Symptoms of stenocardia

Symptoms of stenocardia


  • Angina pectoris is a chronic form of coronary heart disease
  • What causes the chronic form of IHD
  • Angina pectoris classification
  • Symptoms of angina attack
  • Pre-medical help in case angina pectoris
  • Treatment of angina pectoris
  • What to eat in the chronic form of IHD
  • Treatment of stenocardia with folk remedies

Aching in the heart behind the sternum, often giving to the left shoulder, neck, between the shoulder blades may be a symptom of angina pectoris , less commonly called angina pectoris . It is believed that the heart muscle begins to ache with a violation of the balance of blood supply, when due to some or other causes of blood requires more than it actually comes. With the blood does not deliver the required amount of oxygen, why there is a muscle spasm. A sudden attack of angina lasts 5-15 minutes, its cause can be physical stress, stress. Oxygen starvation destroys the heart muscle for a long time, causes its weakening, damage and tissue necrosis.

Angina pectoris is a chronic form of ischemic heart disease

As is well known, the major part of the heart muscle mass is formed by the middle layer, myocardium , penetrated by blood vessels. Through coronary arteries myocardium receives oxygen contained in the blood. The blood saturated with carbon dioxide is diverted from the myocardium along the coronary veins. Arteries located outside the heart are called epicardial, they regulate the level of blood flow for the myocardium.

Angina pectoris is a chronic form of coronary heart disease (CHD) in which the supply of the myocardium is compromised by the required amount of blood due to a coronary artery disorder, as a result of the heart muscle, oxygen is not supplied enough.

Symptoms of angina appear due to atherosclerosis of the coronary arteries of a disease in which cholesterol от is deposited on their walls and atheromatous plaques are formed. Over time, the lumen narrows, often a complete blockage occurs.

Myocardial infarction , necrosis of the middle layer of the heart muscle, is an acute form of ischemic heart disease. With the duration of oxygen starvation ( ischemia ), significant or complete absence of coronary blood supply for more than 30 minutes, the death of myocardial cells occurs.

This form of ischemic heart disease is most common and affects, as a rule, men and women after 65 years. Symptoms of angina are found in almost every fifth member of this age group.

What causes the chronic form of IHD

Symptoms of stenocardia

Until recently, signs of angina pectoris have been observed mainly in the elderly. According to the latest data, the symptoms of angina pectoris are often found in 40-year-olds. In addition, the number of young people under the age of 30 who underwent myocardial infarction increased.

The genetic predisposition contributes to the development of the disease if one of the close relatives suffered or suffers from a chronic form of coronary heart disease or a heart attack happened to it.

The risk of disease increases significantly if there are certain defects in the cardiovascular system. For example, heart disease , when the heart muscle can not shrink in the optimal way.

Education on the walls of the coronary arteries of cholesterol plaques, causing symptoms of angina, contributes to unhealthy nutrition. First of all, the predominance of fatty fried foods, which causes a narrowing of the lumen of the vessels due to the formation of fat deposits from the inside.

When treating stenocardia with medicament or folk remedies, it is necessary to normalize the diet by including vegetable food, fish and seafood. Dissolving of cholesterol deposits is promoted by unsaturated fatty acids Omega-3,6,9 , in significant quantities contained in fatty varieties of sea fish.

In the daily diet, it is necessary to include foods rich in trace elements. First of all, potassium and magnesium .

Blood supply to the myocardium and the intake of a sufficient amount of oxygen decrease due to the weakness of the heart muscle. Symptoms of angina appear when ignoring physical exercises, sedentary lifestyle.

An easy way to give a job to the myocardium is to make regular walks by walking 5km every day. This is a lot, but this method avoids the subsequent medical treatment of angina, eliminating one of the causes of a common disease.

In addition to enhancing the flow of blood, during a walk, it is saturated with oxygen. And, therefore, not only the heart, but also the lungs work harder, the muscles of the legs are trained. With the increase in fitness, you can gradually increase the pace of walking, spending less time for a walk.

Additional and unnecessary load of the heart muscle creates excess body weight. To the symptoms of angina never manifested, it is worth normalizing weight. Otherwise, the heart will have to continue to do a lot of unnecessary work.

Weight reduction is facilitated by the normalization of the diet, moderate exercise.

