Will episodes of myocardial ischemia frequently recur after one episode?

Aug 13, 2024 Source: Cainiu Health
Disease description:

Today, I suddenly felt discomfort in my heart and went to the hospital for an examination. The result was myocardial ischemia. I would like to ask, after one episode of myocardial ischemia, will it frequently recur?

Doctor's answer (1)
Dr. Tian Hongbo

The risk of recurrent myocardial ischemia varies among individuals and mainly depends on underlying diseases, lifestyle, and treatment measures. Myocardial ischemia is a pathological condition caused by insufficient blood supply to the myocardium due to narrowing or occlusion of the coronary arteries. Its occurrence is associated with various triggering factors such as physical exertion, emotional stress, cold exposure, and heavy meals.

If the severity of coronary atherosclerosis progresses or other high-risk factors such as hypertension and diabetes are present, the risk of recurrent myocardial ischemia may increase. Unhealthy lifestyle choices, such as smoking, high-fat diet, and lack of physical activity, can also contribute to repeated episodes of myocardial ischemia.

If patients actively take preventive measures after an episode of myocardial ischemia, such as maintaining a healthy lifestyle, controlling blood pressure, blood glucose, and lipid levels, and following medical advice for standardized treatment, the frequency of myocardial ischemia episodes may be significantly reduced. Additionally, lifestyle improvements should include smoking cessation, limiting alcohol consumption, healthy eating, regular exercise, and weight management.

Regular follow-up and monitoring are also key to preventing recurrence, allowing timely adjustment of treatment plans.