What should angina pay attention to?
Angina pectoris is the main clinical manifestation of coronary atherosclerotic heart disease. It is paroxysmal retrosternal pain caused by coronary artery insufficiency and temporary myocardial ischemia and hypoxia. Is a sudden attack, more common in physical labor or emotional excitement, cold or after a full meal. For several minutes, the symptoms will be relieved after rest or nitroglycerin tablets.
(1) Clinical manifestations
Sudden squeezing and suffocating pain in the upper or middle segment of the foot bone, usually accompanied by abdominal distension. The pain lasts 1-5 minutes, and occasionally lasts 15 minutes. Pain can radiate to the shoulder and left upper limb, directly to the little finger and ring finger. Severe cases can occur at rest and at night, and can be quickly relieved after taking nitroglycerin tablets under the tongue.
(2) Physical and chemical inspection
Electrocardiogram: About half of the people are normal at ordinary times, and ischemic ST-T changes may occur during the attack.
Electrocardiogram exercise test: For those with no change in ECG, exercise is used to increase heart load to stimulate myocardial ischemia. You can do double stair exercise or pedal and treadmill exercise. After exercise, do ECG, such as the horizontal or downward oblique depression of ST segment is greater than or equal to 65438±0mm, lasting for 0.08 seconds and U wave inversion is positive.
Long-term ECG: 24-hour ECG can be recorded in the whole process, and the changes of heart rate, rhythm and ST segment during angina pectoris can be recorded in time.
Coronary angiography: shows the location, degree and range of coronary artery stenosis.
(3) treatment
Western medicine treatment
Angina pectoris should be stopped immediately when it occurs. It can be relieved by sublingual administration of nitroglycerin 0.3-0.6 mg or isosorbide dinitrate 5- 10 mg and 1-2 minutes, or by inhaling 0.2 ml isoamyl nitrate ampoule for more than 10 second. The side effects of these drugs include dizziness, blushing and occasional blood pressure drop, which is taboo for glaucoma patients. If patients have frequent attacks, they can take long-acting nitrates orally, such as isosorbide dinitrate. Propranolol can also be used for postpartum angina pectoris. Angina pectoris induced by physical labor or emotional excitement is called stable angina pectoris if the nature, frequency and time of pain attacks are almost the same within 1-3 months. The symptoms of angina pectoris are developing, but the condition is unstable or has recently occurred. If the attack increases within a few days or weeks, it is called unstable angina pectoris. Propranolol is safe and effective in the treatment of unstable angina pectoris. Clinical reports show that propranolol combined with isosorbide dinitrate is more effective than single drug. Propranolol has antihypertensive and antiarrhythmic effects, so it is more suitable for patients with coronary heart disease accompanied by hypertension or arrhythmia. Calcium antagonists, such as propranolol and propranolol, are effective in coronary artery dilatation of stable angina pectoris and variant angina pectoris. Some people think that propranolol plus Xintongning is better than a medicine.
Pulse sensitivity is an anti-angina drug with vasodilating effect. 2mg per tablet, taken sublingually or after chewing for 2-4 seconds, can stop angina pectoris for 6-7 hours. Under the tongue or in the mouth, the effect is strong, not exceeding 1mg each time.
If angina pectoris occurs frequently, dipyridamole 25-50mg can be taken orally three times a day.
If the above measures still cannot relieve angina pectoris, surgical treatment, such as coronary artery bypass grafting, can be used.
Traditional therapy in China
Chinese patent medicine: Patients can take Chinese patent medicine orally, such as Guanxinsuhe Pill, and take 1 capsule at mild attack, or even 1 capsule each time, and take L capsules three times a day at attack.
Xinmaitong: oral, each time 10 tablets, twice a day, with warm boiled water, suitable for patients with blood stasis. Compound Danshen tablets: taken orally, 3 tablets each time, 3 times a day, suitable for patients with heart pulse stasis. Huo Xin Pill or Xiao Su Jiuxin Pill: Take orally, 1 pill each time, three times a day, and take 1-2 pills sublingually at the time of attack, which can relieve the pain.
