates in a hyperfunctional mode. In the future, the compensatory possibilities are exhausted. There is a decrease in the stroke volume of blood and ejection fraction, "stretching" of the infarcted myocardium and increased dilatation of the left ventricle, which are combined into the concept of late pathological remodeling of the myocardium. With the development of late pathological remodeling, the prognosis worsens.

The beneficial effect of drug thrombolysis on left ventricular remodeling is due to the limitation of the spread of the necrosis zone from the endo to the epicardium, the normalization of the elasticity and stiffness of the myocardium in the damaged area, as well as the acceleration of reparative processes and an increase in the thickness of the scar itself.

Thrombolytic drugs are drugs that work to dissolve blood clots different localization by exogenous activation of fibrinolysis. They are divided into three groups:

• drugs of the 1st generation are streptokinase, a double-chain plasminogen activator of the urokinase type (urokinase), plasmin (fibrinolysin), staphylokinase;
• the second generation of drugs includes tissue activator plasminogen (TAP), single-chain plasminogen activator (prourokinase), anisoylated plasminogen-streptokinase activated complex (APSAK);
• modern drugs of the third generation - mutant forms of TAP and urokinase, fancy compounds, bispecific agents.

By the mechanism of action, fibrin-nonspecific and fibrin-specific thrombolytic drugs are distinguished. The former equally activate both freely circulating and fibrin-bound plasminogen (streptokinase, APSAK, and prourokinase). The latter affect mainly the bound plasminogen located on the surface of the thrombus (TAP, urokinase). The classic drug for thrombolytic therapy is streptokinase (streptase, kabikikase, celiasis).

Basic therapy... Glycoprotein IIb / IIIa receptor blockers are used to cause activated receptors to bind to fibrinogen, forming bridges between platelets. These are such drugs: abciximab, eptifibatide, tirofiban. The infusion of absiximab should be continued for 12 hours, and eptifibatide and tirofiban should be continued for 24 hours.

Prescribe IIb / IIIa receptor blockers in addition to aspirin and low-dose heparin in patients who are planning to undergo early (primary) revascularization (PCI).

Anticoagulants are unfractionated heparin (UFH) and low molecular weight heparin (LMWH). UFH use is associated with a 29% reduction in the risk of death. UFH should be used only by infusion for 24-48 hours continuously at the rate of 1000 IU of UFH for 1 hour. If thrombolysis is performed, then first UFH is administered with a bolus of 5000 IU intravenously, infusion therapy start immediately after thrombolysis. The use of UFH is associated with certain difficulties:

• maintaining therapeutic antithrombin control is difficult due to unexpected levels of heparin binding to plasma proteins;
• UFH is of limited effectiveness when thrombin is bound to platelets and is contained within the thrombus.

Low molecular weight heparins (LMWH) are characterized by enhanced antithrombin activity. In addition, LMWHs are less sensitive to platelet factor and have a more predictable anticoagulant result, with less likelihood of thrombocytopenia. These drugs can be administered subcutaneously, the dose depends on the patient's body weight. When using LMWH, there is no need for laboratory control. Among LMWH, only clexane and arixtra differ in proven effectiveness.

The therapeutic effect of nitrates is determined by the effect of venodilation, a decrease in preload and end-diastolic volume of the left ventricle, which leads to a decrease in oxygen consumption by the myocardium. Nitrates dilate normal and atherosclerotic coronary arteries, increase coronary collateral blood flow, and inhibit platelet aggregation. The nitrate dose should be titrated until symptoms disappear or side effects appear (headache or hypotension and severe tachycardia). A limitation for long-term nitrate therapy is the phenomenon of tolerance, which depends on the dose and duration of treatment.

Adrenergic blockers cause beneficial effects:

• reduce cardiac output, heart rate,
• reduce blood pressure and myocardial contractility,
• reduce the imbalance between oxygen delivery to the myocardium and its need,
• limit the zone of myocardial necrosis,
• reduce the release of cardiac enzymes from the myocardium,
• reduce the intensity of pain syndrome,
• reduce the risk of reinfarction, myocardial rupture, fatal ventricular arrhythmias and, ultimately, the mortality rate.

Myocardial infarction treatment should begin with the introduction of β-blockers, followed by the transfer of the patient to oral administration of β-blockers. Therapy with β-blockers should be started as early as possible, regardless of whether thromboly or angioplasty is performed. Particularly favorable β-blockers for patients with recurrent ischemic pain, progressive or repeated increase in serum levels of cardiac enzymes, in the presence of tachyarrhythmias. At the initial stage, β-blockers should be administered intravenously.

Statins (atorvastatin, pravastatin) are also prescribed from the first day of treatment. The polarization mixture (300 ml of 5% glucose solution, 10 U of insulin and 1.6 g (20 mmol / L) potassium chloride) is injected intravenously at a rate of 40 drops per minute in order to reduce the concentration of free fatty acids in the blood, improve contractility heart, preventing the development of ventricular premature beats. Cytoprotective metabolic therapy also involves the use of corvitin, neoton.

The goal of rehabilitation of patients after acute myocardial infarction is to improve the quality of life, return them to normal life and correct risk factors.

What diseases can be associated

All complications of acute myocardial infarction are divided into four groups:

• electrical: violation of heart rhythm and conduction;
• mechanical: dysfunction of the mastoid muscles and interventricular septum, right ventricular infarction in the presence of infarction of the inferior wall of the left ventricle, aneurysm, and pathological remodeling of the left ventricle;
• hemodynamic:, pulmonary edema,;
• reactive: episthenocarditis (early) pericarditis, early postinfarction angina, dressler's postinfarction syndrome, thromboendocarditis, erosion and gastrointestinal ulcers, paresis of the digestive system, atony of the bladder.

Treatment of a heart attack at home

Suspicion of myocardial infarction is an indication for hospitalization of the patient. Most patients are transferred from the ward (department) 48-72 hours after the first signs of myocardial infarction appear intensive care in the interim wards of the cardiological (infarction) department. As soon as the patient begins to freely travel 200 m, he is transferred to the rehabilitation department of the hospital; later - to the rehabilitation department of the sanatorium (Veliky Lyuben, Karpaty, Irpen), where he has the opportunity to further progress and overcome the distance as early as 3000 m. The diet is represented by a lactic acid diet, strong coffee and tea are removed from the diet.

Indications for this sequence of actions are the absence of:

• angina attacks,
• orthostatic arterial hypotension,
• severe general weakness,
• heart rhythm and conduction disorders,
• severe tachycardia and the like.

After 4 months, the patient is referred to a medical-labor expert commission, where they decide:

• recognize as workable;
• be recognized as a disabled person of III or II group;
• continue the certificate of incapacity for work (up to 6 months).

What drugs to treat a heart attack?

• - intravenous infusion of 1,500,000 units for 60 minutes;
• - provides for an intravenous bolus of 10 mg followed by an infusion of 50 mg over 1 hour and 20 mg over 2 and 3 hours;
• - intravenously 1 time in accordance with the patient's body weight<60 кг - 30 мг, 60-70 кг - 35 мг, 70-80 кг - 40 мг, 80-90 кг - 45 мг, >90 kg - 50 mg
• - 100 mg per day;
• - intravenously in three boluses of 5 mg each with an interval of 2-5 minutes;
• - at a dose of 1-5 mg, followed by transfer after 1-2 hours to oral use in doses of 40-80 mg every 6-8 hours;
• - up to 25-50 mg in 2 doses per day;
• - at a dose of 6.25 mg, and after 2 weeks - at a dose of 12.5 mg, after the next 2 weeks - 25 mg, and then again after 2 weeks - 50 mg 2 times a day;
• - first in doses of 10-20 mg per day, and then - 40 mg per day.

Treatment of a heart attack with alternative methods

In acute myocardial infarction, it is strictly forbidden to resort to alternative methods of treatment, it is necessary to call a professional doctor, hospitalize the patient, and provide him with qualified assistance. However, in recovery period, which lasts for months, the use of folk remedies is quite appropriate. Talk to your healthcare provider about the following prescriptions:

• Combine ½ cup freshly squeezed carrot juice with 1 tsp. vegetable oil; drink twice a day;
• combine in 2 tbsp. leaves of wild strawberries and rose hips, pour 0.5 liters of boiled water, put in a heated water bath for 15 minutes, then remove, cool and strain, squeeze the mass and bring with boiled water to the original volume; take ½-¼ glass 2 times a day before meals;
• combine 1 tbsp. chopped valerian roots, motherwort herb, cumin fruits, pour 3 cups of boiling water, put in a water bath for 15 minutes, then insist for another 30 minutes, strain, squeeze out the thick; take 1 glass before bedtime;
• grind 1 kg of cranberries, 200 g of garlic in a meat grinder, add 100 g of honey, mix, leave to infuse in a glass container in a cool place for three days; after taking 1 dessert spoon 2 times a day before meals.

Heart attack treatment during pregnancy

Myocardial infarction is extremely rare in pregnant women, since it is considered an older disease. However, statistics show that there is one heart attack in every 10,000 pregnancies.

A greater risk of developing myocardium in women in the third trimester in the presence of certain risk factors - obesity, arterial hypertension, hyperlipidymia, diabetes... Knowing about her predisposition, a woman should take preventive measures, which is discussed with the doctor.

The outcome of pregnancy, as well as a successful delivery, completely depend on the stabilization of the woman's condition. The treatment strategy largely coincides with the standard one; during therapy, the use of nitroglycerin, beta-blockers, heparin, and dopamine is allowed. Pregnancy is a relative contraindication for thrombolytic therapy, but its effective use is quite possible, but better after childbirth. The most positive pregnancy outcome is observed after coronary angioplasty and coronary artery bypass grafting.

Development generic activity in the first four days after an acute heart attack is an indication for a cesarean section.

Which doctors should you contact if you have a heart attack

• Ambulance team

An objective examination of the patient reveals pallor of the skin with cyanosis of the lips, the skin is moist, cold. At the very beginning of the disease, bradycardia and a short-term increase in blood pressure are observed. Tachycardia and hypotension usually develop subsequently. When listening to the heart, a weakening of the I tone above the apex of the heart is found; in a third of patients, a protodiastolic gallop rhythm can be heard, which may be an early and even the only symptom of heart failure.

