Acute pain in the chest area is a frequent companion of coronary heart disease and atherosclerotic lesions of the coronary vessels. The main reason for this condition is a mismatch between the oxygen demand of the myocardium and its real amount that gets to cardiomyocytes with blood. Therefore, all patients and their closest relatives suffering from pathologies of the cardiovascular system should know how to relieve an attack of angina pectoris at home.
This is necessary to help the patient before the arrival of an ambulance, in addition, the correct actions in most cases can protect a person from serious complications.
There are several varieties of this disease:
- Angina pectoris (stable and progressive). Usually, symptoms occur against the background of intense physical exertion, in a stressful situation, during sex. In severe cases, the attack begins after the usual climb up the stairs or with a sharp temperature drop.
- Angina pectoris. It manifests itself already against the background of advanced diseases of the cardiovascular system, with constantly increased blood pressure, aortic stenosis, atherosclerotic growths that narrow the lumen of the coronary vessels. The onset of an attack is difficult to predict, symptoms occur abruptly at any time of the day, although more often this happens at night.
Without emergency care, cardiac muscle hypoxia progresses, which is highly likely to result in acute myocardial infarction.
You can recognize an angina attack by the following symptoms:
- Pain. It is sharp, diffuse in nature, localized behind the chest and gives to the left arm, leg, lower jaw. The sensations are so strong that the patient has to take a forced position, bending and pressing his hand to his chest.
- Dyspnea. The feeling of lack of air makes the patient breathe deeper, however, an attempt to take a deep breath only intensifies chest pain.
- Tachycardia, a feeling of "fluttering" of the heart behind the sternum, the pulsation "gives" to the ears.
- Numbness of the fingers, often they acquire a bluish tint.
- Isolation of cold, sticky sweat.
- Low or, conversely, high blood pressure.
The main difference between myocardial infarction and an angina attack, which can be removed at home, is the relief of symptoms with Nitroglycerin tablets during
The risk of developing a stable and progressive form of the disease increases with smoking, alcohol consumption, diabetes mellitus, overweight, increased blood clotting and physical inactivity.
In addition, doctors note that angina attacks more often occur in males.
For the traditional medical treatment of the disease, doctors offer a number of drugs:
- anticoagulants, the most common are acetylsalicylic acid (Aspirin), clopidogrel, Markumar,
- β-adrenergic blockers (Anaprilin, Betalol, Nebivolol, Egilok), are prescribed for almost all patients with coronary heart disease,
- lipid-lowering drugs (Rosuvastatin, Tulip, Nicotinic acid, Lipanor, Exlip) stop the progression of atherosclerosis, lowering cholesterol and low density lipoproteins,
- ACE inhibitors (Anaprilin, Lisinopril, Captopril) are an alternative to β-blockers, but are sometimes prescribed in combination with them,
- calcium antagonists (Verapamil, Diltiazem) are often used for angina pectoris with intolerance to nitrates, in a post-infarction state.
However, despite the variety of drugs offered for the treatment of the disease, many people prefer to relieve an attack of angina pectoris at home. For this purpose, tincture of hawthorn, repeatedly mentioned in Elena Malysheva’s programs, and folk recipes based on garlic and medicinal plants are widely used.
But before taking various alternative medicine, it is necessary to stop the main symptoms of an angina attack.
To do this:
- Stop any exercise.
- Sit in a comfortable chair.
- Drink drugs from the group of nitrates.
- Open the window to ensure fresh air.
- Take off squeezing neck, stomach and chest clothing.
Many recommend massage of reflex points on the neck, knees, wrist and shoulder joint. If, after minutes after trying to relieve an attack of angina pectoris at home, the patient’s condition does not improve, it is necessary to call an ambulance, but even the relief of symptoms is no reason to postpone a visit to the doctor.