Unilateral: Ginseng and Notoginseng are equally ground, 3g each time, twice a day.
④ Nursing care
During the attack, the patient must stay in bed and keep a quiet environment. Relieve patients' worries, avoid all kinds of inducing factors, and prohibit smoking and drinking. Room temperature should not be too hot or too cold. Diet should be less and diligent, not too full, and it is not appropriate to exercise immediately after meals. For the first attack or frequent attacks, the author should closely observe his consciousness, pulse, breathing and blood pressure, and do not move the patient at will. Those who are hyperactive at night can take sedatives before going to bed.
(5) Prevention
Patients should correctly understand the nature of the disease in order to treat it correctly. We should eliminate unnecessary anxiety and fear and cultivate optimism. We should arrange our work reasonably to prevent excessive mental stress and physical labor. Get enough sleep. Avoid evil spirits. Patients with initial attack or sudden aggravation should have a short rest and recovery in a quiet environment. Light physical labor or walking will lower the heart of ordinary patients ...
Question 2: What should we pay attention to when angina pectoris occurs? Cardiac rehabilitation is to ensure that patients with heart disease can get the best sum of physical, mental and social conditions, so that patients can regain their normal position in society and live independently through their own efforts. According to what you said, you should pay attention not to smoke and eat a lot of fruits and vegetables in your daily life, but keep a balanced diet.
Reducing salt intake, regular check-up and following the doctor's advice, combined with drugs, such as Liqi Huoxue Dripping Pills, can effectively relieve angina pectoris, warm yang and broaden chest, and can be used as daily medication.
In addition, we should also reduce mental stress and seek various ways to mediate the stress in life. You can cultivate hobbies, or relax the tension in daily life through exercise.
Question 3: What about angina pectoris? What should I pay attention to? Hello,
Don't eat too much at ordinary times, mainly pay attention to proper exercise to ensure the load of myocardium. Don't be too emotional. Controlling blood pressure is the most important thing at ordinary times. These are the most basic prevention and auxiliary treatment. After the occurrence of angina pectoris, we should not only observe the above precautions, but also adopt treatment methods that have little side effects on the body, can alleviate the occurrence of symptoms and prevent the deterioration of the condition. It is suggested that Chinese medicine can be used for treatment.
Question 4: What are the precautions for angina pectoris?
Eliminate inducing factors and prevent angina pectoris attack
Most angina attacks have fixed or similar causes. Patients should sum up the characteristics of each attack according to their own specific conditions, adjust the momentum of physical activity, avoid excessive emotional excitement, anxiety, anger and mental stress, and reduce unnecessary psychological burden. Pay attention to the weather changes, sudden cold or full meal can also induce angina pectoris. In short, targeted prevention should be taken in real life.
Change the diet structure
Limit fat intake, control obesity, quit smoking, avoid wine making and overeating, reduce angina pectoris caused by unstable cardiovascular activities after meals, actively prevent and treat hypertension and hyperlipidemia, limit sodium intake, and reduce the risk of coronary heart disease.
Pay attention to the change of symptoms and be alert to the occurrence of myocardial infarction.
Patients should pay attention to the changes of angina symptoms and inducing factors every time. Unstable angina pectoris is often a precursor signal leading to acute myocardial infarction and sudden death. Patients with angina pectoris and patients with progressive deterioration of symptoms and inducing factors must be hospitalized for observation.
For details, please consult Wuhan modern obstetrician and gynecologist.
Question 5: What should you pay attention to for angina pectoris (1)? (2) Eat a reasonable diet, eat less foods rich in cholesterol and sugar, and eat more fresh vegetables and fruits. (3) Feel comfortable and peaceful. (4) Avoid hypoxia. (5) Drink water regularly. (6) Avoid cold and heat. (7) Exercise properly. (8) Prepare medicines to relieve angina pectoris at any time.