The presystolic rhythm of the gallop does not always indicate cardiac decompensation; it may be associated with conduction disturbances. Systolic murmur can be heard above the apex of the heart due to relative insufficiency mitral valve and dysfunction of the mastoid muscle. This type of onset of acute myocardial infarction is not observed in all cases.

Great difficulties in the diagnosis of myocardial infarction are forms with little or no symptoms. In such cases, the disease begins with an incomprehensible general weakness, vague chest pain. Ignoring such complaints often leads to death.

The main method for verifying the diagnosis of myocardial infarction is the executive analysis of the clinical picture and electrocardiographic criteria of coronary circulation disorders.

For large-focal and transmural myocardial infarction, according to ECG data, the course is characterized by stages: acute and subacute periods, scarring period. If the dynamics of these changes stops and the electrocardiogram freezes in the phase of an acute (more than 15-20 days) or subacute (more than 3-4 weeks) period, then the occurrence of an acute or subacute heart aneurysm should be assumed, which develops in about 20% patients with myocardial infarction. This is a limited protrusion of the wall of the left ventricle. The necrotic region of the heart, having lost the ability to contract, stretches and protrudes under the influence of internal ventricular pressure. Less often, chronic heart aneurysm develops - during the scarring period due to stretching of the fragile scar.

Already during the first day of the disease, signs of necrotic syndrome appear, due to the breakdown of the muscle fibers of the heart and the absorption of autolysis products. It is characterized by fever, leukocytosis (from 1 to 4-5 days), a shift of the leukocyte formula to the left, an increase in ESR (from 6-7 days), an increase in the levels of troponins I and T in the blood, the activity of some blood enzymes ( AST), enzyme CPK (MB-CPK), myoglobin, C-reactive protein.

Since the main symptom of myocardial infarction is chest pain, differential diagnosis should be carried out with diseases that are accompanied by pain in the left side of the chest.

Treatment of other diseases with the letter - and

The information is for educational purposes only. Do not self-medicate; for all questions regarding the definition of the disease and methods of treatment, contact your doctor. EUROLAB is not responsible for the consequences caused by the use of the information posted on the portal.

Myocardial infarction is also popularly called an acute heart attack. The reason for the development this ailment is a thrombus formation that occurs in the coronary arteries. Its symptoms should be known to everyone who has a predisposition to it, as well as to the relatives of such people. Timely assistance can save a person not only health, but even life. Let's talk about the manifestations indicating the development of myocardial infarction, as well as the methods of treating this pathological condition using the means traditional medicine.

Symptoms

A person feels a burning sensation and compression in the central part of the sternum, pain is often added to these symptoms. The discomfort can also spread to the neck, arms and shoulders. Pretty frequent symptomindicating the development of a heart attack is nausea, accompanied by shortness of breath and dizziness. A person can lose consciousness, cold and clammy sweat appears on the surface of his skin.

All of these symptoms can be temporary, sometimes they appear and disappear immediately. Quite often, the patient ignores them altogether.

Sometimes myocardial infarction does not develop suddenly, but gradually. The disease can manifest itself as painful sensations in the chest area - a feeling of heaviness, compression and pressure. Symptoms may progress to the left arm, spreading to the lower jaw, neck, and upper abdomen. Females may have different symptoms from those experienced by men. In women, a heart attack often presents with shortness of breath, chest pain, and severe weakness.

All of these symptoms occur as a result of myocardial ischemia. In this case, the blood enriched with oxygen simply does not enter the heart muscle.

One of the methods differential diagnosis heart attack at home: chest pains do not go away in the patient even after he accepts.

What to do?

If you or someone of your family has these symptoms, immediately call an ambulance. Give the patient nitroglycerin and thirty drops of Corvalol. A person suspected of having a heart attack must be hospitalized in the nearest medical facility. The therapy is carried out in the conditions of the intensive care unit.

Folk remedies

In the first days after the defeat, it is very useful for the patient to drink carrot juice with the addition of vegetable oil. Twice a day it is worth drinking half a glass of such a drink, mixing it with a teaspoon of oil.

Many folk healers advise swallowing a whole clove of garlic if painful sensations suddenly arise in the area of \u200b\u200bthe heart. They argue that this method may well replace the intake of nitroglycerin.

Mix in fifty grams each of cinnamon rose hips and wild strawberry leaves. Brew such a collection with half a liter of boiling water and soak in a preheated water bath for another fifteen minutes. Then bring the product to cool and strain. Squeeze the plant mass well, and dilute the liquid with plain water to a half-liter volume. Take the medicine in half a glass twice a day.

Mix together twenty grams of chopped valerian root, caraway seeds and motherwort herb. Brew a tablespoon of this collection with boiling water (glass). Soak in a water bath for fifteen to twenty minutes, then remove and soak for another half hour. Take the filtered medicine in a glass just before bedtime.

Take one kilogram of fresh ripe cranberries and rotate it through a meat grinder with two hundred grams of garlic. Add natural honey to the mixture - one hundred grams - and mix well. Set aside for insisting for three days. After that, eat a teaspoon of this remedy twice a day.

Mix freshly squeezed onion juice with natural liquid honey in equal proportions. Eat a tablespoon of this medicine three times a day.

Mix a kilogram of mountain ash with a couple of kilograms of honey, mix well and take a tablespoon once a day.

Lemon peel has a good strengthening and healing effect. It can be simply chewed in your mouth. Such a medicine is saturated with a mass of essential oils, it perfectly optimizes the activity of the heart.

Squeeze the beetroot juice, let it stand in the refrigerator for three to four hours. Mix the drink with honey, observing an equal ratio, and then take a couple of tablespoons three to four times a day. This juice can also be combined with carrot, potato and even cabbage juice.

Dissolve two tenths of a gram of mummy in a glass of rosehip infusion. Take this remedy twice a day - half a glass.

Take equal parts of the leaves of lemon balm, dream and watch, as well as the fruits of the common mountain ash. Pour four grams of collection with two hundred and fifty milliliters of boiling water. Boil for a couple of minutes and leave wrapped for another two hours. Then strain the medicine and drink it in three doses throughout the day.

Mash four hundred grams of garlic until a gruel and pour over three and a half liters of boiling milk. Boil the medicine over low heat in a lidded jar. Make the liquid evaporate 0.75 times its volume. Strain and take small sips three to four times a day. Don't drink more than a third of a glass at a time.

Remember that the use of alternative methods should be discussed with a doctor beforehand.

Myocardial infarction
Myocardial infarction treatment folk remedies

. Freshly prepared carrot juice is a good remedy for recuperation after a heart attack. They drink it in half or a whole glass. The effect will be best if the intake of carrot juice is combined with the intake of hawthorn fruit infusion, which should be drunk instead of tea.

. To improve heart function, it is good to chew lemon zest as it is rich in essential oils, which makes it very good for the heart.

. Dissolve 0.2 grams of mummy in a glass of rosehip broth. Take half a glass twice a day - morning and evening, for 10 days.

. Mix in equal parts sweet clover grass, meadowsweet grass, hawthorn fruits, clover flowers, fireweed leaf, lemon balm leaf, rhizome with valerian roots, rose petals. Grind all ingredients to a powdery state. Pour a tablespoon of the collection with a glass of water and heat (do not boil) in a water bath in a sealed container for 15 minutes. Pour the broth into a thermos and leave for two hours, then strain. The tool should be taken 4 times a day between meals for a quarter of a glass.

. To cook herbal collection - mix in equal parts a dream leaf, watch leaf, rowan berries, lemon balm leaf. Pour a dessert spoon of the collection into 250 ml of boiling water, boil for two minutes, then pour into a thermos and leave for two hours. Strain the infusion and drink during the day, divided into three doses.

. Take equally - horse chestnut flowers, motherwort herbs, coltsfoot leaves, arnica inflorescences, cuff leaves, lavender herbs, fennel fruits, dream leaves, corn silk. Mix everything thoroughly and grind to a powdery state. Pour a tablespoon of herbal powder into a thermos and pour a glass of boiling water. After four hours, strain the infusion. Drink 4 times a day for a quarter of a glass one hour before meals.

. Twist 1 kg of cranberries and 200 grams of garlic in a meat grinder, mix well and add 100 grams of natural honey, mix again. Cover the dishes with the mixture and remove for three days, infuse at room temperature. Take the finished product before meals, a dessert spoon twice a day.

. Bitter almonds are considered to be a good remedy for heart attacks. Eating just one nut a day will reduce the likelihood of an attack.

. Grate the beets, squeeze the juice and let it brew for 4 hours. Then add the same amount of honey to the juice, mix. Take 3 times a day, 2 tablespoons. Beetroot juice can also be used in a mixture with other vegetable juices - cabbage, carrot, potato.

. Prepare in equal parts the fruits of red mountain ash, viburnum fruits, raisins, hawthorn fruits, rose hips, dried apricots. Pour a glass of the fruit mixture into a thermos and pour in a liter of boiling water, leave overnight. Drink the infusion during the day as tea. This remedy can be used for a very long period of time.

. Grind the kernels of walnuts in the amount of 100 grams and mix with two tablespoons of honey, preferably buckwheat. Eat the mixture during the day, divided into three doses.

. Mix equal proportions of onion juice and honey. Take 2-3 times a day for a tablespoon.

. Grind 400 grams of garlic in a mortar to a mushy state, pour 3.5 liters of milk over it and cook over low heat, covering with a lid, until 0.75 liters of the original volume remains. Take the strained broth for pain in the heart. Drink in small sips, half a glass 3 times a day. Store the product in the refrigerator in a dark glass container.

. Prepare an herbal mixture of equally taken wild rosemary shoots, rose petals, sand immortelle flowers, astragalus herb, motherwort herb, white willow bark, rhizomes with valerian roots, clover flowers, fennel fruits, marsh creeper grass, calendula flowers. Grind all components and mix thoroughly. Pour two tablespoons of the mixture into a thermos and pour 300 ml of boiling water, leave for 6-8 hours. Strain the infusion and take a quarter glass 4 times a day one hour before meals. Drink the infusion warm.

. Squeeze the juice from 10 lemons, add a kilogram of honey and 5 heads of garlic grated through a grater to the juice, mix all components thoroughly. Remove the mixture for a week in a cool, dark place. Take the finished product once a day for a teaspoon.

