What to do if angina attacks frequently

What to do if angina attacks frequently

Angina pectoris is a common infant disease. It is mainly caused by the poor quality of milk powder, which causes abdominal pain in babies and requires timely replacement of milk powder. Generally, angina pectoris can recover automatically, but it may recur again after recovery. This symptom may occur if the baby's eating problems are not corrected. Therefore, for babies with frequent attacks of angina pectoris, it is necessary to check the eating problems and whether there is arrhythmia.

Treatment of angina pectoris:

Angina pectoris often causes acute heart failure, acute myocardial infarction, arrhythmia and other diseases. Therefore, once patients find that they have angina pectoris, they should seek timely treatment to prevent the condition from worsening or causing more complications. Angina pectoris is a transient, paroxysmal pain behind the sternum caused by insufficient blood flow to the coronary arteries. It mostly occurs in people over 40 years old, more often in men than in women, and more often in those who do mental work. This disease belongs to the category of "chest pain", "chest pain" and "true heart pain" in traditional Chinese medicine.

Angina pectoris is a clinical syndrome with paroxysmal chest pain or chest discomfort as the main manifestation caused by insufficient coronary blood supply, acute and temporary myocardial ischemia and hypoxia. It is characterized by paroxysmal, compressive pain in the anterior chest, which may be accompanied by other symptoms. The pain is mainly located behind the sternum and can radiate to the precordial area and left upper limb. It often occurs during labor or emotional excitement. Each attack lasts 3 to 5 minutes and may occur once every few days or several times a day. It disappears after rest or use of nitrate preparations. This disease is more common in men, most of whom are over 40 years old. Fatigue, emotional excitement, overeating, cold, rainy weather, and acute circulatory failure are common triggers.

1. Treatment during an attack: Rest. Rest immediately during an attack. Generally, the symptoms will disappear after the patient stops the activity. For drug treatment, for more severe attacks, faster-acting nitrate preparations can be used. Twelve tablets of nitroglycerin can be placed under the tongue and dissolved, and it will take effect in 12 minutes.

2. Treatment during the remission period: Diet and lifestyle adjustment, adjust diet, do not eat too much at one time; prohibit smoking and drinking; adjust daily life and workload; reduce mental burden; maintain appropriate physical strength

Work, but not to the extent that pain occurs; bed rest is generally not required. Interventional therapy, transluminal coronary angioplasty and stent implantation have become important means of treating this disease. Exercise therapy: careful and appropriate exercise can help promote the development of collateral circulation, increase tolerance to physical activity and improve symptoms.

It mainly involves performing aortic-coronary artery bypass grafting under extracorporeal circulation, using the patient's own great saphenous vein as the bypass graft material, with one end anastomosed to the aorta and the other end anastomosed to the distal end of the diseased coronary artery segment; or the free internal mammary artery is anastomosed to the distal end of the diseased coronary artery, diverting blood flow from the aorta to improve the blood supply to the myocardium supplied by the diseased coronary artery.

This surgery is mainly suitable for:

The stenosis of the left main coronary artery is >50%;

The proximal stenosis of the left anterior descending artery and the circumflex artery is ≥ 70%;

Three coronary artery lesions with left ventricular ejection fraction <50%;

④Stable angina pectoris does not respond well to medical medication, affecting work and life;

Unstable angina or non-Q-wave myocardial infarction is not effectively treated with medical treatment;

Severe ventricular arrhythmia with left main trunk or three-branch lesions;

Angina pectoris or hemodynamic abnormalities persist after interventional treatment fails.

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