To establish an accurate diagnosis, the doctor assesses the patient's complaints, the medical history of the disease, and the results of examinations. It is important not only to confirm the presence of changes in the heart, but also to determine their cause and the degree of influence on the functioning of the myocardium.
The main diagnostic methods include:
- heart ultrasound — allows assessment of the structure of the myocardium, detection of scar changes, determination of the contractility of the heart, and the presence of signs of heart failure;
- electrocardiography — helps detect rhythm and conduction disorders, as well as indirect signs of myocardial damage;
- Holter monitoring — makes it possible to assess the functioning of the heart over the course of a day and record rhythm disturbances that may not appear during a routine examination;
- laboratory tests — are used to assess accompanying conditions, in particular inflammatory processes, metabolism, and cholesterol level.
If necessary, the doctor may prescribe additional examinations to clarify the cause of the changes and choose the optimal treatment strategy.
Treatment is selected individually and depends on the cause of the disease, the degree of heart damage, and the severity of symptoms. The main directions include:
- Treatment of the underlying disease. If cardiosclerosis developed against the background of ischemic heart disease, arterial hypertension, or inflammatory processes, their correction is carried out first of all. This helps slow further damage to the myocardium.
- Drug therapy. Medications are prescribed that improve the functioning of the heart, normalize the rhythm, reduce the load on the myocardium, and help control symptoms.
- Heart rhythm control. In the event of rhythm disturbances, the doctor selects therapy to stabilize them and reduce the risk of complications.
- Lifestyle correction. It is recommended to limit excessive physical exertion, control nutrition, give up harmful habits, and regularly monitor the state of health.
- Follow-up over time. Even with a stable condition, it is important to undergo examinations regularly in order to assess changes and, if necessary, adjust treatment.
It is important to understand that in such a condition as cardiosclerosis, treatment of the disease is aimed not only at reducing symptoms, but also at slowing the progression of changes in the heart muscle and supporting its function.