. Grind and mix the following medicinal plants in equal proportions: clover flowers, St. John's wort, hawthorn fruits, white willow bark, fennel fruits. Brew a tablespoon of the mixture in a glass of boiling water, heat in a water bath for 10 minutes, and then let it brew for one hour. Strain the infusion, take it warm, divided into 3 doses, in the morning, afternoon and evening - one hour before bedtime.

. Within three months, take a mixture of carrot, radish, beet juices with the addition of honey (mix all ingredients in equal proportions). Take three times a day, a tablespoon half an hour before meals.

Myocardial infarction is a disease caused by damage to the heart muscle - myocardium - due to blockage of a coronary artery or one of its branches. Complete blockage of an artery can occur as a result of atherosclerosis, blood clot formation, or the separation of a particle of cholesterol plaque that gets stuck in the artery. The portion of the heart muscle served by this artery does not receive oxygen and nutrients, which leads to its weakening or death, a process known as heart attack. In most cases, a heart attack causes severe pain, similar to that of coronary artery disease; however, some people experience mild heart attacks without being aware of it or simply not paying attention to their symptoms.

The human heart works constantly throughout life, and it needs a constant supply of oxygen and nutrients. For this, the heart has its own branched vascular system, which in appearance resembles a crown or crown. Therefore, the vessels of the heart are called coronary, or coronal. The work of the heart is continuous, and the movement of blood through the vessels of the heart should also be continuous. During myocardial infarction, there is a violation of the coronary circulation. This can lead to a spasm of the vessel or blockage of the coronary artery by a thrombus or cholesterol plaque.

The supply of oxygen to the cells of the heart muscle, which was fed by the blocked artery, will last for 10 seconds. For about 30 minutes, the heart muscle remains viable. Then the process of irreversible changes in the heart muscle begins and by the third to sixth hour from the onset of the attack, the heart muscle in this area dies.

Treatment for a heart attack should be started immediately. The first hours and days after a heart attack are critical.

Heart attack symptoms.

How to recognize a heart attack? It begins with severe pain of a pressing, burning, compressing or bursting character behind the sternum. The pain intensifies, radiates to the left shoulder, arm, collarbone, scapula, lower jaw on the left. The duration of a painful attack is from several minutes to 2-3 days. A feature of this pain is that it is not directly related to stress, but pain continue regardless of whether you have taken heart medication (validol, nitroglycerin) or not. This differs from a heart attack from an attack of angina pectoris, which can be relieved with medication. With a heart attack, there can also be low blood pressure, breathing problems, nausea and vomiting, loss of consciousness, dizziness, pallor, and cold sweats.

The suffocating pain with a heart attack usually begins suddenly, it does not release the patient after rest or taking medication, and it gets worse all the time. These attacks are not always associated with physical exertion or stress, as with coronary artery disease, they often occur during rest or even sleep. Other symptoms include shortness of breath, dizziness, nausea and / or vomiting, pale skin, and cold sweats.

If you suspect a heart attack, you should immediately call an ambulance.

Traditional methods of treating heart attack.

To confirm the diagnosis, the doctor makes a cardiogram. In a hospital, a person with a heart attack is usually placed in an intensive care unit in order to fully control the work of the heart, blood vessels and internal organs. Immediately, drugs are used that have the ability to dissolve blood clots and restore blood flow in the coronary artery. The earlier the drug is administered to dissolve the blood clot, the better result... The maximum effect is achieved within the first hour from the onset of myocardial infarction. This hour is even called "golden". Then drugs are prescribed that reduce the volume of circulating blood, slowing down the heart rate and thereby reducing the oxygen demand of the heart muscle and prolonging the life of starving cells in the heart attack zone.

It is also important to prevent the formation of new blood clots, for which drugs are used that reduce the ability of blood to clot. If necessary, surgical intervention is also possible.

Myocardial infarction requires immediate treatment. If treatment is not started in the first hours after the onset of symptoms, permanent damage to the heart muscle can occur. Timely treatment can prevent or minimize the degree of chronic heart damage. Medicines that dissolve a blood clot or a small balloon inserted into a blocked area of \u200b\u200ba coronary artery can unclog a blocked artery and thereby restore blood flow to the affected area. Regardless of the situation and treatment regimen, the first hours and days after a heart attack are critical and require intensive treatment. When extensive heart attack myocardial death can occur, despite the attempted treatment. Health portal www.7gy.ru

What to do after a heart attack: rehabilitation after a heart attack

In the first days after a heart attack, it is important to follow all the recommendations of doctors. There should not be any amateur performances and heroism. But the treatment of a heart attack is not limited to hospital treatment. After the hospital, a long period of rehabilitation begins, which lasts up to 6 months. Then, traditional medicine and homeopathy can also be of invaluable help. Of course, these funds should only be in addition to the main treatment. So, the auxiliary therapeutic effect of hawthorn preparations will consist in the fact that it has a vasodilating, sedative effect and lowers blood pressure.

Herbs are also used to help relieve edema. They free the heart muscle and nearby tissues from excess fluid, and this improves blood supply and cell nutrition. It is also advisable to use anti-sclerotic agents.

If a heart attack happened due to an improper lifestyle, accordingly, recovery after it should include a change in lifestyle in the better side... Reduction needed
mental stress, changing their values \u200b\u200band priorities, rational and natural nutrition, walks in the fresh air and much more.

After a heart attack, a scar forms on the heart muscle. This usually happens within two months after the attack, subject to timely, correct and complete treatment.

Diet after myocardial infarction

After a heart attack, you need to eat up to 6 or even 7 times a day, but reduce the portion size as much as possible. There are diets of acute (immediately after the onset of a heart attack) and subacute periods, as well as a period of scarring.

The acute period diet is the strictest. It is prescribed for a period of no more than two weeks and takes place under the strict supervision of a doctor. This diet consists of only light vegetable soups, low-fat dairy products, and thin cereals. All dishes are allowed to be mashed and (this is a strict rule!) Unsalted.

Three weeks after a heart attack, during the period of scarring of the heart muscle, you can start eating normally, of course, observing the dietary restrictions prescribed by your doctor.

Use sprouted wheat, bran in your diet, eat less fatty foods, salt, so as not to overload the heart and not clog blood vessels. And no smoked meats! Try to substitute dried fruits, nuts, and honey for confectionery. Drink not black tea, but rosehip broth or make cranberry juice. Coffee and especially alcohol are prohibited. This should become a law for a sick person!

In the first days of heart attack, carrot juice with vegetable oil is very useful - 2 times a day, 0.5 cups of carrot juice mixed with 1 teaspoon of oil.

IN rehabilitation period after a heart attack, after discharge from the hospital, it is recommended to eat at least 4 times a day, in small portions, and the last meal should be no later than 2-3 hours before bedtime. It is useful to drink a glass of yogurt or kefir before going to bed.

Eliminate hot seasonings such as mustard and horseradish from your diet, as well as cholesterol-rich foods. Prepare vegetarian soups. Natural dairy products are useful - low-fat cottage cheese, kefir, sour cream, cream, unsalted cheese. Limit the intake of eggs to 2-3 pieces per week.

Exercise after myocardial infarction

From the first days of myocardial infarction treatment (if there are no complications), the doctor in the hospital prescribes, in addition to drugs and a diet, a complex of physiotherapy exercises. Classes begin with the simplest exercises that can be done, even while observing bed rest.

1. If it is still very difficult to move, then you can start classes with eye movements, then move on to squeezing and unclenching the hands, rotating the hands and feet.

2. Also, in the supine position, alternately remove, raise and bend your arms while sliding the hands to armpits... Do chest flexion with support on the elbows, alternate flexion of the legs in knee joints and alternately raising straight legs.
When you are a little stronger and the doctor is allowed to sit, begin to perform the transition to a sitting position using your hands. And also make turns to the right side and move to a sitting position with your legs off the bed.

3. While seated, do exercises such as raising your elbows from an arm to shoulder position, rotating your shoulders, and bending to the sides. An interesting exercise that prepares you for walking is alternating flexion and extension of your knees as if you were already walking.

4. In a standing position (hands on the belt), rise on your toes, take your legs alternately while raising your arms, raise your arms up and down; perform torso turns with simultaneous spreading of the arms to the sides. If it is still difficult for you to exercise while standing, then lean on the back of a chair or bed, lifting straight and bent legs forward, backward, sideways.

After you are discharged from the hospital, it is time to start regular walks in the fresh air (unless, of course, you have not started doing this back in the hospital). Walking is one of the most effective means to restore the heart muscle. It is not for nothing that every hearty sanatorium has special walking paths. But walking should be dosed. You need to start with short distances. Every day, following the pulse and general condition, it is necessary to add the meters passed. First, walk very slowly so that there is no shortness of breath and other unpleasant sensations, and then slowly, day by day, add a step. Before starting training, you need to see a doctor so that he can calculate the load for you personally.

Another great simulator is your home ladder. Train yourself to walk down and up. Of course, you don't need to be a hero - start with a few steps and add 2-3 steps every day. The main thing is that the load grows slowly but surely. Climbing stairs can be both a diagnostic tool for you. So you will understand how successful the rehabilitation is: if you were able to climb to the fourth floor without shortness of breath, then the recovery process is proceeding correctly.

Causes and mechanism of occurrence, course, diagnosis

Myocardial infarction is one of the manifestations of coronary heart disease. This is a serious disease characterized by necrosis (necrosis) of a part of the heart muscle, which is caused by a violation of its blood supply. This occurs as a result of a mismatch between the heart's need for oxygen and the ability to deliver it.

In 98% of cases, atherosclerosis of the coronary arteries feeding the heart is important in the occurrence of myocardial infarction. The mechanism of occurrence of plaques and blood clots is described in the IHD section. After the formation of a plaque, it gradually ulcerates, becomes covered with cracks, where platelets rush. The plaque increases in size, and a blood clot can form at this point in the lumen of the artery.

A plaque or thrombus can close the lumen of a vessel, or a thrombus can break off and close the lumen of another large vessel (thrombosis). Coronary vessels can become covered with plaques over a large extent. In some cases, all three coronary arteries are affected, but isolated plaques may be present.

