Angina is one of the most common.diseases that are commonly found in older people. Its essence lies in the fact that an insufficient amount of blood flows to the heart, which leads to oxygen and energy starvation of the myocardium.
Causes of development
Today it is already well known whythis disease develops. Angina most often occurs due to the fact that the lumen of the coronary vessels is reduced. 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 that reduces the lumen of the vessel. With too pronounced process there is a very strong insufficiency of blood supply (ischemia) of the heart. In the end, all this can cause the formation of myocardial infarction.
Clinic
About the nature of the symptoms of this diseasecan tell any relevant case history. Angina pectoris is manifested by pressing or aching dull chest pains. In this case, a person has a significant decrease in efficiency and general weakness. It should be noted that in case of stenocardia, painful sensations are not constantly observed, but they develop paroxysmally. Usually they are also accompanied by weakness. The patient is unable to do his job, especially if it is related to physical activity. We should not forget that the attacks of pain themselves appear most often when a person performs certain movements.
Diagnostics
Angina is a disease thatvery well identified by its clinical picture. Specialists pay attention to it first of all. 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 the Nitroglycerin medication. This distinguishes the disease from myocardial infarction.
Angina is a disease that can be identified notonly at a characteristic clinic, but also with the help of special research methods. At the same time the electrocardiography has the greatest value. In the event that a person has a disease such as angina pectoris, the majority of patients show 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 is a diseasechronic, and then have to deal with it constantly. There are several treatment options for this ailment. The most popular was the one of them, which involves taking the drug "Nitroglycerin" with the appearance of attacks. It should be noted that with its daily use for several weeks, the coronary vessels will no longer expand under its influence. In this case, the patient is transferred for about a week to the drug "Isosorbid Mononitrate".