Question 6: What should we pay attention to in mild angina pectoris? Suggestions for attention can include: weight control research shows that weight gain 10%, average cholesterol increase 18.5, and the risk of coronary heart disease increases by 38%; Weight gain of 20% increases the risk of coronary heart disease by 86%, and the prevalence of coronary heart disease in hypertensive patients with diabetes is 1 times higher than that in hypertensive patients without diabetes. Nicotine in smoking cessation tobacco can accelerate the heartbeat, increase blood pressure (excessive smoking can reduce blood pressure), increase cardiac oxygen consumption, vasospasm, abnormal blood flow and increase platelet adhesion. These adverse effects make the incidence of coronary heart disease of male smokers aged 30-49 three times higher than that of non-smokers, and smoking is also an important cause of angina pectoris and sudden death. An experiment conducted by American scientists who gave up drinking confirmed that ethanol has toxic effects on the heart. Excessive intake of ethanol can reduce myocardial contractility. For people with heart disease, alcoholism will not only increase the burden on the heart, but even lead to arrhythmia, affect fat metabolism and promote the formation of arteriosclerosis. Improving the living environment with serious pollution and high noise intensity may induce heart disease. Therefore, improve the living environment, expand the green area, reduce noise and prevent all kinds of pollution. Avoid crowding and going to crowded places. Viral myocarditis, dilated cardiomyopathy, coronary heart disease and rheumatic heart disease are all related to viral infection, and even heart failure is often aggravated by upper respiratory tract infection. Therefore, we should pay attention to avoid going to crowded places, especially in the cold season, so as to avoid infection. A reasonable diet requires a reasonable diet arrangement. Hyperlipidemia, unbalanced diet, diabetes and obesity are all related to dietary nutrition, so from the perspective of heart disease prevention and treatment, nutritional factors are very important. In principle, we should achieve "three lows": low calorie, low fat and low cholesterol. Take an active part in moderate exercise. Keeping regular and proper exercise is conducive to enhancing heart function and promoting normal metabolism, especially for promoting fat metabolism and preventing atherosclerosis. For patients with heart disease, according to heart function and physical strength, engaging in moderate physical activity is helpful to improve blood circulation, enhance resistance, improve the function of various organs in the whole body and prevent thrombosis. However, excessive activity should also be avoided. In order not to cause symptoms, the amount of activity should be gradually increased. Rule of life, develop healthy living habits. Live a regular life and be happy, avoiding emotional excitement and overwork. Special reminder 1: Many people think that we humans are carnivores because we basically eat meat every day. However, the study of human evolution and human history proves that human body structure and physiological function are more like herbivores. Everyone must feel strange, so let's take a look at the comparison between herbivores and carnivores. The main differences between the body structure of carnivores and herbivores (Table) Carnivores have claws, claw-free hands or hooves, sharp teeth, dull intestines, short drinking methods, licking to lower body temperature, panting (without sweat glands) and sweating (with sweat glands) to obtain vitamins, and the comparison from food is clear at a glance-humans are more like herbivores than carnivores. Although human beings have gradually become omnivores in the process of long-term adaptation to nature, the basic characteristics of herbivores have not changed significantly and have remained so far. However, in the past 200 years, the development of economy has made great changes in human diet, especially people began to stay away from vegetarian food and cereal and eat too much meat. Compared with the evolutionary history of human beings, this change is so rapid that human genes and physiological functions characterized by "herbivores" cannot adapt to the environment dominated by meat food. This disorder eventually leads to many new diseases, including modern heart disease. Epidemiological research has proved that "economic development → unhealthy lifestyle epidemic → cardiovascular disease epidemic" is a trilogy with obvious causal relationship. The most typical example is Nauru. Nauru was once a poor island. Rare minerals were discovered in the late 1960s, and this country became the richest country in the world overnight. Unexpectedly, a few years later, diabetes, obesity and cardiovascular diseases appeared in Nauru. 70% of people over the age of 50 suffer from diabetes, which is the highest in the world, and * * * and the people have paid a heavy price for it. Economic development provides material possibilities for unhealthy lifestyles. Therefore, we must make it clear that although the prevalence of cardiovascular diseases cannot be said to be the inevitable result of economic development, it is the punishment that human beings violate the laws of nature. If it is regarded as rubbish by western countries >>