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кимовске","retina":false,"avatarId":"0","isMacOS":false,"brand":"alice-ru","device":{"isIOS":false,"platform":"desktop"},"expFlags":{"isFootnoteDetails":true,"isFootnoteRedesignDivided":true,"futurisMultiqueryFlag":true}},"dialogStoreProps":{"baseUrl":"","orderedPairUUID":["Question"],"requestResponsePairs":{"data":{"Question":{"userMessage":"Ишемическая болезнь сердца: что это?","markdown":"**Ишемическая болезнь сердца (ИБС)** — это патологическое состояние, при котором сердечная мышца (миокард) получает недостаточное кровоснабжение из-за нарушения кровотока в коронарных артериях [4](https://www.fdoctor.ru/bolezn/ishemicheskaya_bolezn_serdtsa/)[10](https://Medgorod-clinic.ru/stati/simptomyishemicheskoybolezniserdtsakakvovremyaraspoznatproblemu/). Поэтому иногда ИБС называют коронарной болезнью [4](https://www.fdoctor.ru/bolezn/ishemicheskaya_bolezn_serdtsa/). \n\nБез своевременного лечения заболевание может привести к серьёзным осложнениям, включая инфаркт миокарда и сердечную недостаточность [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/).\n\n## Причины\nОсновная причина — **атеросклероз коронарных артерий** [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/)[8](https://bwell-swiss.ru/news-med/ishemicheskaya-bolezn-serdcza-ibs/). Образование бляшек (жировых отложений) на стенках сосудов сужает просвет артерий, ухудшая кровоток [4](https://www.fdoctor.ru/bolezn/ishemicheskaya_bolezn_serdtsa/)[8](https://bwell-swiss.ru/news-med/ishemicheskaya-bolezn-serdcza-ibs/). \n\nНекоторые факторы, повышающие риск ИБС: \n* повышенное артериальное давление [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/)[8](https://bwell-swiss.ru/news-med/ishemicheskaya-bolezn-serdcza-ibs/); \n* курение и злоупотребление алкоголем [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/); \n* малоподвижный образ жизни [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/); \n* ожирение и несбалансированное питание [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/); \n* генетическая предрасположенность [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/); \n* сахарный диабет [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/).\n\n## Симптомы\nПризнаки ИБС могут варьироваться в зависимости от формы заболевания [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/). Некоторые распространённые симптомы: \n* боль в грудной клетке (стенокардия), возникающая при физической нагрузке или стрессе [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/); \n* одышка, усиливающаяся при нагрузке [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/); \n* чувство нехватки воздуха [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/); \n* учащённое сердцебиение [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/); \n* головокружение и слабость [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/); \n* повышенная утомляемость [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/). \n\nНа начальных стадиях ИБС протекает практически бессимптомно [8](https://bwell-swiss.ru/news-med/ishemicheskaya-bolezn-serdcza-ibs/).\n\n## Диагностика\nПри подозрении на ИБС необходимо обратиться к терапевту или кардиологу [16](https://gemotest.ru/info/spravochnik/zabolevaniya/ishemicheskaya-bolezn-serdtsa/). Некоторые методы диагностики: \n* **Электрокардиография (ЭКГ)** — позволяет оценить работу сердца в покое и при нагрузке [5](https://aclinic.ru/zabolevaniya/ishemicheskaya-bolezn-serdtsa-ibs/). \n* **Эхокардиография** — ультразвуковое исследование сердца, даёт возможность оценить анатомическую и функциональную структуру миокарда [14](https://premium-clinic.ru/kak-diagnostiruetsya-ishemicheskaya-bolezn-serdtsa-2/). \n* **Стресс-тесты** (лекарственная стимуляция или физнагрузка) — помогают выявить нарушения кровоснабжения при физической активности [5](https://aclinic.ru/zabolevaniya/ishemicheskaya-bolezn-serdtsa-ibs/). \n* **Коронарография** — «золотой стандарт» для определения степени сужения сосудов [10](https://Medgorod-clinic.ru/stati/simptomyishemicheskoybolezniserdtsakakvovremyaraspoznatproblemu/). \n* **Лабораторные тесты** — анализы крови на холестерин, триглицериды и маркеры инфаркта [10](https://Medgorod-clinic.ru/stati/simptomyishemicheskoybolezniserdtsakakvovremyaraspoznatproblemu/).\n\n## Лечение\nТерапия ИБС направлена на устранение симптомов и предотвращение осложнений [2](https://www.mos-clinics.ru/diseases/ishemicheskaya-bolezn-serdtsa/). 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