CORONARY HEART DISEASE MANAGEMENT HANDBOOK by Tyler Nicholas

Author:Tyler, Nicholas [Tyler, Nicholas]
Language: eng
Format: epub
Published: 2019-09-15T16:00:00+00:00

However, the most commonly used type of medication taken directly during an attack of angina pectoris is nitrates. They have a pronounced vasodilating effect, help relieve pain and prevent such a formidable consequence of coronary heart disease as myocardial infarction. The most famous drug of this type, used since the century before last, is nitroglycerin. However, it is worth remembering that nitroglycerin and other nitrates are symptomatic agents for a single dose. Their constant intake does not improve the prognosis of coronary heart disease.

The second group of non-drug methods of combating coronary heart disease is exercise. Of course, during an exacerbation of the disease, with unstable angina pectoris, any serious loads are prohibited, since they can lead to death. However, during the rehabilitation period, patients are shown therapeutic exercises and various physical exercises, as prescribed by the doctor. Such a dosed load trains the heart, makes it more resistant to oxygen deficiency, and also helps to control body weight.

In the event that the use of medications and other types of conservative therapy do not lead to improvement, then more radical methods are used, including surgical ones. The most advanced treatment for coronary heart disease is balloon angioplasty, often combined with subsequent stenting. The essence of this method is that a miniature balloon is introduced into the lumen of a narrowed vessel, which is then inflated with air and then blown away. As a result, the lumen of the vessel expands significantly. However, after some time, the lumen may narrow again. In order to prevent this from happening inside, the walls of the artery are strengthened with the help of a special frame. This operation is called stenting.

However, in some cases, angioplasty is also powerless to help the patient. Then the coronary artery bypass grafting operation becomes the only way out. The essence of the operation is to bypass the affected area of ​​the vessel and connect two segments of the artery between themselves, in which atherosclerosis is not observed. For this purpose, the patient takes a small piece of vein from another part of the body and replants instead of the damaged section of the artery. Thanks to this operation, the blood gets the opportunity to get to the necessary sections of the heart muscle.

Prevention

It is well known that treatment is always more difficult than avoiding the disease. This is especially true for such a serious and sometimes incurable ailment as ischemic heart disease. Millions of people around the world and in our country suffer from this heart disease. But in most cases, the occurrence of the disease is not to blame for an unfavorable combination of circumstances, hereditary or external factors, but the person himself, his wrong lifestyle and behavior.

Recall again the factors that often lead to an early incidence of coronary heart disease:

sedentary lifestyle;

a diet containing a large amount of bad cholesterol and simple carbohydrates;

constant stress and fatigue;

uncontrolled hypertension and diabetes ;

alcoholism;

smoking

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