DE   EN   ES   FR   IT   PT Cardiology Coronary heart disease

Coronary heart disease


Coronary heart disease (ischemic heart disease; lat. morbus ischaemicus cordis from other - Greek ἴσχω — "I detain, I constrain" and αἷμα — "blood") — the morbid condition which is characterized by absolute or relative disturbance of blood supply of a myocardium owing to defeat of coronary arteries of heart.

Coronary heart disease represents the damage of a myocardium caused by frustration of coronary circulation resulting from disturbance of balance between a coronary blood-groove and metabolic requirements of a cardiac muscle. In other words, the myocardium needs bigger amount of oxygen, than its arrives with blood. The ischemic heart disease can sharply proceed (in the form of a myocardial infarction), and also chronically (periodic attacks of stenocardia).
Classification of an ischemic heart disease by clinical forms is used, each of which has independent value in view of features of clinical manifestations, the forecast and tactics of treatment. It is recommended in 1979 by the group of experts of WHO.

  1. Sudden coronary death (primary cardiac standstill).
          * Sudden coronary death with successful resuscitation
          * Sudden coronary death (lethal outcome)
  2. Stenocardia
          * A stable angina of exertion (with the indication of a functional class).
          * Coronary syndrome of X
          * Vasospastic stenocardia
          * Unstable stenocardia
                o the progressing stenocardia
                o for the first time the arisen stenocardia
                o early postinfarction stenocardia
  3. Myocardial infarction
  4. Cardiosclerosis
  5. Ischemic heart disease Bezbolevy form

It is inadmissible to formulate the diagnosis of an ischemic heart disease without interpretation of a form as in such habit view it does not give real information on the nature of a disease. In correctly formulated diagnosis the specific clinical form of a disease follows the diagnosis of an ischemic heart disease through a colon, for example: "Ischemic heart disease: for the first time the arisen angina of exertion"; at the same time the clinical form is specified in the designation provided by classification of this form.

Also today there is more modern classification. It is classification of an ischemic heart disease of WHO with additions of VKNTs, 1984.

  1. Sudden coronary death (primary cardiac standstill)
          * Sudden coronary death with successful resuscitation
          * Sudden coronary death (lethal outcome)
  2. Stenocardia
          * Angina of exertion
                o For the first time the arisen angina of exertion
                o the Stable angina of exertion with the indication of a functional class
          * Unstable stenocardia (now it is classified by Braunvald)
          * Vasospastic stenocardia
  3. Myocardial infarction
  4. Postinfarction cardiosclerosis
  5. Disturbances of a cordial rhythm
  6. Heart failure

Symptoms of Coronary heart disease:

For justification of the diagnosis of an ischemic heart disease it is necessary to establish evidential its clinical form (from among presented to classifications) by the standard criteria of diagnosis of this disease. In most cases key value for diagnosis has recognition of stenocardia or myocardial infarction — the most frequent and most typical manifestations of an ischemic heart disease; other clinical forms of a disease meet in daily medical practice more rare and their diagnosis is more difficult.

Reasons of Coronary heart disease:

Coronary heart disease is pathology which cornerstone the damage of a myocardium caused by its insufficient blood supply (coronary insufficiency) is. Disturbance of balance between real blood supply of a myocardium and requirements it in blood supply can happen because of following circumstances:

  1. The reasons in a vessel:
          * atherosclerotic narrowings of a gleam of coronal arteries;
          * thrombosis and thrombembolia of coronal arteries;
          * spasm of coronal arteries.
  2. The reasons out of a vessel:
          * tachycardia;
          * myocardium hypertrophy;
          * arterial hypertension.

Treatment of Coronary heart disease:

There is a number of groups of drugs which can be shown to use at this or that ischemic heart disease form.
Antiagregant, in-adrenoblrkatory use, statines, nitrates, anticoagulants, diuretics, inhibitors of an angiotensin-converting enzyme, antiaritmika, surgical treatment.

Drugs, drugs, tablets for treatment of Coronary heart disease:

  • Препарат Рибоксин в ампулах.

    Inosine in ampoules

    Cardiological drugs.

    Arterium (Arterium) Ukraine

  • Препарат Аторвастерол.


    Hypolipidemic means.

    Polpharma/Medana Pharma S. A. (Polfarm / Medan of Pharm S.A.) Poland

  • Препарат Аспаркам Авексима.

    Aveksim's asparkam

    Potassium and magnesium drug

    JSC Aveksima Russia

  • Препарат Рамизес.


    Angiotensin-converting enzyme inhibitor (APF inhibitor).

    JSC Pharmak Ukraine

  • Препарат Этсет.


    Gipokholesterinemichesky and gipotriglitseridemichesky means. Inhibitor of GMG-KOA-reduktazy (Statins).

    LLC Kusum Pharm Ukraine

  • Препарат Бисопролол-Прана.


    The selection blockers of beta adrenoceptors.


  • Препарат Милдрокард.


    Anabolic means for system use. Means for treatment of heart diseases.

    RUP of Belmedpreparata Republic of Belarus

  • Препарат Симвастатин.


    Hypolipidemic means.

    CJSC ZIO-Zdorovye Russia


  • Препарат Розукард.


    Hypolipidemic means - KOA-reductase GMG inhibitor.

    Zentiva (Zentiva) Czech Republic


  • Препарат Вазопро.


    Cardiological drugs.

    JSC Pharmak Ukraine

  • Препарат Тримектал® МВ.

    Тримектал® MV

    Antigipoksantny means.

    CJSC Verteks Russia

  • Препарат Статинам.

    To statines

    Inhibitors of GMG-KOA-reduktazy (statines), various combinations; аторвастатин and амлодипин.

    RUP of Belmedpreparata Republic of Belarus

  • Препарат Предуктал® MВ.

    Предуктал® MB

    Antigipoksantny means.

    Servier (Sevyer) France

  • Препарат Курантил® 25/N25/N75.

    Курантил® 25/N25/N

    Vazodilatiruyushchy means.

    Berlin-Chemie AG/Menarini Group (Berlin-Hemi AG/Menarini Group) Germany

  • Препарат Бисопролол 10 мг.

    Bisoprolol of 10 mg

    The selection beta1-adrenoblocker.

    CJSC Biokom Russia

  • Препарат Бисопролол.


    The selection beta1-adrenoblocker.

    LLC Ozon Russia

  • Препарат Тридуктан MB.

    Triduktan MB

    Other cardiological means. Trimetazidin.

    LLC Pharm Start Ukraine

  • Препарат Кардонат.


    Combination vitamins B with various substances.

    JV LLC Sperko Ukraina Ukraine


  • Препарат Милдронат®.


    Metabolic means.

    JSC Pharmstandart Russia

  • Препарат Акридилол®.


    Alpha and a beta – adrenoblocker.

    JSC Chemical and Pharmaceutical Plant AKRIKHIN Russia

  • Сайт детского здоровья