The disease stenocardia (often it is called "angina pectoris") is shown by sharp, severe pains in retrosternal area and feeling of discomfort in a breast which is explained by disturbance of normal blood supply of certain sites of heart. Now stenocardia is the leading symptom of the coronary heart disease (CHD) connected with narrowing or a blockage of vessels. Subjective feelings of patients with stenocardia are very various, but it is possible to allocate also several general signs, in particular: the pressing stethalgias which are given on other body parts. As a rule, the attack of stenocardia lasts no more than 5 minutes and passes right after the person accepts the corresponding medical supplies or will just have a rest.
Now it is accepted to allocate two forms of a disease. Stable stenocardia is characterized by regular attacks for many years. In most cases it arises owing to the same exercise stresses, and stops right after their elimination. In turn, unstable stenocardia does not differ in a regularity of attacks, but this form is more dangerous as symptoms of a disease are shown stronger and often lead to a lethal outcome. Let's notice also, as for stable, and the following features which allow to make the exact diagnosis are characteristic of unstable stenocardia:
Provocative factors of attacks are: exercise stresses, walking, emotional overstrain. At the same time, the physical effort or a stress is stronger, the stenocardia is more brightly shown (symptoms, respectively, abate as intensity of loadings decreases). In principle, the above-stated three features and a case history (stenocardia demands constant observation from the specialist) give all basic data for statement of the exact clinical diagnosis that is necessary at the choice of the correct technique of treatment.
We listed the main symptoms of stenocardia in the last section of our article. In most cases there will be quite enough these manifestations. It is only possible to add that the ischemic heart disease (stenocardia is the constant satellite of an ischemic disease) also proves:
However, lack of these symptoms does not mean at all absence of stenocardia therefore the leading role at diagnosis of a disease still belongs to the doctor who has to pass the weighed, reasonable decision on the basis of inspection of the patient and a clinical picture of a disease.
One more important point: in recent years so-called stenocardia of rest is even more often diagnosed for people with heart diseases. If the angina of exertion is characterized by pains after exercise stresses, then the quiet form arises irrespective of intensity of efforts of the person and is, as a rule, shown days at night. Symptoms at the same time match symptoms of angina pectoris, that is the person feels suffocation and shortage of air.
Finally several words about disease attacks. Stenocardia which treatment is carried out incorrectly promotes development of a myocardial infarction. Therefore, if the attack of stenocardia drags on more than for 15 minutes, the patient needs to conduct urgent electrocardiographic examination. It is the best of all to make it in the next few hours after an attack as unstable stenocardia quickly progresses and can lead to a lethal outcome. To provide to the patient the correct leaving and timely diagnostic procedures, its hospitalization in profile clinic is desirable.
The attack outcome in many respects depends on correctness of actions of the sick person. Both stable, and unstable stenocardia are shown by severe pains in retrosternal area therefore first of all the patient has to calm down and occupy a convenient pose. Ideal option – a sitting position. Further it is necessary to accept surely nitroglycerine under language (1 tablet or couple of drops of 1% of solution). At people with the made diagnosis stenocardia, symptoms have unequal intensity therefore it is quite possible that at severe pains it is necessary to accept drug repeatedly. Along with nitroglycerine, Corvalol is also shown to patients (30-40 drops inside). At attacks at patients arterial pressure often increases, but it is not necessary to pay to this moment too much attention as after the termination of pains pressure returns to normal. It should be noted that at the moment time a disease stenocardia does not recover completely in one clinic of the world. Respectively, the patient has to be observed regularly at the specialist and take all necessary preventive measures to avoid serious effects of a disease, in particular a myocardial infarction.
If the diagnosis stenocardia is made to you, it is better to begin national treatment after several courses of medical starvation (7 days – restriction in meal, then seven-day recovery). At impossibility of full refusal of food adhere at least to partial starvation, that is limit a standard diet, eating nuts, root crops, fruit and vegetables. As for directly national recipes, below we want to give the most known of them:
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