One of following reasons emergence acute disturbance coronary circulation - vasospasm. Cases of myocardial infarction without atherosclerosis of the coronary vessels are known.

Changes in blood properties also play a role in the mechanism of heart attack - increased coagulation function, release of stress hormone (adrenaline) into the bloodstream.

Myocardial infarction more often affects men, but by the age of 50, the risk of this disease in women and men is comparable. In recent decades, a heart attack has become much younger and is often observed in young people. A heart attack is one of the causes of disability in cardiovascular diseases.

Periods of development of myocardial infarction

There are 5 periods in the development of this disease: preinfarction, acute, acute, subacute, postinfarction.

• Preinfarction period. It can last from a few minutes to 1.5 months. Usually at this time attacks of angina pectoris become more frequent, their intensity increases. If treatment and prevention are started in a timely manner, a heart attack can be avoided.
• The most acute period. It appears suddenly. There are several options for the clinical picture:
  • painful (anginal). This is the most common variant, accounting for about 90% of cases. In this case, the patient has severe pain behind the sternum, radiating to the left shoulder, scapula, collarbone and lower jaw. An attack of pain can last up to 2 - 3 hours, but it happens that it lasts for several days. At the same time, the patient experiences a feeling of anxiety, depression, fear of death. To provide first aid in case of suspected myocardial infarction, it is necessary to take nitroglycerin (2 tablets under the tongue) with an interval of 5 minutes and any anesthetic. In this case, you urgently need to call the brigade emergency care and deliver the patient to a specialized clinic;
  • asthmatic. Clinical picture resembles an attack bronchial asthma - the patient experiences difficulty breathing, shortness of breath, chest discomfort. This option is more common in the elderly and with repeated heart attacks;
  • abdominal. It begins with pain in the upper abdomen, accompanied by nausea, vomiting that does not bring relief, a rapid pulse, and a decrease in blood pressure. Sometimes this form is mistaken for an acute abdominal condition (acute abdomen);
  • arrhythmic. This option is characterized by a sharp change in the heart rate - its increase (tachycardia), irregularity or sharp decrease (atrioventricular blockade) and loss of consciousness;
  • cerebral. The leading symptom in this case is the strongest headache, which may be accompanied by visual impairment, impaired consciousness. Often, paralysis occurs;
  • atypical. It is expressed in attacks of pain of various localization;
  • asymptomatic. With this variant of the course, the person does not feel pain. A heart attack is detected by chance on an electrocardiogram and with special studies blood.
• Acute period. Its duration is 10 days from the moment of the onset of a heart attack. It is at this time that the final formation of the necrosis zone occurs at the site of death of myocardial cells and the formation of a scar begins. As in the acute period, the patient is shown a strict bed rest. Usually this period is accompanied by signs inflammatory process - fever, nausea, changes in blood tests consistent with inflammation. During this period, serious complications may occur, such as shock, pulmonary edema, arrhythmias.
• Subacute period. It lasts about 8 weeks. At this time, the scar is compacted, replaced by connective tissue. The patient is allowed to switch to half-bed mode and perform elementary physical activity in the form of therapeutic exercises in the ward under the supervision of a physical therapy instructor.
• Postinfarction period. It lasts six months from the onset of the disease. The patient is transferred to the outpatient regimen. In the polyclinic, the patient goes through the stages of rehabilitation under the supervision of specialists. During this period, the occurrence of a second heart attack cannot be ruled out. This can happen both at rest and during exercise. It can manifest as a recurrent heart attack, heart failure, or rest angina.

The diagnosis of this disease is established by a combination of several signs, the most important of which are typical pain sensations, changes in the electrocardiogram and in special blood tests, indicating damage to heart cells.

The classic picture of pain in myocardial infarction is considered to be long-term, intense, compressive pain behind the sternum, regardless of body position. It is accompanied by sweating, fear of death, more often observed in the morning. The pain does not go away after taking nitroglycerin.

Folk remedies for the treatment of myocardial infarction

Phytotherapy

• Recipe: 50 g each of wild strawberry leaves, cinnamon rose hips.
  Mix the ingredients, pour 0.5 liters of boiled water, put in a heated water bath for 15 minutes, then remove and strain after complete cooling. Squeeze out the mass and bring with boiled water to the original volume.
  Take 1/2 - 1/4 cup 2 times daily before meals.
• Recipe: 20 g of chopped valerian roots, motherwort herb, caraway fruits, 1 glass of boiling water.
  Mix the ingredients. 1 tbsp. l. collection, pour boiling water, put in a water bath for 15 minutes. Insist 30 minutes. Strain, squeeze the raw material.
  Take 1 glass before bed.
• Recipe: 20 g of hawthorn flowers, chopped valerian root, 15 g of spring adonis herb, 1 cup of boiling water.
  Mix the ingredients thoroughly, 1 tbsp. l. pour boiling water over the collection, leave for 40 minutes in a warm place, strain, squeeze the raw material.
  Take 1/2 cup 2 times a day in the morning and before bedtime.
• Recipe: 2 parts of sandy immortelle flowers, common tansy flowers, 1 part of tall elecampane (roots), dandelion roots, 5 parts of St. John's wort, 3 parts of medicinal sage herb, 0.5 liters of boiling water.
  Mix all components, 3 tbsp. l. collection, pour boiling water and leave in a thermos for 10 hours. Strain the infusion.
  Drink the infusion in 3 divided doses during the day, before meals.
• Recipe: 5 g each of spring adonis herb, grayish jaundice herb, sainfoin flowers, 1 glass of boiling water.
  Pour the collection with boiling water, boil over low heat for 10 minutes, pour into a glass, leave to cool.
  Take 1/2 cup 2 times a day 30 minutes before meals. The course of treatment is 6 months.
• Recipe: 25 g each of blueberry leaves, motherwort herb, 15 g each of white mistletoe leaves, marsh cinnamon grass, 20 g of fragrant woodruff leaves.
  Mix all the ingredients, pour 0.5 liters of boiled water, put in a water bath for 15 minutes, then remove and strain after complete cooling. Bring to the original volume with boiled water.
  Take 1/2 cup 4 times daily before meals.
• Recipe: 20 g each of hop cones, yarrow herb, Valerian officinalis herb, lemon balm leaves, corn stigmas, 1 cup boiling water.
  2 tbsp. l. collection, pour boiling water, close the lid, insist on a water bath. Cool, strain, squeeze the raw material.
  Take 1/2 cup 1 time a day in the morning 30 minutes before meals.
• Recipe: 20 g of broadleaf flowers, 10 g of sainfoin herb, 1 liter of boiled water.
  Pour the mixture with water, insist on a water bath for 5 - 7 minutes, strain, squeeze the raw material.
  Take 1/2 cup 1 time per day in the morning 30 minutes before meals, for a month.
• Recipe: 2 parts of hawthorn fruit, 6 parts of adonis herb, 3 parts of ground sunflower petals, 2 parts of tea penny, 6 parts of strawberries, 1 glass of cold boiled water.
  2 tsp collection, pour water, leave for 2 hours, pour boiling water and put on a water bath for 5 minutes. Strain, squeeze the raw material.
  Take 1 glass 2 times a day 10 minutes before meals.
• Recipe: equal parts of tea penny herb, spring adonis herb, rosemary leaves, lavender flowers, rose petals, buckwheat herb, 2 cups boiling water.
  3 tbsp. l. collection, pour boiling water, leave to cool. Strain, squeeze the raw material.
  Take 1/2 cup 2 times a day 10 minutes before meals.

Treatment with cereals

Sprouted grains contain many more nutrients and trace elements than regular grains. In the process of grain germination, the amount of nutrients and biologically active substances in it increases several times. In addition, the seedlings contain trace elements. When using seedlings for food, the human body spends much less energy on their digestion and assimilation in comparison with products obtained from dry grains.

This food performs an important function when acting on the cardiovascular system, since together with the activated nutrients, the heart muscle receives several times more active organic and mineral substances.

There are several ways to germinate grain at home.

The easiest and most reliable way is canning. To do this, take a mayonnaise jar, grain (2/3 jars), gauze and a glass pan. The grain is pretreated and disinfected (with a 0.25% solution of potassium permanganate, and then boiling water), pour 2/3 of the jar and fill it with water. Water must also be pre-purified and enriched with microelements, since the quality of sprouted grain directly depends on the quality of water.

After 10 - 12 hours, the remaining water is drained, the wheat sprouts are laid out on a glass tray, on which a four-layer gauze moistened with enriched water is laid.

On top, the grain is covered with 4 more layers of gauze and left for 2 days. The sprouts should be 1 cm long.

This requires a pallet or tray (stainless steel, enamelled or food grade plastic) with a wall height of 5 - 6 cm. Burlap is placed on the bottom.

The grain grows more actively in the light. To do this, you can arrange a backlight with lamps such as "Flora" Grain (barley, oats, wheat, rye, etc.) is poured in a layer of 3 - 4 cm and kept at a temperature of 15 - 20 ° C for 3 - 4 days until sprouts appear no more than 5 mm long. After laying the grain for germination, it should be covered with gauze on top and filled with water until the gauze gets wet. After the grain swells, the water should be added again. It is necessary to monitor grain moisture daily. It shouldn't dry out. Then the sprouted grain is washed and eaten.

Traditional treatments for myocardial infarction

Various structures are involved in the provision of medical care to patients with myocardial infarction: special teams of "Ambulance", hospitals, clinics, specialized sanatoriums.

In a hospital setting, the activities of specialists are aimed at eliminating dysfunctions of the cardiovascular system, complications arising from this disease from other body systems, activating the patient, expanding the motor regime and preparing the patient for the rehabilitation period.

IN initial stages myocardial infarction, the main therapeutic measures are aimed at reducing the pain syndrome and eliminating the complications that arise. In this case, various pain relievers are used, including narcotic substances. Also, drugs are used that normalize blood clotting, eliminate arrhythmias. By the end of the inpatient stage, the patient must fully service himself, independently climb 1 - 2 flights of stairs and take short walks in several steps during the day. In addition, doctors solve psychological and pedagogical problems. Restoration of health and performance is the main goal. It must be remembered that the scar after a heart attack cannot disappear, and the heart has to learn to perform its functions in new conditions.