How to treat angina pectoris at home: folk remedies, features of taking Nitroglycerin
Nitroglycerin, the main tool for treating angina pectoris at home, refers to pharmacological preparations from the group of nitrates. The mechanism of its effect is the release of nitric oxide. It relaxes the muscles of the vascular wall, reduces the load on the myocardium and its oxygen demand. In addition, nitrates relieve spasm of the coronary arteries of the heart.
A feature of Nitroglycerin is its rapid absorption from the mucous membranes, so it is recommended to take it in the form of tablets sublingually (that is, under the tongue) or in the form of an aerosol.
Currently, there are several types of this drug:
- short-range (it is also called "normal") is used only to relieve angina attacks,
- prolonged, used to prevent attacks of pain behind the sternum.
Nitroglycerin can be taken in several ways:
- 1% alcohol solution. Apply drops under the tongue or on a piece of sugar, but do not swallow it, but keep it in the mouth until completely dissolved. Also, such a drug is used for mild angina pectoris in combination with menthol, tincture of lily of the valley and belladonna (drops of Votchal).
- Tablets are placed under the tongue and kept until dissolved.
- An oily 1% solution of nitroglycerin in capsules containing 0.5 or 1 mg of the drug. The method of application is the same as for tablets, only the capsule can be pre-crushed with teeth.
- Spray can. Sprayed into the oral cavity, in a sitting position, at a dose (but not more than 3) for 15 minutes. One dose contains 0.4 mg of nitroglycerin.
Nitrates, including nitroglycerin, are quickly addictive. For this reason, they can not be used constantly to treat angina pectoris at home. Often after taking the medicine, a headache appears, which is removed with the usual pain medication.
Alternative medicine prescriptions offer the following ways to combat the disease:
- In a pan with 1 liter of homemade red sweet wine add 10 ml of 9% vinegar, 12 stems with leaves of ordinary garden parsley and cook for 5 minutes. Remove from heat, remove the foam and add 250 g of May honey, then heat again for 5 minutes. Then cool, strain, bottle and store in the refrigerator. Take 2 tbsp. twice a day.
- Crush the head of garlic, pour a glass of unrefined sunflower oil, insist for a day. Take 1 tsp, mixing with the same amount of lemon juice on an empty stomach.
- Combine in equal proportions the herb of the adonis, lavender flowers and rosemary leaves. 1 tsp collection pour a glass of boiling water and leave for half an hour. Take 100 ml twice a day. At the same time eat 4 tbsp. peeled pumpkin seeds per day.
- Prepare a mixture of the following medicinal plants: spring nomad, gray jaundice, mountain arnica, European zyuznik, odorous rue. 15 g of collection pour 500 ml of hot water and leave for an hour. Strain and take half a glass with the addition of 0.5 tsp. honey three times a day for a month, then take a break for 2 weeks, and then repeat the broth for another 10 days. Such courses of treatment are recommended twice a year - in autumn and spring. At the same time, it is advised to take 0.2 g of mummy in the morning on an empty stomach.
- Eat 1 tbsp. pulp of feijoa berries half an hour before meals in the morning and evening.
- Peel and grate 1 kg of celery roots, add 100 g of chopped horseradish rhizomes and garlic cloves and 2 lemons in a meat grinder. The mixture can withstand exactly one day, then take 1 tablespoon. thrice a day. With increased acidity of the stomach, this amount is halved.
There are a lot of ways to treat angina pectoris at home. However, the best result can be achieved by combining them with the classical methods of drug therapy. In addition, we should not forget that a patient with diseases of the cardiovascular system should be regularly examined by a cardiologist.
Choking at night
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Choking at night is a very troubling complaint, which can be a manifestation of a heart or lung disease. Patients very painfully endure this symptom, as it takes them by surprise during sleep, and in some cases there is no one nearby who could help or hold, which further worsens the situation, terrifying the person and giving a feeling of helplessness and defenselessness.
It is not always possible to fall asleep after such an attack, since the patient is afraid of a second attack. But by no means always suffocation at night is a sign of illness, often patients with an overexcited nervous system experience exactly the same symptoms, while there is no real danger to their life. Therefore, in this article I would like to draw a line between dangerous and non-dangerous asphyxiation.
