As a rule, the pain occur after physical exertion, stress, against the background of emotional arousal, and even as a result of a large meal.
Diagnosis is based on the patient's full and comprehensive examination of the cardiovascular system.
Once the diagnosis of "angina pectoris" is set, the doctor selects the appropriate treatment.
In the treatment of angina pectoris can be divided into two main areas:
1. Improving the prognosis of the disease, the prevention of infarction and other complications.
2. Reducing the frequency and intensity of attacks, that is, improving the quality of life of the patient.
First of all, the doctor spends with his patient conversation. Explains the mechanism of the disease, focuses on risk factors and ways to combat them. Assigns preparations of nitrates, which are necessary for the relief and prevention of angina pectoris attacks.
For example, before exercise or a stressful situation it is recommended to put one tablet under the tongue.
It is important to remember that the agent has side effects, the most common of them drop in blood pressure, which manifests itself dizziness, and pretty intense headaches.
The doctor recommends a diet designed to combat obesity and atherosclerosis. It should stop smoking, alcohol, fatty foods and introduce to your lifestyle-dose exercise.
Drug therapy in the treatment of angina pectorisAs drug therapy, it includes the following groups of drugs.
Antiplatelet agentsThe required drugs for the treatment of angina pectoris are antiplatelet agents or antiplatelet agents. They are the primary prevention of thrombosis. Prolonged intake of such funds also significantly reduces the risk of myocardial infarction.
Lipid-lowering agentsHypolipidemic medications required to treat angina pectoris, as they lower blood lipids. The primacy of this group belongs statins. Statins lower blood cholesterol levels, profilaktiruet atherosclerosis, safe for long-term use, and well tolerated.
Patients suffering from diabetes, metabolic syndrome, or lowering cholesterol liproproteinov having high density and an increased level of triglycerides is generally assigned fibrates.
Beta-blockersBeta-blockers reduce the risk of myocardial infarction in patients with angina pectoris pectoris. This is especially true of patients with heart failure.
The use of ACE inhibitors is justified in patients with angina pectoris, which is combined with heart failure or hypertension. If angina pectoris occurs without complications from these drugs are advised not to mind many side effects.
Calcium-channel blockersIn general, this group of drugs prescribed to patients who have suffered a myocardial infarction, or poorly tolerated beta-blockers. Calcium channel blockers used in patients not suffering from angina pectoris along with heart failure.
Relief of angina pectoris attacksRelief of angina pectoris is antianginal drugs. These include beta-blockers, long-acting calcium channel blockers and nitrates.
In any case, treatment of angina pectoris doctor individually selected taking into account a number of factors.