What to do when developing an angina attack.
Angina pectoris is a disease that occurs due to insufficient blood supply to the heart muscle and is accompanied by chest pain. The pain is usually felt by the sternum, but can be given to the left shoulder, arm or lower jaw. This is due to the popular name of angina - "frog".
The treatment of angina depends on the severity of the symptoms and the results of the tests and various methods of examination, such as electrocardiography (ECG). With angina, a mild degree of home treatment is possible. In severe attacks, hospitalization is indicated to prevent the development of acute myocardial infarction.
Treatment for angina pectoris at home
In the event of symptoms of angina pectoris should stop any movements that cause pain, calm down and cause ambulance.
It is necessary to take a comfortable position - half-sitting or lying with a raised head. In the presence of acetylsalicylic acid (aspirin) at home, one tablet should be chewed (maximum).
If previously there have been angina attacks and the doctor has established such a diagnosis, you must follow his recommendations.
Stationary treatment for angina pectoris
Upon arrival at the hospital, the patient is immediately provided with medical assistance, based on the degree of severity of the condition. This may be the installation of a system for intravenous administration of drugs and liquids, supplying oxygen through a mask or nasal catheter. Increasing the oxygen content in the blood helps to stabilize the patient's condition, eliminating the feeling of lack of air.
Depending on the degree of damage to the heart muscle, the severity of the symptoms and the underlying disease, treatment may consist of the following measures.
- In the absence of severe diseases and conditions besides the very attack of angina - rest and medical supervision, reception of acetylsalicylic acid (aspirin), nitroglycerin, inhalation of oxygen.
- To relieve stress and pain syndrome - the use of sedative and painkillers.
- To reduce blood pressure and accelerate heartbeat - taking special medications. At high risk of developing a heart attack, beta-blockers, statins (to reduce the amount of cholesterol in the blood) are often prescribed.
- Accepting hypocoagulants (thinning blood dasgs) to prevent the formation of blood clots.
- In some cases, prescribe fibrinolytics for the purpose of lysis (destruction) of the thrombus, clogged coronary artery (coronary artery).
After receiving the results of urgent tests, the doctor determines where the patient will be during the next hours and days.
If the patient has a stable condition, he feels better, the cause of the pain was only an attack of angina, he was released home. Patients prescribe medications and to continue the treatment, it is recommended to seek medical advice at the place of residence.
If the symptoms and instability of a patient's condition are hospitalized for further observation and treatment. If necessary, perform additional analyzes and studies, such as coronary angiography.
In the ineffectiveness of medical treatment for severe indications, the patient is prescribed angioplasty, ie surgical intervention.
Before conducting an operation using coronary angiography, determine the areas of narrowing of the coronary arteries (which feed on the cardiac muscle). A thin plastic tube (catheter) under local anesthesia is injected into the artery on the arm or groin. To the end of the catheter is attached a small cartridge. The catheter is pushed through the arteries to the narrowing point. The balloon is inflating, thus extending the narrowing area.
In most cases, this procedure serves only as a temporary solution to the problem. Many patients still need to install a stent (small metal device) to prevent narrowing of the artery. If this does not help, perform aortic coronary artery bypass grafting.