Please note that here we will not talk about choking, which arose for the first time, but only about choking, which from time to time is repeated for a long time. Since the first sudden sudden suffocation (even in the daytime) can be a sign of an acute disease that requires urgent treatment (heart attack, thromboembolism, pulmonary edema, asthmatic status, etc.).
So, for starters, it should be said that in the vast majority of cases, the cause of a sudden attack of suffocation at night is a disease of the heart, lungs, or instability of the nervous system, including mental illness. Let's take a look at all possible states in order and discuss their distinguishing features.
Night suffocation is a very characteristic symptom for people suffering from heart failure. As a rule, patients complain that it is difficult to breathe air (there is a shortage of it). Often this condition is accompanied by coughing, sweating.
Dyspnea decreases in the sitting position and after taking diuretics, there can also be a positive effect after taking nitroglycerin. Such patients necessarily have some kind of chronic heart disease - hypertension or ischemic disease, valve problems, etc.
Heart failure does not occur out of the blue, therefore, people suffering from attacks of night suffocation due to heart failure, changes in the heart are necessarily detected during the examination. That is, it cannot be that a person suffers from heart failure at night, and during the day he has absolutely no complaints and all indicators, including ECG, ultrasound and chest x-ray, are normal.
Angina pectoris is, first of all, pain of a pressing or baking nature that usually occurs behind the sternum. But sometimes angina is manifested not in the form of pain, but in the form of suffocation, the mechanism of which is associated with the development of acute, but short-term, heart failure. Such suffocation is difficult to distinguish from suffocation in chronic heart failure described earlier.
As a rule, patients suffering from attacks of night suffocation due to angina pectoris have similar symptoms in the daytime, especially during physical exertion, while patients with heart failure do not have suffocation during the day, but only shortness of breath.
An additional examination helps to identify angina pectoris (coronary heart disease) - a stress test (VEM, Treadmill, ECHO Stress) or radioisotope scanning (used routinely abroad).
Asthma is a lung disease that is expressed in a sudden spasm of the bronchi (respiratory tract), which leads to a sharp decrease in lung ventilation and, as a result, a lack of oxygen in the blood.
Nighttime attacks of asthma are quite common and, unlike "heart attacks", they are accompanied by a feeling of incomplete exhalation (it is difficult to exhale air, not breathe in!). Patients have a feeling that in the lungs some kind of valve is working that lets in air in but does not let it back.
Nitroglycerin and diuretics do not alleviate the patient’s condition, only inhalers, for example, salbutamol, or intravenous administration of steroids (hormones) help.
They diagnose asthma on the basis of complaints, data from a family history (history) and spirometric examination of the lungs, as an option, salbutomol is prescribed during an attack, if this brings relief, then the cause of such night suffocation becomes more obvious.
Panic attack - sympathoadrenal crisis
Many young people with unstable functioning of the nervous system (the so-called NDC or VVD) sometimes develop a feeling of suffocation at night. This, as a rule, is not even choking, but a feeling of lack of air.
This condition is accompanied by very vivid emotional experiences, and if patients with asthma and heart failure describe the attack in two or three words, then patients suffering from NDC, in addition to suffocation, feel dozens of additional complaints: dizziness, nausea, palpitations, vague chest pain, fear , panic, trembling, chills, sweating, etc. Of course, patients with heart and lung disease may also experience these symptoms, but asphyxiation is what prevents them 100 times more than all other related "Little things."
In patients with NDC, everything interferes simultaneously and equally strongly. Research data does not reveal any deviations from the norm, and the age of such patients usually does not exceed 30-40 years. Most of them undergo examinations many times, go to different specialists, believing that they are terminally ill, but doctors do not understand this. In this group of patients, a good effect is achieved with the help of sedatives, tranquilizers, antipsychotics, and even better - psychotraining.
