Monday 25 April 2011

ANGINA PECTORIS.

ANGINA PECTORIS.

Angina pectoris is a heart complication that is characterized by sudden retrosternal pain where an increased demand for blood is directed to the heart. Pectoris angina occurs commonly due to lack of adequate blood in heart. Lack of blood supply may be contributed by factors such as presence of atheromatous in the heart vessels causing obstruction of blood due to clogged arteries, diseases such as ischemia, coronary occlusion, coronary heart disease, anemia, arterial embolism and which are complications of the heart.

HOW ANGINA PECTORIS CAUSES PAIN.

It is obvious that chemical changes occur when muscles are in action of contraction and waste products removed by an adequate circulatory system. If these wastes were to remain in the tissues as a result of inadequate blood supply to push them away they would cause pain.
In angina effort, myocardium blood is enough at rest but inadequate on effort, when the patient does strenuous work he is hit by pain of varying intensity that starts behind the sternum that could be felt up to the neck, spread to the jaw and to one or both hands. Angina effort pain does not last for long but so frightening that the patient feels death is looming.
Changes in emotion may trigger an angina attack where adrenaline is established to fight or fright resulting into an increased heart beat hence craves for oxygen by cardiac cells.

SYMPTOMS OF ANGINA PECTORIS.

• Chest discomfort.
• Chest pain is the core symptom of pectoris angina.
• Tightness and difficulties in breathing.
• Fatigue.
• Palpitations.

TREATMENT OF ANGINA PECTORIS.

There is no straight line as curing of angina pectoris is concerned but treatment of angina pectoris is aimed at relieving and slowing down the progression as coronary artery disease is usually present.

• Factors that predispose individuals to angina pectoris must be avoided, that includes; hypertension, thyrotoxicosis, smoking and anemia, maintain ideal body mass.
• Patients with this condition should try as much as possible to be calm and avoid hurry, worry and tension. And those are the simplest ways of avoiding angina of the pectoris.
• Vasodilators are best taken to relieve an attack of pectoris angina.
• Glycergl trinitrate ought to be taken prior to activity so to provoke an attack of pain in the chest.
• Apart from other effects of alcohol it is known to be a good vasodilator and is good for the heart especially when taken at night.
• Propranolol will reduce levels of scrum cholesterol associated with heart bubbling and complication of the heart.
• Clofibrate is an effective drug for pectoris angina.
• Phenobarbitone is a siutable drug to reduce fear and anxiety.
• In some cases surgery is essential to improve blood supply by removing clogged matter in the blood vessels.

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