Success largely depends on the will, perseverance, activity of the patient and his compliance with the recommendations of specialists. Besides receiving drug treatment in a hospital, the patient needs to systematically engage in therapeutic exercises, reasonably temper, and eat rationally. After discharge from the hospital, the recommendations should be followed within 3 to 4 days and the regimen prescribed in the clinic should be followed. Subsequently, at home, you can independently engage in physiotherapy exercises. The main task is to accustom the heart to physical activity gradually. The means to achieve this goal are morning exercises, therapeutic exercises, and dosed walking. Dosed walking is an essential part of exercise therapy. Walking - natural way human movement. It has a training effect on the body and helps to restore the functions of the heart muscle. Walking improves appetite, strengthens the respiratory muscles and increases vital capacity lungs. Also, walking is soothing nervous system and causes positive emotions: cheerfulness, good mood. However, walking, like any muscular activity, is regulated by time, distance and pace. The initial route of dosed walking is 500 - 1000 m at a pace of 70 - 80 steps per minute. Then, from the third week, the duration of walking can be increased daily by 200 - 300 m. After a month of regular dosed walking, along with an increase in distance, the pace can be increased to 90 - 100 steps per minute. In the future, it is recommended to walk from 4 to 8 km daily. While walking, you need to rest while sitting or standing (1 - 2 minutes). All exercises should be carried out under the control of the pulse and well-being.

Walking should be done in any weather, but in very cold or hot weather it can be shortened or replaced by indoor exercise. Cooling hands and feet must be avoided.

It is better to start dosed walking no earlier than 1 hour after eating or no later than 1 hour before breakfast. Before you start walking, you should rest for 7 - 10 minutes, then count your pulse for 1 minute and start moving.

The cardiac diet includes many foods used for atherosclerosis. This is the use of vegetables, fruits, rich in vitamins, bran bread.

Food is taken 5-6 times a day, dinner should be light, no later than 3 hours before bedtime.

Table salt has the ability to retain water; in addition, its components in excessive amounts can have an undesirable effect on the functioning of the damaged myocardium.

Of the methods of physiotherapy for myocardial infarction, electrosleep is used for the purpose of general sedative effects on the body, hydrotherapy in the form of various therapeutic showers, 2- and 4-chamber carbon dioxide, hydrogen sulfide, oxygen baths (for the extremities).

Also "dry" carbon dioxide baths are used.

In uncomplicated cases, it is effective to use laser therapy area of \u200b\u200bthe heart.

Myocardial infarction. Herbal treatment

Herbal preparations after a heart attack

The fees listed below should be taken after suffering a myocardial infarction within 6 months, changing them every 2 months.

Take an equal portion of Astragalus herbs, rhizomes with valerian roots, wild rosemary shoots, calendula flowers, clover flowers, motherwort herb, rose petals, fennel fruits, sandy immortelle flowers, marsh creeper grass, white willow bark. 6 g of collection pour 300 ml of boiling water, insist in a thermos for 6 hours, strain. Take in warm form, 0.25 cups 4-5 times a day after a heart attack.

Take equal parts of arnica inflorescences, horse chestnut flowers, cuff leaf, motherwort herb, fennel fruits, corn stigmas, mother-and-stepmother leaf, dream leaf, lavender herb. 5 g of powdered collection pour 250 ml of boiling water, leave in a thermos for 4 hours, strain. Take 0.3-0.25 glasses 3-4 times a day 1 hour before meals after a heart attack.

Take in equal parts hawthorn flowers, watch leaf, elecampane rhizome, clover flowers, meadowsweet grass, peppermint leaf, dandelion root, oregano grass, marsh creeper grass, celandine grass, sage grass. Pour 6 g of powdered collection with 300 ml of boiling water, boil for 2 minutes, leave warm for 2 hours, drain. Take 0.3-0.25 cups warm: after meals.

Take in equal parts hawthorn fruit, rhizome with valerian roots, sweet clover grass, clover flowers, meadowsweet grass, lemon balm leaf, rose petals, fireweed leaf. 5 g of powdered collection pour 250 ml of water, heat in a water bath in a sealed container (do not boil) for 15 minutes. Insist warm for 2 hours, drain. Take 0.25 cups 4 times a day in between meals after a heart attack.

Take 2 parts of hawthorn flowers, watch leaf, sweet clover grass, whole strawberry plant, 1 part each of calendula flowers, mint leaf; pepper, dill seeds, dream leaf. Pour 6 g of collection with 300 ml of boiling water, heat in a water bath for 10 minutes, insist warm for 1 hour, strain. Take 0.3 cups warm 3 times a day 20 minutes before meals after a heart attack.

Take in equal parts rose hips, red rowan berries, hawthorn fruits, viburnum fruits, raisins and dried apricots. Pour 1 liter of boiling water over 1 glass of collection and leave for 1 night in a thermos. Drink everything during the day instead of tea. This infusion can be taken for a long time.

Take in equal parts hawthorn flowers, calendula flowers, dill, oat straw, linden flowers. 5 g of powdered collection pour 250 ml of boiling water, insist warm (in a thermos) for 3 hours, drain. Take in a warm form, 50 ml 3-4 times a day, 30 minutes before meals after a heart attack.

Take in equal parts hawthorn fruits, clover flowers, fennel fruits, white willow bark, St. John's wort. 5 g of the collection pour 250 ml of boiling water, heat in a water bath for 10 minutes, insist warm for 1 hour, drain. Take the entire infusion 3 times warm, the last dose 1 hour before bedtime.

Take in equal parts a watch leaf, lemon balm leaf, dreamy leaf, rowan fruits. 4 g of the collection pour 250 ml of boiling water, boil for 2 minutes, insist warm for 2 hours, drain. Take the entire infusion after a heart attack 3 times, regardless of food intake.

Take in equal parts arnica inflorescence, watch leaf, sweet clover grass, lily of the valley flowers, peppermint leaf, dill fruits, rose hips, wormwood grass. 6 g of collection pour 300 ml of boiling water, insist in a thermos for 6 hours, strain. Take 0.25 cups warm 4-5 times a day. Health portal www.7gy.ru

Take in equal parts the fruits of the hawthorn, the whole strawberry plant, meadowsweet grass, dream leaf, celandine herb, fireweed leaf, rue herb, viburnum flowers. 6 g of powdered collection pour 300 ml of boiling water, boil for 2 minutes, insist warm for 2 hours, drain. Take 0.3-0.25 glasses warm after a meal after a heart attack.

Myocardial infarction. Home treatment

Unconventional and traditional methods of treatment for heart attack

Home remedies for heart attack

Grind 1 kg of cranberries and 200 g of garlic in a meat grinder, add 100 g of honey, mix, leave for 3 days. Take 1 dessert spoon 2 times a day before meals after a heart attack.

Mix freshly squeezed onion juice with honey in equal proportions. Take 1 tablespoon 2-3 times a day after a heart attack.

Pour 2-3 chopped onions with 300 ml of warm boiled water, stand for 7-8 hours, strain. Drink 0.5 cup infusion before meals.

Mix 1 kg chokeberry with 2 kg of honey. Take a mixture of 1 tablespoon a day after a heart attack.

Chew lemon zest: It is rich in essential oils and improves heart function.

Apples help to remove toxins from the body, strengthen the walls of blood vessels.

Eat 100-150 g of dried apricots a day after a heart attack.

Eat 1 tablespoon of honey 3 times a day, you can dilute it in 1 glass of warm water or eat it with fruit. Honey has a beneficial effect on the heart muscle, dilates the blood vessels of the heart, improves its blood supply.

Crush 100 g of walnut kernels and mix with 2 tablespoons of buckwheat honey. Eat 1 day in 3 divided doses. Walnut kernels contain magnesium, which has a vasodilating and diuretic effect, as well as potassium, which removes sodium from the body; a lot of iron, copper, cobalt, zinc and vitamin B, which are necessary for the formation of red blood cells.

Bitter almonds are considered a good remedy for heart attack. It is recommended to consume 1 nut per day.

Take 1 kg of honey, 10 lemons, 5 heads of garlic. Squeeze juice from lemons, add grated garlic and honey. Mix everything and leave for 1 week. Take 1 teaspoon once a day. It is especially recommended after a heart attack, with angina pectoris with severe shortness of breath.

Take 20 g of ginseng root and 0.5 kg of bee honey. Mix root powder with honey, leave for 1 week, stirring frequently. Take after a heart attack 3 times a day, 0.25 teaspoon (especially good for those who have low hemoglobin in the blood).

Pour 100 g of wheat grains with water and place in a warm place. When sprouts 1 mm long appear, rinse and pass through a meat grinder, add vegetable oil, honey and other components to taste (raisins, prunes). Eat this portion in the morning on an empty stomach after suffering a heart attack. Health portal www.7gy.ru

Dissolve 0.2 g of mummy in 1 cup of rosehip broth. Drink in 2 doses - morning and evening. The course of treatment after a heart attack is 10 days.

Prepare a cardiovascular elixir. To do this, take: 0.5 kg of honey (better than May), 0.5 liters of 70% medical alcohol, motherwort herb, cudweed herb, knotweed herb, chamomile flowers, rhizome with valerian roots, hawthorn fruits. Mix honey and alcohol, heat over very low heat (stirring constantly) until foam forms. Then remove from heat and let stand. Separately, in a thermos in 1 liter of boiling water, insist herbs: 1 tablespoon of each herb powder. Insist for 2 hours, strain and mix with the first composition. For the first week, take 1 teaspoon in the morning and in the evening, starting from the second week, switch to 1 tablespoon. After the medicine ends, take a break for 10 days and repeat the course. This elixir is recommended for atherosclerosis, angina pectoris, hypertension, ischemia, after a heart attack

Pour 30 g of propolis crushed on a grater with 96% alcohol, insist in a dark place for 1 week (always at room temperature, since propolis loses its properties when cooled), periodically shaking the contents, drain. Store in a dark place. Grind garlic into gruel, pour 200 g of gruel with 100 ml of 96% alcohol, insist in a dark, cool place for 10 days, periodically shaking the contents, strain, squeeze out the remainder, insist again for 4 days, then gently drain the settled tincture. Add 2 tablespoons of honey and 10 ml of propolis tincture to the tincture, mix thoroughly. Take 30 minutes before meals, diluting the tincture in 1 spoonful of warm water or milk, as follows: on the first day for breakfast - 1 drop, for lunch - 2, dinner - 3 drops. The next day: in the morning - 4 drops, in the afternoon - 5, in the evening - 6 drops. So add drop by drop until the fifth day of treatment - in the evening of that day, take 15 drops. On the morning of the sixth day, take 15 drops, then the number of drops is reduced by one to the tenth day: in the evening it should be 1 drop. On the eleventh day, you need to take 25 drops in the morning, afternoon and evening. From the twelfth to the sixteenth day, start taking drops again in an increasing pattern, that is, in the morning of the twelfth day - 1, in the afternoon - 2, in the evening - 3 drops. On the thirteenth day - respectively 4, 5, 6 drops and so on up to 15 drops on the evening of the sixteenth day. Repeat the treatment after 6 months.