From the foregoing, it can be said that in assessing chronic nightly suffocation, one should be guided by the principle of “there is no smoke without fire”. And if in the afternoon the patient is completely “healthy” according to the data of the examination and consultation of narrow specialists, then you should not “go in cycles”, but you should try to solve this problem with a psychotherapist or psychiatrist, especially since there will definitely be no harm.
In conclusion, it should be canceled that this article, although written for patients, is not a guide for diagnosis, the decision is always made by the doctor.
The attack of hypertension: what to do with the first symptoms
Very often, the symptoms of an onset of hypertension are very similar to a simple general overwork of the body.
For this reason, a person learns about his problem too late when a severe disruption of the internal organs or a critical condition occurs.
Meanwhile, the disease has become one of the most common in our country. According to official statistics, every third of our compatriots suffers from hypertension in one form or another.
Why are there attacks
If there was a sharp jump in the level of upper pressure to the level of 140 to 250 mmHg, we are talking about an attack of hypertension. High blood pressure will cause severe kidney problems, damage to the central nervous system, increased thyroid function, ischemic, hemorrhagic stroke, myocardial infarction.
With hypertension, the walls of small arteries are affected, and as a result of their swelling and narrowing of the internal lumen, the following is observed:
- circulatory disturbance,
- internal organs feel a lack of oxygen.
Often, hypertension is chronic for a long time, the human body gradually adapts to constantly increased pressure and does not suffer from negative effects.
However, such an adaptation cannot exclude medical intervention in the patient’s health, since the disease can often cause daytime and nighttime attacks of hypertension, which are called hypertensive crises. During the attack, vasospasm is observed, blood access to vital organs is disrupted.
It must be understood that hypertensive crises can often be preceded by various symptoms, among which:
- unusual headache
- inability to turn my head to the side
- unexpected dizziness for no reason
- violation of coordination
- sharp deterioration in the quality of vision.
The internal manifestations of the attack will be sharp pains behind the sternum, under the scapula, in the abdominal cavity.A person will notice tingling in the upper and lower extremities, muscle tremors, chills, nausea, vomiting, and speech disorder.
External symptoms of a hypertensive crisis: the patient is too excited or lethargic, lethargic, he tends to sleep. Red spots appear on the skin of the neck, face and chest, the body temperature rises, the heartbeat accelerates. During an attack, convulsions, twitching can be noticed. Sensitivity of arms and legs may decrease, sweating intensifies.
There are clear indications for hospitalization for hypertensive crisis:
- the attack cannot be stopped at the prehospital stage,
- the crisis proceeds with severe symptoms of hypertensive encephalopathy,
- there are complications requiring a stay in the intensive care unit, constant medical intervention.
The latter include pulmonary edema, acute visual impairment, stroke, subarachnoid hemorrhage.
How to help a patient
As soon as the symptoms of the attack are noticed, it is important to immediately lay the person down or put in a semi-sitting position. Also, free access to the room of fresh air should be exercised, it is desirable that it be cold.
As a rule, a hypertensive patient is well aware of the medications prescribed to him and always has them at hand. With a hypertensive crisis, you will need to take an additional dose of such a drug or a pill under the tongue (so the medication will begin to act much faster).
You can take Klofelin tablet in case of:
- a person has not previously been diagnosed with hypertension,
- he did not receive treatment
- He doesn’t know about the drugs that he is allowed.
If it is not possible to take pills, you can apply mustard plasters to the back of the head, legs or lower back. It is allowed to apply ice or a very cold object from the freezer to your head.
There are situations that the measures taken are not enough, the patient does not feel better. This means that you need to call an ambulance.
It must be understood that hypertensive crisis is only a symptom of a more dangerous disease that requires the fastest possible treatment.
Classification of crises
In order to choose an adequate therapy tactic, it is important to apply the classification of hypertensive crises, according to which there are 2 types of hypertensive crises: complicated and uncomplicated.
