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Этот процесс снижает эластичность миокарда, ухудшает его сократительную функцию и может приводить к сердечной недостаточности, аритмиям и другим осложнениям [1](https://zdravclinic.ru/bolezni/kardioskleroz/). \n\n**Кардиосклероз не самостоятельная болезнь**, а следствие других патологических процессов [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/). В зависимости от объёма поражения может возникать либо диффузное (равномерное) рубцевание по всей ткани, либо очаговое — как после инфаркта [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/).\n\n\n\n## Причины\nНекоторые причины кардиосклероза: \n* **Инфаркт миокарда** — часть сердечной ткани отмирает, а на её месте образуется рубец [3](https://nadejdamed.ru/blog/kardioskleroz-serdca/). \n* **Атеросклероз сосудов** — сужение коронарных артерий из-за холестериновых бляшек ухудшает кровоснабжение сердца, клетки получают меньше кислорода, со временем они могут замещаться соединительной тканью [3](https://nadejdamed.ru/blog/kardioskleroz-serdca/). \n* **Воспалительные заболевания сердца (миокардиты)** — инфекции или аутоиммунные процессы вызывают воспаление миокарда, после него тоже остаются рубцы, ухудшающие работу сердечной мышцы [3](https://nadejdamed.ru/blog/kardioskleroz-serdca/). \n* **Гипертония** — постоянно повышенное давление перегружает органы кровообращения, что может привести к повреждению клеток и их замещению соединительной тканью [3](https://nadejdamed.ru/blog/kardioskleroz-serdca/).\n\n## Симптомы\nНа ранних этапах заболевание может протекать бессимптомно, но по мере прогрессирования начинают проявляться следующие симптомы [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/): \n* одышка — сначала при физической нагрузке, затем и в покое [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/); \n* усталость, снижение выносливости — особенно при обычной активности [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/); \n* перебои в работе сердца, аритмии — ощущения замирания, учащённого пульса [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/); \n* отёки ног, особенно к вечеру — признак застойной сердечной недостаточности [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/); \n* кашель, особенно ночью — при застое крови в малом круге кровообращения [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/).\n\n## Диагностика\nДля постановки диагноза применяют: \n* **ЭКГ** — выявляет нарушения ритма, признаки перегрузки сердца [1](https://zdravclinic.ru/bolezni/kardioskleroz/). \n* **Эхокардиографию (УЗИ сердца)** — оценивает сократительную способность миокарда, наличие рубцовых изменений [1](https://zdravclinic.ru/bolezni/kardioskleroz/). \n* **МРТ сердца** — уточняет локализацию и степень фиброза [1](https://zdravclinic.ru/bolezni/kardioskleroz/). \n* **Холтеровское мониторирование** — выявляет скрытые аритмии [1](https://zdravclinic.ru/bolezni/kardioskleroz/).\n\n## Лечение\n**Кардиосклероз — хроническое заболевание, не подлежащее полному излечению**, так как рубцовая ткань не может трансформироваться обратно в мышечную [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/). Однако при правильной тактике можно стабилизировать состояние пациента и значительно улучшить качество жизни [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/). \n\n**Некоторые методы лечения**: \n* **Медикаментозная терапия** — ингибиторы АПФ и сартаны улучшают сократительную функцию, бета-блокаторы нормализуют сердечный ритм, диуретики снимают отёки [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/). \n* **Немедикаментозное лечение** — диета с ограничением соли, насыщенных жиров и объёма жидкости, контроль массы тела, отказ от курения и алкоголя, умеренная физическая активность под контролем врача [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/). \n* **Хирургические методы** (по показаниям) — например, установка кардиостимулятора [2](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/).","linksData":[{"sourceId":1,"url":"https://zdravclinic.ru/bolezni/kardioskleroz/","shownUrl":"https://zdravclinic.ru/bolezni/kardioskleroz/","title":"Кардиосклероз: диагностика и лечение в Москве","shortUrl":"zdravclinic.ru","isTranslated":false,"description":"","greenUrl":"zdravclinic.ru"},{"sourceId":2,"url":"https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/","shownUrl":"https://alldoctors.moscow/articles/spravochnik-zabolevaniy/kardioskleroz/","title":"Кардиосклероз – симптомы, причины, признаки, диагностика в Диагностическом центре доктора Куренкова","shortUrl":"alldoctors.moscow","isTranslated":false,"description":"","greenUrl":"alldoctors.moscow"},{"sourceId":3,"url":"https://nadejdamed.ru/blog/kardioskleroz-serdca/","shownUrl":"https://nadejdamed.ru/blog/kardioskleroz-serdca/","title":"Кардиосклероз сердца: что это такое простыми, причины — Блог \"Надежда\"","shortUrl":"nadejdamed.ru","isTranslated":false,"description":"","greenUrl":"nadejdamed.ru"},{"sourceId":4,"url":"https://www.starclinic.ru/zabolevaniya-i-lechenie/kardioskleroz-prichiny-vozniknoveniya-simptomy-diagnostika-lechenie/","shownUrl":"https://www.starclinic.ru/zabolevaniya-i-lechenie/kardioskleroz-prichiny-vozniknoveniya-simptomy-diagnostika-lechenie/","title":"Что такое кардиосклероз: причины возникновения, симптомы, диагностика, лечение","shortUrl":"starclinic.ru","isTranslated":false,"description":"","greenUrl":"starclinic.ru"},{"sourceId":5,"url":"https://mc21.ru/articles/kardioskleroz/","shownUrl":"https://mc21.ru/articles/kardioskleroz/","title":"Кардиосклероз: причины, особенности, интересные моменты о заболевании","shortUrl":"mc21.ru","isTranslated":false,"description":"","greenUrl":"mc21.ru"},{"sourceId":6,"url":"https://www.medicina.ru/patsientam/zabolevanija/kardioskleroz/","shownUrl":"https://www.medicina.ru/patsientam/zabolevanija/kardioskleroz/","title":"Кардиосклероз: причины, симптомы, диагностика и лечение заболевания","shortUrl":"medicina.ru","isTranslated":false,"description":"","greenUrl":"medicina.ru"},{"sourceId":7,"url":"https://polyclinika.ru/tech/kardioskleroz-prichiny-simptomy-lechenie/","shownUrl":"https://polyclinika.ru/tech/kardioskleroz-prichiny-simptomy-lechenie/","title":"Кардиосклероз - виды, причины, симптомы, признаки, диагностика, лечение","shortUrl":"polyclinika.ru","isTranslated":false,"description":"","greenUrl":"polyclinika.ru"},{"sourceId":8,"url":"https://ProBolezny.ru/kardioskleroz/","shownUrl":"https://ProBolezny.ru/kardioskleroz/","title":"Кардиосклероз: причины, симптомы и лечение в статье терапевта Зинатулина М. 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