Pain behind the breastbone, shortness of breath
December 1st, 2009
Question: Please advise what pain behind the breastbone and a sense of lack of air in the clinical diagnosis: coronary artery disease, angina pectoris 2.3 FC, postinfarction cardiosclerosis krupnoochagovogo perednerasprostranennogo after acute myocardial infarction, left ventricular / December 2007. A course of treatment from October 5, TG:-Injections: Actovegin, Mildronate, Pirotsetam 5 ml – 10 days. -Tablets: thrombo-Ass 50 mg, Monochinkve 50 mg, Prestarium 4 mg, 1.2 g. riboksin-patch: Депонит 10 in 3 days. However, the pain behind the breastbone decreased, but still worried, feeling of lack of air left. Inform the survey data for 20 October this year:-EKG-sinus rhythm of 56 beats / min. EOS is not rejected. Ventricular extrasystoles. Diffuse violation of repolarization. Are changing. -Echocardiography: Atherosclerotic Manifestation in the wall of the AO, valvular apparatus, are changing, BPH. Dilatation LP. Lack MK – 1 degree, the AK-1 degree. -Pressure 140/75 mm Hg. Art. Please give your practical advice on the continuation of treatment. I am 70 years old, the usual pressure of 120/70 mm Hg. Art.
Answer: Dear Edward, something I do not see you on the list of designated drugs beta-blockers. So many nitrates (monochinkve, plaster депонит) are useless, they can develop tolerance. I recommend you discuss with the doctor the appointment of beta-blockers (metoprolol, bisoprolol).
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