Complicated seizures are otherwise called life-threatening, they need to normalize the level of blood pressure to minimize or completely eliminate damage to internal organs, prevent stroke, heart attack, heart and kidney failure.
Uncomplicated crises (non-critical) do not require an urgent reduction in pressure, since there is no acute organ damage.
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Complicated paroxysms of arterial hypertension are usually accompanied by:
- intracerebral hemorrhage,
- acute hypertensive encephalopathy,
- acute myocardial infarction,
- unstable angina,
- pulmonary edema,
- acute left ventricular failure,
- subarachnoid hemorrhage.
In such situations, hypertension is necessarily hospitalized in the intensive care unit. Treatment will be with oral anti-pressure drugs, by intravenous infusion.
Uncomplicated attacks of hypertension are characterized in that the malignant and severe form of the disease proceeds without any special complications, short-term headaches can be observed.
Therapy for non-threatening hypertensive crises may well be carried out at home.
Features of hypertension
Arterial hypertension is a chronic disease characterized by a constant or periodic increase in blood pressure. If we talk about the norm, in a healthy person the pressure should not exceed indicators of 120/80 mm Hg.
When deviations from these figures are small, we are not talking about hypertension. Such phenomena can be an individual feature of the body, a reaction to physical activity, environmental factors.
However, blood pressure above 140/90 is a wake-up call that signals hypertension. As you know, it is practically impossible to completely get rid of the pathology, it remains only:
- constantly maintain normal health
- Do not provoke an attack of hypertension.
To to keep the disease under control, it is always important to monitor your blood pressure. This can be done with any tonometers, but it is best to use electronic models.
Measurements are carried out in a relaxed atmosphere at a comfortable air temperature. If a person is physically active before manipulation, it is better for him to rest for about 20 minutes, and only then proceed with the procedure. Otherwise, the result will be incorrect.
Also, before measuring pressure, it is forbidden to smoke, drink strong tea, coffee, alcohol. Ideally, measurements are carried out:
- in the morning before eating,
- without getting out of bed.
For greater credibility, the procedure is repeated after 10-15 minutes.
If all conditions are met, it will turn out to find out your normal pressure, it is also customary to call it a worker. Normal indicators are as follows:
- age 16-20 years - 100/70 - 120/70,
- age 20-40 years - 120/70 - 130/80,
- age 40-60 years old - a little higher than 130/80,
- age from 60 years - no higher than 140/90.
Symptoms and causes of hypertension
The onset of hypertension gives erased symptoms, for example, it can be headaches, poor performance, memory, constant fatigue, dizziness. Hypertonic may not notice such symptoms for years, because they almost always go away after rest and sleep.
As the disease progresses, the signs of the disease worsen, become more intrusive. May begin:
- sweating attacks
- ringing, tinnitus,
- redness of the skin of the face,
- flashing flies before the eyes,
- swelling of the legs in the morning,
- puffiness of the face.
The main cause of problems with blood pressure is constant stress, because during nervous experiences a lot of adrenaline is released into the blood of a person. When stressful situations happen often enough, high blood pressure will be their constant companion. These same factors often cause oncology.
Another cause of hypertension is the constant use of excessive amounts of salt. Due to an excess of sodium, a person drinks a lot of fluid, it lingers in the body, damaging it.
There are many other causes of the development of the disease, including:
- bad heredity
- frequent drinking
- sedentary work,
- sedentary lifestyle.
The use of certain medications, for example, oral contraceptives with a high concentration of hormones, medications to reduce appetite, and some anti-inflammatory drugs also provokes pressure problems.
Treatment and recommendations
If treatment is not taken, the pathology will actively progress, causing dangerous irreversible changes in various vital organs: eyes, heart, kidneys, brain. At later stages of the disease, the hypertensive gait will change, the coordination of movements will be disturbed, weakness in the arms and legs will appear, vision, memory, and intellect will deteriorate.
