Jing murume ane makore 46 okukura. Murume uyu ane mudzimai nevana vaviri uye anoshanda mune imwe kambani yeinishuwarenzi. Jing anoshanda muchechi yake uye anotamba gorofu pakupera kwevhiki. Akaenda kunoona chiremba wake wepfungwa nokuti akanga achangobva kuneta uye achirwadziwa muchipfuva paakanga achiita basa rakaoma. Haasati amboputa asi anonwa doro rimwe chete kana maviri pazuva. Nhoroondo yake yezvokurapa inoratidza kuti ropa rake rine cholesterol ye260 mg%, triglyceride ye198 mg% uye HDL-C ye43 mg%. Pashure pokudzidza 12-lead ECG yokutevera mwoyo waJing, kuri pachena kuti mwoyo wake une ischemic. Kurudzira kumwe kuongorora kunotevera uye mazano anokurudzirwa.
Pane zvakawanda zvingasarudzwa pakuongorora kunotevera. Somuenzaniso, tinogona kuita echocardiogram neDoppler yemavara, kwatinogona kuongorora kuyerera kweropa nomwoyo uye kugadzira mufananidzo womwoyo nemapfundo awo anofamba. Tinogona kuita scan yeperfusion ye myocardial, iyo inoongororawo kuyerera kweropa mumwoyo. Panewo muitiro unonzi electron-beam computed tomography (EBCT) uyo unogona kuona calcium deposits mumatumbo. Kunewo computed tomography angiography iyo inoratidza plaque kana kuti calcium deposits. Tinogona kuita MRI yemwoyo kana kuti MRA, iyo inoshandisa masimba emagineti kuti tione zvinetso zvemavharuvhu, kuwedzera kwemwoyo, zvirwere zvetsinga, tsinga dzomwoyo dzakakuvadzwa, nezvimwewo. Pakupedzisira, tinogonawo kuita angiogram yemwoyo, iyo inopinda mumuviri, asi ndiyo "nheyo yegoridhe" yokuongorora CAD. Kune nzira dzokuita nadzo chirwere cheJing, dzinotangira pane dzisinganyanyi kurwadza kusvika pane dzakanyanya kurwadza. Anogona kuita zvinhu zvezuva nezuva zvakadai sokuderedza kunwa kwake doro kwakanyanya, kudya zvokudya zvine utano hwomwoyo uye zvisinganyanyi kuvhiringidza muviri kuti abatsire cholesterol yake nemwero yetriglyceride. Kunewo mimwe mishonga yekurapa myocardial ischemia yakadai se aspirin yezuva nezuva, nitrates, beta blockers, cholesterol-inoderedza mishonga, nezvimwewo. Kana mamiriro ake akaoma kwazvo / achiipa, anogona kufunga nezveangioplasty / stenting, kana kunyange kuvhiya kwemwoyo. Kupindira uku kwakarongwa zvichienderana nokuti kwakaipa zvakadini.