There are many reasons why the blood pressure is leaking. Fluctuations of pressure often depend on the gender, age, lifestyle of the patient and even his benefits to food.
Today, the notion of acute coronary syndrome is widely used in urgent cardiology. This concept involves distinguishing from the outside, according to clinical manifestations, sharp variants of the course of coronary heart disease - myocardial infarction and unstable angina. The variant of the syndrome is precisely determined after the removal of the electrocardiogram.
Why do I need to clarify something?
Usually the final form of acute coronary syndrome is established already in retrospect, although it is necessary to strive for the earliest possible establishment of the variant of acute coronary pathology. Thus, the first case of acute coronary syndrome is most often manifested by a myocardial infarction with the manifestation of the Q-wave, the second case most often giving an unstable angina or developing myocardial infarction without the Q-wave.
Separating variants of acute coronary syndrome is important in order to early start the correct medical treatment. The fact is that different manifestations of coronary syndrome require different treatment actions. In the first variant, thrombolytics are prescribed, and in the second case they are not shown.
In addition, it is important to have a detailed examination of patients with signs of acute coronary syndrome, since similar symptoms can be present in pulmonary artery thromboembolism, myocarditis, aortic banding or even abdominal pathology.
Acute Coronary Syndrome: Symptoms
Acute coronary syndrome is a sharp decrease in blood flow to the heart, resulting in ischemia of the myocardium. The main symptom of this kind is the sharp chest pain, a feeling of compression in the area of the heart, which gives to the left arm or the region of the left jaw. In addition, there may be a sharp sweating, nausea, vomiting, sharp weakness and pallor, difficulty in breathing. Sometimes patients notice a strong concern, they have panic fear of death. Less acute coronary syndrome manifests itself as a feeling of discomfort in the chest, problems with breathing and abdominal pain, then the diagnosis is much more complicated.
Diagnosis of acute coronary syndrome
In case of acute pain in the chest, a resuscitation or cardiological emergency team is called. They have portable ECG devices. These cardiograms most accurately reflect the acute coronary syndrome and its types. Studs of cardiogram, especially ST segment, are studied. In the hospital, additional chest X-rays, angiography, ultrasound examination of the heart with dopplerography can be additionally performed. Concurrently, in the hospital's reception room, a biochemical blood test is taken immediately with the definition of specific enzymes and markers (troponins, d-dimer). Today, laboratories use express methods for determining coronary pathology.
Acute coronary syndrome: treatment
If symptoms of acute coronary syndrome appear, an immediate emergency should be called, the patient calm down, put on or put on, undress the clothes, and give an oxygen flow. Before her arrival, give a tablet of nitrogreatin under the tongue, and urgent therapy begins to be carried out in an ambulance.
The basis of therapy is:
- Conduction of resuscitation - artificial ventilation of lungs, indirect heart massage, electropulse therapy at fibrillation and heart stop.
- Introduction of nitroglycerin, anesthetics with narcotic analgesics or any other drugs.
- For the prevention of arrhythmia, administration of lidocaine may be possible
Already after arriving in the hospital, heparin is administered for dilution of the blood and prevention of thrombosis of the coronary arteries. Subsequently, asymptomatic therapy is carried out under conditions of cardiology or resuscitation. Assign aspirin to prevent thrombosis, analgesics for pain relief, then evaluates the state of the heart's vessels and resolves the issue of further treatment.
Acute coronary syndrome occurs as a result of atherosclerosis of coronary vessels, sharp spasm or their thrombosis. The basis for the prevention of these diseases is the fight against atherosclerosis, the dilution of blood and healthy lifestyles. Necessary review of the diet in the direction of less caloric and fat, with a decrease in dietary cholesterol. It is important to abandon smoking and alcohol, replacing them with physical exercises. It is important to timely treat hypertension, diabetes and metabolic diseases.
In order to prevent thrombosis, a small dose of aspirin is used, as it provides a dilute effect on the blood. It is important to use drugs for lowering cholesterol, there is more vitaminized food. It is important to reduce body weight, every extra pound of weight increases your chance of becoming an infarct!