To avoid all this, it is important to start treatment as soon as possible. It is immediately necessary to warn lovers of alternative medicine - non-drug methods or self-medication are dangerous to health! Alternative methods of therapy, even if the doctor has not banned them, help only in the early stages of the disease.
Where does the treatment begin? First of all, you need to learn how to control your emotions. Those suffering from hypertension should radically change their lives, as well as abandon bad habits, acquire useful ones:
- do not drink alcohol,
- Do not smoke,
- monitor weight, obesity must lose weight,
- go in for sports, best of all brisk walking, water aerobics, swimming,
- review the diet (eat potassium-rich foods: raisins, bananas, baked potatoes, seaweed),
- drink no more than one and a half liters of water per day,
- reduce the amount of salt used.
With the disease, a person must get used to a new lifestyle. If you follow all the prescriptions of the doctor, after 3 years of complex treatment, you can count on the absence of attacks of hypertension, normalization of pressure, improving the quality of life, prevention of oncology. The danger in hypertension is clearly demonstrated by the video in this article.
Pre-infarction condition: what is it, manifestations, how to identify and prevent development
A pre-infarction condition is nothing but an unstable angina pectoris. It can be classified as acute coronary syndrome - a dangerous heart disease. But this is still not a heart attack. With timely first aid and further competent treatment, the attack can recede.
Not all patients respond correctly to the first signs of a formidable disease, and therefore an unjustifiably high percentage of deaths from a heart attack. This is annoying, because today cardiologists have the richest modern arsenal of effective methods of treating the most complex cardiac pathologies.
Myocardial infarction is a cessation of heart muscle nutrition due to a violation of the conduction of the coronary arteries. The preinfarction state is characterized by a narrowing of the arteries supplying the heart muscle. The lumen of the vessels narrows against a background of spasm, clogging with an atherosclerotic plaque or thrombus, the blood supply to the myocardium worsens.
This condition is caused by:
- By stress
- Nervous overwork
- Hypertensive crises,
- Flu and other respiratory infections
- Overdose of alcohol
- Unaccustomed physical overloads,
- Heat stroke
- Overdose of medications
How to recognize a pre-infarction condition?
The borderline state of a heart attack appears against a background of progressive advanced angina pectoris. If the treatment is insufficient or not at all carried out, myocardial infarction may develop with the addition of provoking factors. Sometimes spontaneous relief of the development of the disease occurs, and the patient recovers. With the progression of the symptoms of the pre-infarction state, severe chest pains resembling the pain of exertional angina are noted. The pain can only intensify, and seizures occur more and more often. The consequence of this may be the gradual necrosis of part of the heart muscle.
The target of preinfarction pain can be the hands, sublingual and subclavian areas, the right side of the chest. The patient has a terrible fear of death. Sometimes people are even afraid to get up. Strong tachycardia appears, the patient is excited and restless. Sometimes the patient feels suffocation and nausea. Often there are sensations in the form of cutting or aching pain, which increases with an increase in the load on the body.
Basically, the pain decreases when the patient observes peace and takes a large number of cardiac drugs.
Unfortunately, there are signs of a pre-infarction condition, according to which it is very difficult to recognize it. Atypical symptoms appear as:
- Shortness of breath at rest (20 or more breaths-exhalations per minute),
- Lack of pain
- Acute pain in the lower jaw,
- Burning in the pit of stomach
- Pain in the epigastrium (more often in women), radiating to the left sternum or upper abdomen.
A person can not lie, while sitting strongly clings to surrounding objects.
Sometimes patients complain of pain in the back (upper part), giving to the shoulder. Often, even doctors take these symptoms for cervicothoracic osteochondrosis, prescribe an x-ray, and lose time.
With atypical forms of preinfarction, an electrocardiogram is urgently needed. Only an ECG will show paroxysmal tachycardia, extrasystole, or insufficient blood circulation (in the event of an approaching cardiac catastrophe).
