Angina pectoris: what it is, symptoms and treatment
Angina (legacy or “folk” concept — angina pectoris) is one of the manifestations of ischemic heart disease in which one or more of the arteries narrows and prevent normal flow of blood. As a result, the heart receives less oxygen and necessary minerals, and after some time may be biological death.
Often angina occurs after exposure of certain negative factors: excessive physical activity, emotion, stress, etc. However, there is the so-called «angina at rest». This form manifests itself regardless of environmental factors and is more dangerous, because man can not predict its occurrence. There are also a number of diseases, the presence of which complicates the course of attack of angina pectoris. This pathology of the cardiovascular and nervous systems, chronic diseases of all organs, diabetes, etc.
The symptoms of angina
Angina pectoris — paroxysmal manifestations, its symptoms develop rapidly, sometimes in seconds. It is very important to recognize the problem and to provide first aid. The most typical symptom of angina is a strong pressing, constricting pain in the heart (causing the disease called «angina pectoris»). It is also possible burning sensation in the same area. Often, the pain gives to the left side, most often in the limb, neck and lower jaw. In some cases, there is the radiation in the back — near the shoulder blades and under them; very rarely there may be spread of the pain in the stomach or in the head. The characteristic sign of it is stenokardicheskie pain — duration of no more than 10 to 15 minutes.
If the feeling doesn’t go away after this period, the patient can not remove the pain of the usual medications prescribed by the doctor, it shows the development of myocardial infarction. If the irradiation is noted in the abdomen, then there are also disorders of the digestive system: heartburn, stabbing pain, bloating or nausea. Among other possible accompanying symptoms to note:
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- weakness and «impotence»;
- a sharp jump in blood pressure and increased heart rate;
- cyanosis (pallor and blueness of the skin due to lack of saturation of a brain by oxygen);
- excessive sweating;
Emergency treatment of angina pectoris
Angina require first aid skills. First and foremost, it is necessary to stop any physical activity, to ensure complete rest to the patient. Plant it or put in an emergency do not hesitate to lay the patient directly on the floor or ground is important for his condition!
Ask the victim about the availability of medicines for the relief of the attack. Typically, patients with coronary heart disease you carry it with you constantly. In the absence of drugs purchase Nitroglycerin (its value is very small, so do not worry about your budget) and give the patient under the tongue one or two pills. If necessary, you can repeat the medication after 15 minutes. Normal manifestations for taking Nitroglycerin are considered to be noise in the head, weakness, headache, increase in blood pressure and increased heart rate — all this is a side effect of the drug. If you have the appropriate skills to enter 2 ml of 50% analgin intramuscularly or 10 to 20 ml (if necessary) isotonic (0.9%) sodium chloride solution.
Upon arrival, medical personnel administered the above drugs, if it was not done earlier. If no result is entered intravenous narcotic pain medication. It is desirable carrying oxygen therapy (saturation of the body with oxygen by artificial means — with the help of special masks, oxygen tanks, etc.).
If necessary, the patient hospitalitynet in the therapy Department (in some cases in cardiology). Do it on a stretcher accompanied by medical teams. If angina is complicated by pulmonary edema, cardiogenic shock or goes into a myocardial infarction during hospitalization requires the presence of not medical assistant, and medical teams!
Long-term treatment of angina
First and foremost, it is necessary to abandon bad habits, especially Smoking, since nicotine constricts blood vessels. Desirable moderate exercise and proper nutrition to support the heart muscle.
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The medication is being taken potent drugs (vasodilators, anticoagulants, analgesics, antihypertensive medications) only under the supervision of a cardiologist. Effective are Spa treatment, exercise therapy, various physiotherapy treatments such as massage or galvanization.
Treatment of folk remedies can be effective only when compliance with the recommendations of the doctor and acts as more of a «helper» in therapy, and not the main current method. The most popular are the settings, and extracts of hawthorn.
Remember that angina is a serious manifestation, and tell you what it is and how to fight, can only qualified doctor. Do not self-medicate, take care of your health!