Natina: First Aid, Diagnostics and Treatment

Content

  • Angina
  • Symptoms of angina
  • First aid in the attack of angina
  • Diagnosis of angina
  • Treatment of angina



  • Angina

    Angina,
    or «angina pectoris», - This is one of the stages of the development of ischemic disease
    hearts. In essence, these are periodic cuts (spasms) of blood
    vessels and blood supply disorders. Most often angina
    develops in old age, and men are 3-5 times more.
    This is explained by the fact that estrogens (female hormones) before the onset
    Klimaks protect the body from cholesterol deposits on the walls
    Vessels.

    Directly cause of the disease is atherosclerosis of the heart arteries.
    Blood heart vessels (coronary artery), with time
    covered from inside cholesterol sediments - atherosclerotic
    Fucked. They narrow the clearance of the arteries, and the influx of blood to the heart
    Reduced.

    Risk factors include obesity, smoking, heredity, arterial hypertension, diabetes. Significantly deteriorates the situation a sedentary lifestyle and stress.



    Symptoms of angina

    Natina: First Aid, Diagnostics and Treatment
    Attack
    anginagadia manifests as pain cutting, gulp, as if burning
    Heart compressing the throat. However, often the attack is not perceived as
    obvious pain, but rather as heaviness, compression, constraint, compression or
    Blunt pain. For angina, the pain is characteristic of the sternum, however
    Often it felt to the left - in the heart. Attacks can last
    from two to five minutes and are often accompanied by shortness,
    nausea, vomiting, dizziness and feeling of fear. Distinctive
    Sign of the attack of the attack of angina - fast, after 1-2 minutes,
    Effect of nitroglycerin.

    First deficiency
    blood supply is relative and detected only when
    significant physical exertion when the need of the muscles of the heart
    In nutrients and oxygen increases sharply. In such cases
    Speak about the angina stress, attacks
    which often occurs when quick walking, lins uphill
    and stop after a person stops. At
    resuming walking pain may appear again and man happens
    Forced to stop every 100-200 steps. Less often attacks
    The angina stress occurs due to excitement. They may be
    caused by smoking, alcohol use, abundant food.

    Further
    The development of the disease leads to the appearance of pain attacks and is able
    People - then at night there can be an attack of the so-called angina of rest.

    Angina duration from 3 to 5 minutes, which occurs only in certain situations, is called stable. Another type of angina is unstable:
    It occurs when the duration of attacks increases to 10-15
    Min., they become unpredictable in time and may arise
    In unscrolved earlier situations. Unstable angina is
    Honor of myocardial infarction.


    First aid in the attack of angina

    If a person has a stenokard attack next to you, then the following measures should be taken:

    • Lay the patient and ensure peace,
    • Give nitroglycerin tablet under the tongue,
    • On the heart of the heart you can put the mustard,
    • Given valocardine or Corvalol at 25-30 drops,
    • When continuing the attack, give the second nitroglycerin tablet,
    • if
      After re-taking nitroglycerin for 10-15 minutes attack
      Does not stop - give a patient 1 anesthetic tablet (Baratgin
      or spasgan) - and call «Ambulance»!


    Diagnosis of angina

    Pain
    «in the heart» With neurosis, heart defects, cervical diseases
    The spine department is very similar to the pain in the attack of angina.
    Therefore, the diagnosis of the disease can only be installed
    Cardiologist.

    When studying the heart
    Mandatory method is an electrocardiogram (ECG),
    Tredmill test - record of electrocardiogram during physical exertion
    And Halter Monitoring ECG is an ECG record, conducted during the day.
    For the study of cardiac noise use method of phonocardiography,
    And the echocardiography method allows you to explore ultrasound
    state of heart muscles and valves, evaluate blood flow rate
    In the cavities of the heart.

    To study the state of vessels use
    Ventriculography method - specially performed x-ray
    Pictures allow you to determine the exact location of atherosclerotic
    plaques and degree of narrowing of the lumen. Similar technique - Coronaryography -
    Used to study the status of coronary arteries. For
    Definitions of narrowing the lumen of vessels also use the method
    Myocardial scintigraphy.



    Treatment of angina

    Since angina
    is one of the stages of the development of ischemic heart disease caused by
    atherosclerosis, then it is necessary to lead a healthy lifestyle - A, before
    total, refuse smoking - and follow body weight.

    In addition to
    angina drug therapy can also be prevented
    Surgical intervention. In the presence of testimony of the narrowing of vessels
    Can be extended from the inside - this procedure is called coronary angioplasty.
    It is carried out using a special catheter tube
    with a canister at the end. Under local anesthesia through the puncture of artery
    In the top of the hip or on hand, under X-ray control
    Caller fed to the location of the narrowing and inflate. Thus, narrowed
    The plot is stretched and blood flow is restored.

    When,
    If for any reason this operation is impossible, surgical
    By creating a new way of blood flow bypassing the locked area
    Heart Blood Vessels - Operation of Aorticorona Shunting.


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