General information about angina pectoris
In angina pectoris understood disorder of the cardiovascular system, in which the amount of blood flowing to the muscles of the heart, it becomes insufficient to ensure the normal life of the body. Most often, angina, symptoms of which may be expressed in the form of minor problems with breathing and severe pain in substernal area, is due to atherosclerosis of the arteries. Particularly strong signs of the disease appear during workloads (physical stress, fast walking). However, there are often situations when the attacks of angina pectoris is not associated with an increased load on the heart and explains the predominance of vagal tone.
Among the factors influencing the emergence and development of the disease should also be noted: chill, smoking, psycho-emotional stress, diseases of the stomach, hiatal hernia, inflammatory changes of the coronary arteries. This means that when the diagnosis of angina pectoris Treatment should be aimed not only at eliminating the major symptoms, but also to get rid of the illness that led to the attacks.
Angina pectoris - symptoms and clinical picture
The main feature of the disease is severe pain in the retrosternal area or on top of the heart. If you do not pay attention to the unpleasant symptoms, the pain is gradually spreading to other parts of the body - interscapulum, shoulder, right side. As a rule, the attacks appear when certain conditions coincide - fast walking, after leaving a warm room on a cold or exercise. In addition, the attack can provoke food intake, a high position of the diaphragm and flatulence.
Particularly unpleasant situation when angina occurs at night. In this case, the person wakes up from sharp, sometimes unbearable pain, anxiety, dizziness, vomiting and seizures. Nocturnal angina, symptoms that often occur within 30 minutes or more, docked using nitroglycerin. A single dose of the drug is enough to remove the strong pain and try to sleep again.
During seizures in patients have characteristic behavior, it could not be brighter indicating the nature of the disease. A man like freezes in place, while his face gets focused, pained look pale, covered with copious cold sweat. Cases when angina leads to frequent urination. Furthermore, during episodes in patients slows the pulse, blood pressure rises, there are signs of tachycardia. In severe cases, the patient must be given emergency medical care, or angina can lead to serious complications and even death.
Note that it is necessary to differentiate the pain of angina pectoris with pain in neurosis. Last longer, and are not localized aching chest, and heart area. Thus they are not normally associated with walking or other physical activity.
As for the features of the disease. Almost always, it is chronic. Attacks can disappear for months or years, but then reassert themselves, and more often and stronger. For this reason, in the diagnosis of angina pectoris, treatment should begin as soon as possible. Otherwise, patients develop myocardial infarction and other pathological changes of cardiovascular system, including cardio, cardiac arrhythmias, heart failure symptoms.
Angina pectoris - treatment and prevention of disease
A few words about what to do during an attack. The patient should stop any exercise, take a calm, relaxed posture, take care of the constant influx of heat to the hands and feet (use hot water bottles). At the first sign of attack should be to adopt a vasodilator - nitroglycerin or validol. Recent activity less and less reliable. If the patient is angina, the symptoms of which appear in the form of severe pain, his condition can be alleviated by using mustard plasters and leeches on the heart.
In the event that vasodilators do not lead to the expected result, the patient is administered promedol, morphine or omnopon. Effective in severe pain and inhalation of nitrous oxide mixture with air. Anticoagulants of indirect action, for example, neodikumarin, especially good at persistent attacks, but they should be used only under medical supervision. Amateur in this case is absolutely unacceptable, as drugs - potent and have many side effects.
Of great importance in the treatment of angina pectoris it has not medicinal methods - medical gymnastics, walks, visits to specialized health centers, physiotherapy. The patient should stop smoking and alcohol, maintain a healthy lifestyle, take care of the full dream, rational alternation of work and leisure.
Prevention of the disease is reduced to the fight against atherosclerosis and hypertension, rational nutrition, enough sleep and avoiding harmful habits.