Atypical forms are often observed in elderly patients (men and women) and the elderly. Such symptoms require special attention in order to prescribe timely and appropriate treatment.
How long does the prodromal period last?
The duration of the pre-infarction state in different patients can be different: for some only 3 days, and for others 3 weeks or more. But this does not mean at all that the longer the precursor of the disease lasts, the more favorable the outcome and vice versa. How this period ends - MI or recovery - depends on timely and accurate diagnosis.
If the patient has at least several symptoms of the disease, an urgent examination is necessary and, according to indications, hospitalization.
With the radiopaque method, coronary vessels are examined. A contrast agent is introduced into the blood, due to which the coronary vessels become clearly visible. You can see in which place the vessel is narrowed, how dangerous the situation is. This study helps develop an upcoming treatment plan.
The work of the heart can be traced for 24 hours. With the help of a small device, a cardiogram is recorded. A special computer program processes the results. This method allows you to detect hidden cardiac arrhythmias and myocardial ischemia. Blood pressure is also monitored. Using this method, the development of a pre-infarction condition is usually observed. With a heart attack, it is not suitable, because the time in this case is minutes.
In addition to hardware techniques for examining the heart, the patient is shown the delivery of biochemical blood tests. An increased content of troponin and creatine kinase enzymes may indicate the development of myocardial infarction or progressive unstable angina.
The main thing to do is to stop the pain syndrome and prevent a heart catastrophe. First of all, the patient should get rest and fresh air. Prior to the arrival of an ambulance, nitroglycerin (1-2 tablets) should be taken. If, after taking the medicine, the head becomes dizzy or sore, there is no need to panic - it is not dangerous and usually passes after a while.
You can not take a large dose of nitroglycerin - this can lead to a sharp drop in blood pressure.
Instead of glycerin, a valididol tablet or a few drops of a liquid product for sugar can be put under the tongue. If the patient was previously helped to eliminate the pain of valocordin or corvalol, then these drugs can also be used. They can also improve myocardial blood flow by vasodilation.
You can reduce the likelihood of thrombosis with an aspirin tablet. Aspirin dilutes the blood, which significantly improves the prognosis of the disease.
Myocardial oxygen demand decreases with beta-blockers. With their action, the strength and heart rate that depresses myocardial conduction decreases.
Reduced oxygen demand of the heart muscle and also contribute to its better transport through vessels by prolonged nitroglycerin preparations - Sustac, Sustonite, Trinitrolong, Sustabuccal, as well as Nitroglycerin itself.
To prevent coronary thrombosis, an old proven drug, heparin, is used as an alternative to aspirin. This medicine exhibits not only anticoagulant properties, but also reduces the number of angina attacks. Also, when using this drug, lipid metabolism improves, which is important for the treatment of a pre-infarction condition.
If the cause of anginal attacks is a spastic component, it is recommended to take medications that represent a group of calcium antagonists. When the concentration of calcium cations in the cells of the myocardium and blood vessels decreases, the arteries of the heart expand. As a result, blood flow and oxygen supply to the heart muscles improve. Such antispastic agents include corinfar, nifedipine, isoptin and others.
During treatment with the help of an ECG, the state of the heart muscle and blood vessels of the heart is monitored. Physical activity is prohibited at this time. It is sometimes recommended to extend dormancy to one month or more. Usually during this time, coronary insufficiency is compensated, and the patient is recovering.
In more severe cases, when drug therapy does not give the proper result, surgical treatment is performed - usually this is coronary artery bypass grafting. It should be said that the operation does not guarantee a complete cure.
In the case of stopping the attack, the patient needs to understand that under adverse conditions for the body, atherosclerotic plaques in the coronary vessels will again appear and the lumen of the arteries will inevitably decrease.
How to avoid the disease
For the prevention of ischemic attacks, it is necessary:
- Take prescribed medications regularly
- Monitor blood counts, especially cholesterol,
- Quit smoking
- Move more,
- Control blood pressure,
- Lose weight,
- Avoid stress.