Pour 400 g of garlic, pounded into gruel, 3.5 liters of milk, boil in a sealed container over low heat until the liquid evaporates by 0.75 volume, strain. Take for pain in the heart in small sips, 0.3-0.5 glasses 3-4 times a day before meals. Store in a cool, dark place.

In the early days of myocardial infarction, it is recommended to drink carrot juice with vegetable oil 2 times a day: 0.5 cups of juice and 1 teaspoon of oil.

Freshly prepared carrot juice is a good way to recuperate after a heart attack. You can drink it in 0.5-1 glass 3 times a day before meals. During the recovery period after a heart attack, it is advisable to combine carrot juice therapy with the use of a weakly concentrated infusion of hawthorn fruits instead of tea.

Drink 2-4 glasses of birch sap a day for a heart attack.

Let the freshly squeezed beet juice stand for 4 hours, mix in equal proportions with honey and take 2 tablespoons 3 times a day after a heart attack. You can also drink beet juice mixed with other juices: carrot, cabbage, potato.

Mix radish juice with honey. Take 2 tablespoons 3 times daily before meals.

Mix equal parts beet, carrot, radish and honey juices. Take 1 tablespoon 3 times a day 30 minutes before meals. The course of treatment after a heart attack is 3 months.

Drink 2-3 glasses of persimmon juice daily.

Drink turnip juice with honey. There are turnips in any form.

Myocardial infarction. Therapeutic gymnastics according to the method of Professor N. G. Propastin

A set of exercises for patients who have had a heart attack, according to the method of Professor N. G. Propastin

This set of exercises is directed against recurrent heart attacks and is recommended for people under 50.

Exercise in bed

1. Starting position (i. P.) - lying on your back. Raise your arms up, 1 grasping the headboard. Pull up, pulling your head back (deepening the pillow), straighten your legs, pull your socks. Perform 5-6 times.

2. I. p. - sitting. Bringing your arms back, raising your head and straightening your back, bring your shoulder blades together. Perform 5-6 times. Standing exercises

3. I. p. - arms along the body, feet at the width of the foot. On account 1-2 - raise your hands up (through the sides or linked into a "lock" in front of you), rise on your toes, stretch; 3-4 - return to and. n. Perform 4-5 times.

4. I. p. - one hand at the top, the other at the bottom. Change the position of the hands for each count. Perform 8-10 times.

5. I. p. - hands on the belt (you can hold on to the back of the chair with one hand), feet about the width of the foot. Swing your leg back and forth. Run 4-5 times with each leg.

6. I. p. - hands on the belt, feet shoulder-width apart. Into the account 1-2 - tilt forward; 3-4 - return to and. n. Perform 8-10 times. Tilt - exhale, straighten - inhale.

7. I. p. - arms along the body, feet shoulder-width apart. Raise your hands to the account 1-2-1; 3 - lower your arms backwards in arcs, bend your legs slightly; 4-5 - continuing to move the arms backward, tilt the body forward, straighten the legs; 6 - arms begin to move forward, bend legs a little, straighten the body (semi-squat position); 7-8 - raise your arms up in arcs, straighten your legs, pulling up, rise on your toes and return to and. n. Perform 5-6 times.

8. I. p. - straight arms in front of the chest, feet foot-width apart. For each count - jerking movements with straight arms or arms bent at the elbows (it is possible with a simultaneous half-turn of the body). Perform 8-10 times.

9. I. p. - hands behind the head, legs together. On account 1 - bend over to the right, while lunging with your right foot in the same direction (you can simultaneously stretch your arms up); 2 - return to and. P.; 3 - bend over to the left while lunging with the left foot in the same direction; 4 - return to and. n. Perform 4-5 times in each direction.

10. I. p. - arms along the body, feet shoulder-width apart. Squats. The pace is arbitrary. At the time of squatting, one hand is behind the head, the other is on the belt, the next time you squat, change the position of the hands. Perform 8-10 times.

11. I. p. - hands on the belt, feet shoulder width apart. Circular rotation of the pelvis (left, forward, right, back). Repeat the same in the other direction. Perform 4-5 times in each direction. Health portal www.7gy.ru

12. I. p. - hands on the belt, feet at the width of the foot. On account 1-2 - spread your arms to the sides and slightly turn your body to the right - inhale; 3-4 - return to and. p. - exhale. Perform 3-4 times in each direction.

13. I. p. - legs together, hands on the belt. Jumps in place. Legs together - apart. Legs together - one leg forward, the other back. Perform for 30-40 seconds. Then go to a quick step.

14. Jogging (in place or around the room). Perform 5-7 minutes.

15. Quiet walking. Breathing exercises within 2-3 minutes.

Myocardial infarction. Remedial gymnastics according to the method of phytotherapist I. V. Muravov

Therapeutic gymnastics for patients who have had a heart attack, according to the method of phytotherapist I. V. Muravov

A set of exercises

Sitting exercises

1. Move your eyes up, down, to the sides. Circular movements of the eyes (left, up, right, down, in the opposite direction). Movements are made alternately with open and closed eyes, at an average pace, 10 times each. After finishing the exercises, lightly stroke with your fingers closed eyes and blink a few times.

2. Squeeze and open the eyelids. 10-15 times at an average pace, with effort.

3. Rotate your head while looking in front of you in one direction or the other. Perform at an average pace 5-6 times in each direction.

Standing exercises

4. Starting position (f. P.) - arms along the body, feet shoulder-width apart. At the expense of 1-2 - raise your hands up, palms outward, stretch - inhale; 3 - lower your hands down, describing a circle with them, - exhale; 4 - return to and. n. Perform 4-6 times at an average pace.

5. I. p. - hands on the belt, legs apart. Into the account 1-2 - turn to the left, arms to the sides - inhale; 3-4 - return to and. p. - exhale; 5-8 - the same in the other direction. Perform 4-5 times at a slow pace.

6. I. p. - arms along the body, feet shoulder-width apart. At the expense of 1-2 - sit down, without lifting your heels from the floor, leaning forward a little and taking your hands back, - exhale; 3-4 - return to and. p. - inhale. Perform 4-6 times at a slow pace.

7. I. p. - arms along the body, feet shoulder-width apart. On the count of 1 - sit down with your hands on your hips - exhale; 2 - return to and. p. - inhale. Perform 3-4 times.

8. I. p. - hands on the belt, feet shoulder-width apart. On the count of 1 - bend to the left, raise your right hand up - inhale; 2 - return to and. p. - exhale; 3-4 - the same in the other direction. Perform 3-4 times.

Sitting exercises

9. I. p. - lean back relaxed on the back of the chair, grab the edges of the seat with your hands, stretch your legs. Into the account 1-2 - bend, take your head back - inhale; 3-4 - return to and. n. - exhale. Perform 4-6 times.

10. I. p. - grasp the edges of the seat with your hands, stretch your legs. On account 1 - raise left leg before horizontal position; 2 - lower the leg; 3-4 - the same with the right leg. Breathing is even. Repeat 3-4 times.

11. I. p. - lean back in the chair, raise your arms up, stretch your legs. At the expense of 1-2 - bend your left leg and, clasping your shin with your hands, touch your chest with your knee, tilt your head forward - exhale; 3-4 - return to and. p. - inhale; 5-8 - the same, bending the right leg. Perform 3-4 times.

Standing exercises

12. I. p. - arms along the body, feet shoulder-width apart. On account 1 - extend the left hand forward; 2-7 - swinging leg movements (back and forth); 8 - return to and. n. Do not hold your breath. Perform 3-4 times with each leg.

13. I. p. - arms along the body, legs shoulder-width apart. On account 1 - extend the left hand forward; 2 - step forward with the right leg, stretch the right hand forward; 3 - put your hands to your shoulders (hands are clenched into fists); 4 - return to and. P.; 5-8 same starting from right hand and taking a step with the left foot. Perform 3-4 times at an average pace.

14. I. p. - arms along the body, feet shoulder width apart. Walking in place for 15-20 seconds. Finish walking with 2-3 breathing exercises.

Patients with acute myacardial infarction require urgent hospitalization and inpatient treatment, and in the first days - in the intensive care unit. At the beginning of the acute period of a heart attack, folk remedies are not applicable, at the end of the acute period it is possible and necessary to use medicinal plants that have vasodilating, antiplatelet and anticoagulant effects, increase the tone of the heart muscle, have a calming effect and stimulate the intestines (with constipation).

The volume and nature of herbal medicine depends on the condition of patients and symptoms in the postinfarction period. In the absence of serious complications of a heart attack (complex cardiac arrhythmias, chronic circulatory failure and others), the method of using medicinal plants is the same as in the treatment of stable exertional angina, since it persists to one degree or another, and its functional class must be taken into account.

In the acute period of myocardial infarction, almost immediately after the transfer of the patient from the intensive care unit, the following herbal teas can be used:

1. Hawthorn flowers, watch leaves, sweet clover grass, the whole strawberry plant - 2 hours each, calendula flowers, peppermint leaves, dill fruits, sleepy leaves - 1 hour each.

2. Hawthorn fruits, valerian rhizome, sweet clover herb, clover flowers, meadowsweet herb, lemon balm leaves, rose petals, leaves
fireweed - equally.

3. Melilot grass, whole strawberry plant, elecampane rhizome, wild rosemary shoots, dill herb, immortelle flowers, oregano herb, celandine herb - equally.

