What causes enlarged heart and coronary atherosclerosis, and how should they be managed?
Jun 02, 2023
Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Cardiomegaly and coronary atherosclerosis may be associated with hypertension, coronary atherosclerotic heart disease, mitral stenosis, and other causes. Patients can be treated with oral medications, surgery, or other methods. In addition to the above common causes, it may also be related to mitral regurgitation, pulmonary heart disease, hypercholesterolemia, and other factors. If patients experience physical discomfort, they should promptly seek medical attention at a hospital.
Enlarged heart and coronary atherosclerosis may be related to factors such as hypertension, coronary atherosclerotic heart disease, and mitral valve stenosis. Patients can receive treatment through oral medications, surgery, or other methods. A detailed analysis is as follows:
1. Hypertension
Long-term hypertension increases the workload on the heart, leading to thickening of the cardiac muscle and eventually causing heart enlargement. Increased blood viscosity contributes to coronary atherosclerosis. Patients should take medications such as nifedipine tablets or warfarin sodium tablets under medical guidance to control the condition.
2. Coronary Atherosclerotic Heart Disease
In patients with pre-existing coronary atherosclerotic heart disease, narrowing or blockage of the coronary arteries can impair blood supply to the heart muscle, resulting in myocardial damage and subsequent heart enlargement. Patients may follow medical advice to take medications such as atorvastatin calcium tablets or simvastatin tablets for treatment.
3. Mitral Valve Stenosis
Mitral valve stenosis usually restricts the opening of the mitral valve and reduces the valve orifice area, obstructing blood flow and increasing cardiac load, which may lead to heart enlargement. Patients may undergo surgical treatments such as percutaneous mitral balloon valvuloplasty or prosthetic valve replacement under medical supervision.
Besides the common causes mentioned above, heart enlargement may also be associated with conditions such as mitral valve regurgitation, pulmonary heart disease, and hypercholesterolemia. Patients experiencing physical discomfort should seek timely medical attention at a hospital to avoid delays in diagnosis and treatment.
