Angina pectoris is one of the most common diseases that usually occurs in older people. Its essence lies in the fact that an insufficient amount of blood enters the heart, which leads to oxygen and energy starvation of the myocardium.
Reason for development
Today it is already well known why this disease develops. Angina pectoris most often appears due to the fact that the lumen of the coronary vessels decreases. This can occur for various reasons, the main of which is their atherosclerotic change. The fact is that with this pathology, a plaque can form, which reduces the lumen of the vessel. If the process is too pronounced, a very strong lack of blood supply (ischemia) of the heart occurs. As a result, all this can cause the formation of myocardial infarction.
Clinic
Any relevant case history can tell about the nature of the symptoms of this disease. Angina pectoris is manifested by severe pressing or aching dull retrosternal pain. At the same time, a person has a significant decrease in working capacity and general weakness. It is worth noting that with angina pectoris, pain is not observed constantly, but occurs paroxysmal. Usually they are also accompanied by weakness. The patient is unable to do his job, especially if it is associated with physical activity. It should not be forgotten that the attacks of pain themselves appear most often when a person performs certain movements.
Diagnosis
Angina pectoris is a disease that is very well detected in its clinical picture. It is on it that specialists pay attention in the first place. At the same time, the occurrence of pain in the region of the heart of a pressing or aching nature with impaired performance is of great diagnostic importance. Also a very important sign of angina pectoris is the complete disappearance of these pains after taking Nitroglycerin. This distinguishes this disease from myocardial infarction.
Angina pectoris is an ailment that can be detected not only by a characteristic clinic, but also with the help of special research methods. The greatest value at the same time has the electrocardiography. In the event that a person has a disease such as angina pectoris, most patients have ST segment depression of more than 1 mm. An experienced cardiologist will definitely notice such a pathological change and be able to make the correct diagnosis.
Treatment
Since angina pectoris is a chronic disease,you have to fight it all the time. There are several treatment options for this disease. The most popular is the one that involves taking the drug "Nitroglycerin" when seizures occur. It should be noted that with daily use of it for several weeks, the coronary vessels will stop expanding under its influence. In this case, the patient is transferred for about a week to the drug "Isosorbide mononitrate".