4. Arnica inflorescences, horse chestnut flowers, cuff leaves, grass
motherwort, fennel fruits, corn silk, coltsfoot leaves, dream leaves, lavender herb - equally.

5. Astragalus grass, valerian rhizome, wild rosemary shoots, calendula flowers, clover flowers, motherwort herb, rose petals, fennel fruits, immortelle flowers, marsh creeper grass, white willow bark - equally.

6. Hawthorn flowers, watch leaves, sweet clover herb - 3 hours each, peppermint leaves, dandelion root, oregano herb - 2 hours each, celandine herb, fireweed leaves, linden flowers - 1 hour each.
7 g of powdered collection pour 250 ml of water, heat in a water bath in a sealed container (do not boil!) For 15 minutes, leave warm for 2 hours, strain. Take 74 glasses 4 times a day in between meals.

7. Clover flowers, lemon balm herb, dill fruits, rose hips, marsh creeper grass, rowan berries, angelica rhizome, wormwood herb, oat straw, rue herb, viburnum flowers - equally.
7 g of powdered collection pour 250 ml of water, heat in a water bath in a sealed container (do not boil!) For 15 minutes, leave warm for 2 hours, strain. Take 74 glasses 4 times a day in between meals.

8. Cuff leaves, motherwort herb, dill herb, corn silk, dream leaves, white willow bark, chicory rhizome, burdock root, Baikal skullcap rhizome, lavender herb, sage leaves - equally.
Pour 8 g of the crushed into powder collection with 300 ml of boiling water, boil for 2 minutes, leave warm for 2 hours, drain. Take 1 / 3-1 / 4 cup warm after meals.

9. Astragalus herb, hawthorn fruits, coltsfoot leaves, rowan berries, raspberry shoots, St. John's wort, wormwood herb, skullcap rhizome, lavender herb, linden flowers, viburnum flowers - equally.
Pour 6 g of collection with 300 ml of boiling water, heat in a water bath for 10 minutes, insist warm for 1 hour, strain. Take 73 glasses warm 3 times a day 20 minutes before meals.

10. Hawthorn flowers, watch leaves, elecampane rhizome, clover flowers, meadowsweet herb, peppermint leaves, dandelion root, oregano herb, marsh creeper grass, celandine herb, sage herb - equally.
Pour 8 g of the crushed into powder collection with 300 ml of boiling water, boil for 2 minutes, leave warm for 2 hours, drain. Take 1 / 3-1 / 4 cup warm after meals.

The duration of the use of these phyto-assemblies (1-10) is up to 6 months after a heart attack, with their periodic replacement every 2 months. In the future, with good recovery dynamics, you can go to the fees of another composition, which should be alternated with the fees listed above.

11. Arnica inflorescences, watch leaves, sweet clover grass, lily of the valley flowers, peppermint leaves, dill fruits, rose hips, wormwood herb - equally.
7 g of collection pour 300 ml of boiling water, insist in a thermos for 6 hours, strain. Take 74 glasses warm 4-5 times a day.

12. Astragalus grass, elecampane rhizome, horse chestnut flowers, lily of the valley leaves, cuff herb, dill herb, chicory root, oat straw -
equally.
8 g of powdered collection pour 250 ml of boiling water, leave in a thermos for 4 hours, strain. Take 74 glasses 3-4 times a day 1 hour before meals.

13. Hawthorn flowers, clover flowers, fennel fruits, dandelion root, rowan berries, burdock root, Baikal skullcap rhizome - equally.
7 g of powdered collection pour 250 ml of water, heat in a water bath in a sealed container (do not boil!) For 15 minutes, leave warm for 2 hours, strain. Take 74 glasses 4 times a day in between meals.

14. Hawthorn fruits, the whole strawberry plant, meadowsweet herb, dream leaves, celandine herb, fireweed leaves, rue herb, viburnum flowers - equally.
Pour 8 g of the crushed into powder collection with 300 ml of boiling water, boil for 2 minutes, leave warm for 2 hours, drain. Take 1 / 3-1 / 4 cup warm after meals.

15. Valerian rhizome, marigold flowers, immortelle flowers, coltsfoot leaves, white willow bark, angelica rhizome, lavender herb, grass
sage - equally.
7 g of collection pour 300 ml of boiling water, insist in a thermos for 6 hours, strain. Take 74 glasses warm 4-5 times a day.

16. Shoots of wild rosemary, cuff leaves, motherwort grass, corn stigmas, marsh creeper grass, raspberry shoots, St. John's wort grass, linden flowers - equally.
8 g of powdered collection pour 250 ml of boiling water, leave in a thermos for 4 hours, strain. Take 74 glasses 3-4 times a day 1 hour before meals.

17. Hawthorn flowers, calendula flowers, dill fruits, oat straw, linden flowers - equally.

18. Hawthorn fruits, clover flowers, fennel fruits, white willow bark, St. John's wort - equally.

19. Watch leaves, lemon balm leaves, dream leaves, rowan berries - equally.
4 g of the collection pour 250 ml of boiling water, boil for 2 minutes, insist warm for 2 hours, drain. Take the whole infusion 3 times warm.

20. Melilot grass, peppermint herb, marsh creeper grass, viburnum flowers - equally.
5 g of collection pour 300 ml of boiling water, leave in a thermos for 4 hours, drain. Take warm 1 / s cup 3-4 times a day 1 hour before meals.

21. The whole plant of wild strawberry, motherwort grass, celandine grass, apple peel - equally.
5 g of powdered collection pour 250 ml of boiling water, insist in a warm (thermos) for 3 hours, strain. Take 50 ml warm 3-4 times a day 30 minutes before meals.

22. Rosemary shoots, rose petals, fireweed herb - 1 tsp, angelica rhizome, raspberry shoots - 2 tsp.
5 g of the collection pour 250 ml of boiling water, heat in a water bath for 10 minutes, insist warm for 1 hour, drain. Take the entire infusion 3 times warm, the last dose 1 hour before bedtime.

23. Meadowsweet grass, lily of the valley leaves, dandelion root, rose hips, oregano herb - equally.
5 g of the collection pour 250 ml of boiling water, heat in a water bath for 10 minutes, insist warm for 1 hour, drain. Take the entire infusion 3 times warm, the last dose 1 hour before bedtime.

24. Valerian rhizome, sweet clover herb, elecampane rhizome - 1 tsp each, coltsfoot leaves, dream leaves - 2 tsp each.
5 g of the collection pour 250 ml of boiling water, heat in a water bath for 10 minutes, insist warm for 1 hour, drain. Take the entire infusion 3 times warm, the last dose 1 hour before bedtime.

Fees No. 17-24 are applied in the form of two-month courses without breaks between them. Only 1.5 years after suffering a myacardial infarction, you can take small breaks in herbal medicine (for 6-8 days), while changing the composition of the fees.

During the recovery period after a heart attack, postinfarction cardiosclerosis develops in the area of \u200b\u200bformer ischemia. Its severity depends on the extent of the infarction (or heart attacks).

If the area of \u200b\u200bmyocardial damage by cardiosclerosis is significant, the heart muscle loses its contractile ability, acarrhythmias are the most complete "disorder" in the work of the heart and "inconsistency" in the number of contractions determined by listening to the heart and counting the pulse. Most often, the number of heart beats exceeds the number of pulse beats. The greater this difference (pulse deficit), the more significantly it affects blood circulation. At the same time, there are variants of "arrhythmias of the elderly", proceeding latently, without any unpleasant sensations for the patient. The described types of cardiac arrhythmias are most common, but far from exhausting their entire variety.

Conservative methods of treating cardiac arrhythmias solve two main problems. The first of them consists in creating the most favorable conditions for the work of the heart: improving its supply with blood, oxygen, potassium and calcium ions, unloading by lowering blood pressure, etc. The second task is to influence the central nervous system, that is, to the mechanisms, regulating heart rate (frequency and rhythm of contractions).

The indication of the use of medicinal plants and their effectiveness depend on the type of arrhythmias. Their use is useful even for complex rhythm disturbances as an essential (and most importantly, long-term) addition to the main therapy. Moreover, as first aid they are safe, for example, when tachycardia occurs.

In principle, medicinal plants are used for the treatment of cardiac arrhythmias that have all of the previously indicated properties. The most significant of them are: antiarrhythmic, cardiotonic, sedative, vasodilator.

Some types of heart rhythm disorders can be treated exclusively with medicinal plants. These include moderate sinus tachycardia, rare ventricular premature beats, atrial fibrillation, proceeding without significant signs of circulatory failure. Naturally, prior to treatment, a special examination of the patient is required, primarily electrocardiographic.

From medicinal plants with previously described properties, the following herbal collections can be made:

25. Grass of spring adonis, herb of peppermint, motherwort herb, burdock root, rowan berries, blackberry leaves, apple peel, leaves of mother-and-stepmother, leaves of dream, herb of dryweed, leuzea roots, tartar leaves - equally.

26. Hawthorn flowers, clover flowers, meadowsweet grass, lemon balm herb, rose petals, yarrow grass, elecampane rhizome, rowan flowers, wild raspberry shoots, oat straw, wild rosemary shoots, leuzea roots - equally.
6 g of collection pour 300 ml of boiling water, leave in a thermos for 4 hours, drain. Take 50 ml warm every 4 hours.

27. Hawthorn fruits, sweet clover grass, wild strawberry leaves, calendula flowers, peppermint herb, rose hips, chicory root, foxglove leaves, asparagus rhizome - equally.

28. Valerian rhizome, all wild strawberry plant, nettle herb, lemon balm herb, hellebore rhizome, dandelion root, burdock root, rowan berries, oregano herb, curly thistle herb - equally.
6 g of the collection, crushed into powder, pour 250 ml of water, leave in a sealed container for 4 hours, bring to a boil, insist warm for 2 hours, strain. Take 30-40 ml 5 times a day.

29. Watch leaves, wild strawberry leaves, meadowsweet grass, peppermint herb, fennel fruits, rose hips, dream leaves, wild rosemary shoots, foxglove leaves, tartar shoots - equally.
7 g of collection pour 250 ml of boiling water, boil for 3 minutes, insist warm for 3 hours, drain. Take 30 ml warm 4-5 times a day.

30. Hawthorn flowers, hawthorn fruits, sweet clover grass, lily of the valley flowers, lemon balm herb, dill fruits, elecampane rhizome, blackberry leaves, oat straw, birch leaves, letter grass, coriander fruits - equally.
Pour 6 g of powdered collection with 300 ml of boiling water, heat in a water bath in a sealed container for 10 minutes, insist warm for 2 hours, drain. Take 50 ml warm every 4 hours.

31. Valerian rhizome, watch leaves, whole wild strawberry plant, meadow clover flowers, nettle herb, rue herb, yarrow herb, fennel fruits, apple peel, marsh creeper grass, asparagus rhizome - equally.
7 g of collection pour 250 ml of boiling water, boil for 3 minutes, insist warm for 3 hours, drain. Take 30 ml warm 4-5 times a day.

32. Hawthorn fruits, valerian root, lily of the valley leaves, rose petals, dandelion root, rose hips, rowan berries, forest raspberry shoots, mother and stepmother leaves, dream leaves, oregano herb - equally.
Pour 6 g of powdered collection with 300 ml of boiling water, heat in a water bath in a sealed container for 10 minutes, insist warm for 2 hours, drain. Take 50 ml warm every 4 hours.

The above fees (25-32) can be used for all cardiac arrhythmias in the absence of conduction disturbances. Constant strict monitoring of the pulse rate is required, especially if the collection includes foxglove leaves, hellebore rhizome, adonis herb, leaves or flowers of May lily of the valley. If the pulse rate is less than 60 beats per minute, decrease daily dose by 1.5-2 times, and at a frequency of less than 50 beats per minute, stop taking it for several days.

Herbal medicine for rhythm disturbances should be practically continuous, as it is also aimed at treating coronary heart disease. To eliminate the addictive effect, phyto-gatherings are alternated every 1.5-2 months.

When a positive result is achieved (normalization of the rhythm), you can continue treatment with fees for angina pectoris 2 and 3 classes (these are recipes from 10 to 21 in the article "angina"). However, for the prevention of arrhythmias in the future, fees No. 25-32 should be used 2-4 times a year.
Permanent form atrial fibrillationusually persists despite treatment. The purpose of using medicinal plants is to reduce the number of heart contractions and pulse deficit. Herbal medicine for ischemic heart disease, complicated by a permanent form of atrial fibrillation, is carried out with fees no. 25-32, which are replaced only 2-3 times a year with phyto-medications from no. 10 to 21 from the article "angina" (no more than 1 month at each replacement).

Myocardial infarction is a serious illness during which the muscles of the heart are damaged due to blockage of the coronary artery or its branches. The reasons can be atherosclerosis, the presence of a blood clot, cholesterol plaques that get stuck in the artery. In most cases, since the patient has a sharp, unbearable pain, but sometimes people may experience mild heart attacks, the symptoms of which they may not even notice. It is very important to immediately apply for, since after the onset of this state, the cells of the heart muscles have an oxygen reserve for only 10 minutes, after that for another 30 minutes the muscle functions, and then irreversible changes await it. She dies three hours later. That is why the first minutes after the development of the disease are of critical importance. Many people are wondering how to recover from a heart attack.

Home rehabilitation after myocardial infarction.

Symptoms

A stroke always comes unexpectedly, so you need to know the main symptoms that indicate this disease. Most:

• severe weakness, numbness of the limbs appears;
• the head starts spinning and hurts, coordination of movements is lost;
• the patient is nauseous, vomiting may occur;
• "flies" appear before the eyes, temporary loss of vision is possible;
• difficult speech;
• paralysis of half of the body occurs;

Treatment

Treatment of myocardial infarction occurs only after the diagnosis is confirmed by a doctor. To do this, he makes a cardiogram, and after the patient goes to intensive care, where behind his heart, blood vessels and internal organs monitoring will be carried out. As soon as a person has this state, he is injected special preparations, the action of which is aimed at resolving blood clots, as well as restoring blood flow. It is believed that the earlier such a drug was introduced, the better for the patient, its maximum effect occurs within one hour. In addition, the doctor prescribes medications that reduce the blood circulation process and the frequency of contractions of the heart muscle. These actions are necessary to reduce the oxygen demand of the heart, which allows the cells to live longer. Drugs that reduce blood clotting help prevent new blood clots from forming.

Rehabilitation

Rehabilitation after myocardial infarction at home should be carried out based on the recommendations of the attending physician. Strict adherence to all the requirements of a specialist from the first day gives a positive result soon. After discharge from the hospital, the patient begins, which can take six months. In this case, recipes of traditional medicine and gymnastics will be useful. But it is worth remembering that these funds must be additional methods therapies used in conjunction with the main treatment prescribed by a specialist. It is necessary to treat a patient at home with drugs that have medicinal properties, which contain a large amount of vitamins, as well as other useful substances.

Phytotherapy

In therapy with folk remedies, preference should be given only to those plants that have a positive effect on the work of the heart and blood vessels. These herbs remove excess fluid, relieve spasms, lower blood pressure and cholesterol levels, and have a sedative effect. There are many useful recipes in which folk remedies are used:

1. We take 50 grams of wild strawberries and wild rose, mix them and pour 0.5 liters. boiling water. Further, the mixture is placed in a water bath when it is already warmed up, and heats up for 15 minutes. After you need to strain healthy drink, the mass is diluted with boiled water and taken 0.5 cups twice a day.
2. Often used in treatment, hawthorn, which has a vasodilating and sedative effect. You should take 20 grams of its flowers and the same amount of valerian root, add another 15 grams of adonis and one glass of boiling water - let it brew for about an hour, while the container should stand in a warm place. The filtered drink is drunk 0.5 cups each before breakfast and bedtime.
3. Another useful recipe, the reception of which contributes to recovery from myocardial infarction. Prepare a collection of hop cones, yarrow, valerian, lemon balm, corn silk. Take 20 grams of each of the herbs. All this is poured with one glass of boiling water, covered with a lid, then, you need to let it brew in a water bath, cool and strain. The finished broth is taken 0.5 cups daily, once 30 minutes before breakfast.

Treatment with cereals

Myocardial infarction is also treated with cereals. Scientists claim that their seedlings contain many nutrients and trace elements, they are much more useful than the grains themselves. Thanks to the addition of cereals to the patient's diet, the cardiovascular system receives active organic and mineral substances. You can also germinate seeds yourself. To do this, you can use the canning method, which is considered the simplest. You need to take a small jar, pour grain into it - 2/3 of the capacity. It is important to process the grain before use and disinfect it with a 0.25% solution of potassium permanganate, and then pour boiling water over it. After that, water is poured into a jar of grains. After 12 hours, drain the water that has not been absorbed, and put the sprouts on a glass tray, previously covered with gauze, which has several layers and soaked in water.

The next step is to cover the grain with several more layers of gauze. Leave the sprouts in this form for a couple of days, they should rise a little. Experts advise putting the container to light, as the growth process will be more active. It is necessary to wait for the sprouts to sprout 1 cm. Treatment with folk remedies should not be carried out without the knowledge of the attending physician. This is very important, since the specialist will tell you which folk remedies cannot be used in a particular case in order to avoid the appearance of an allergic reaction.

Diet

Myocardial infarction imposes a duty on a person. So, doctors recommend eating up to seven times a day, and as for the portion size, they need to be reduced. The diet is divided into three types: acute, subacute, and scarring. The acute diet is the strictest, it is resorted to immediately after a myocardial infarction has occurred. Usually it needs to be adhered to for several weeks, it should be under the supervision of a doctor. During this period, the patient is allowed light soups from vegetables, dairy products, but only low fat, cereals in a liquid consistency. Dishes must be pureed, salt must not be added to them. Also, in the first days after the illness, it is useful for the patient to drink fresh juice from carrots, adding 1 tsp to it. vegetable oil. This drink should be consumed twice a day.

When three weeks have passed after the development of the disease, the patient is transferred to the last type of diet. At this time, scarring of the heart muscle occurs in the victim's body. You can eat as usual, but subject to some restrictions. Recommendations of doctors for the daily diet:

• eat more wheat germ and bran;
• give up fatty, smoked food and salt, this will prevent stress on the heart and clogging of blood vessels;
• it is better to replace confectionery with dried fruits, honey and nuts;
• instead of black tea, it is more useful to drink a rosehip drink, cranberry juice;
• banned coffee, alcoholic beverages;
• exclude hot seasonings;
• eggs are allowed no more than three pieces per week.

The last meal should be a few hours before bedtime. So, you can drink kefir, yogurt. There is a recipe that has a weak healing effect on the recovery of the body during rehabilitation. For its preparation, we take 100 grams of walnuts, they need to be chopped and mixed with 2 tbsp. l. honey. The mixture is eaten three times a day. Almonds will also be of great benefit to the sick - 1 pc. daily.

Physical exercise

In addition to treatment with folk remedies and medicationsuse physical training. Most often, doctors prescribe exercise after a heart attack from the very first days of the disease. Classes should start with simple exercises, which can also be done with bed rest. These exercises include:

1. Eye movements are performed when it is still difficult for the patient to move. After they move on to squeezing and unclenching the brushes, as well as rotating them.
2. Lying down, you can take your arms to the sides, and then bring them down again, flex the chest, leaning on your elbows. Next, bending and raising the legs are done.
3. In a sitting position, you can do such exercises - spread your elbows, rotate your shoulders, bend to the sides. To prepare for walking, alternate the process of bending and extending the legs, imitating walking, will help.
4. Gymnastics after a heart attack, performed while standing, should include lifting on toes, abducting the leg simultaneously with raising the arm, turning the body. Support on the back of a chair or bed will help facilitate exercises.

After discharge, the patient needs to be in the fresh air as much as possible. One of the most effective ways to recover is walking. You need to start from short distances, monitor the pulse, doing it slowly. Then every day add step and lengthen the path. The ladder is recognized as another excellent simulator. Here, too, the load should be slowly increased. Thanks to this method, you can determine the success of rehabilitation. It is believed that if a patient ascends to the fourth floor without shortness of breath, then his recovery is proceeding correctly.

Important!Before walking, you need to consult a doctor who will correctly calculate the load.

To prevent the recurrence of the disease, it is necessary to treat all ailments that can provoke the development of a heart attack, and also to visit a cardiologist regularly.