The reason for the shortage of myocardial oxygen supply may be hypertension , characterized by high blood pressure. As a result of the increased tone of the blood vessels, their capacity decreases, which forces the heart muscle to work more intensively to provide sufficient blood supply to various organs, primarily the brain. Otherwise, the organs begin to experience oxygen starvation.

Stenocardia classification (FC)

Symptoms of stenocardia

<Stable angina of stress happens with physical activity. Depending on its intensity, four functional classes (FC) of a pathological condition are distinguished:

  • FC1 . Symptoms of angina pectoris, characteristic pain manifest themselves with considerable physical stress;
  • FC2 . An attack of angina can happen while walking for a limited distance, walking just after sleep, in case of emotional arousal;
  • FC3 . The signs manifest themselves when climbing the stairs independently more than on the floor, while walking for a distance of about 300 m;
  • FC4 . Symptoms of angina appear at rest, as well as with minor physical exertion, walking up to 100m.

As a rule, to normalize the state, it is enough to sit down or lie down, take a tablet of nitroglycerin .

Unstable (decubital) resting stenocardia is characterized by the suddenness of seizures. It happens at rest or during sleep, often with no physical activity.

If the first attack happened no more than a month ago, it is difficult to say how the disease will develop further. In a number of cases, it passes into a stable form and manifests itself only at a strain appearing under physical stress.

In case of unfavorable development of this form of coronary heart disease, attacks occur more often, longer and longer. Sometimes they are observed soon after myocardial infarction, after one or two weeks. The attack is much heavier, often accompanied by suffocation. As a rule, one tablet of nitroglycerin is not enough.

Severe atherosclerosis of the coronary arteries, the main cause of the chronic form of IHD, signals heart failure and a possible myocardial infarction. Therefore, in case of an attack of angina pectoris, it is better to call an ambulance, the patient needs hospitalization.

This form of the disease can also indicate the presence of thrombi. Spontaneous (variant) angina is rare, it causes a spasm of the coronary arteries, which causes the myocardium to receive less blood and oxygen.

Is manifested by severe pain behind the sternum, the heart rhythm is disturbed. Spasm does not lead to a heart attack, quickly passes, causing prolonged oxygen starvation of the myocardium.

Symptoms of an attack of angina

Symptoms of stenocardia

In the case of insufficient supply of oxygen to the myocardium, the heart is forced to work less intensively, so the air ceases to suffice. There is shortness of breath, the face becomes pale, the heart rate fluctuates, the sweat appears, blood pressure may rise.

Behind the sternum there is pain of varying intensity, it is characterized as pressing, compressive. She can give in the left arm, shoulder, neck, shoulder blade. In some cases, the pain symptom may be absent, but there is a cough, weakness. Sometimes during an attack of angina, it seems that the heart stopped, or, conversely, too “part.”

As a rule, the discomfort state lasts not for long, about 5 minutes. It helps to take nitroglycerin and stop physical activity. An increase in the duration of the attack and the number of tablets signal a progression of the disease and an increase in the risk of myocardial infarction.

If it hurts too much, and the pain rolls in waves, and nitroglycerin almost does not help, it is urgent to call an ambulance, because this is one of the signs of myocardial infarction.

First aid in case of an angina attack

Symptoms of stenocardia

  1. It is convenient to sit down or lie down.
  2. Take the tablet as soon as possible Nitroglycerin . This drug should be carried with you, every two months, replacing it with a new one. If after three minutes it does not become easier, take another pill Nitroglycerin .
  3. Call an ambulance.
  4. The healing effect is manifested by the elimination of pain. The drug dilates the small blood vessels, which reduces the amount of blood coming to the heart. The heart muscle is less work. Also, a spasm of the coronary arteries is removed, which increases the flow of blood and reduces the oxygen starvation of the myocardium.

    Because of the rapid expansion of the blood vessels, blood pressure may decrease, causing the blood supply to the brain to decrease and a fainting condition occurs. The recumbent position helps to return more blood to the heart and prevents fainting.

    Action Nitroglycerin lasts approximately 15 minutes, the recommended daily dose is 6 tablets. Do not use several tablets at once, the next one can not be dissolved before 5 minutes later.

    Often the head starts to hurt or is turned, rustles in ears. This is not dangerous and is eliminated by a more accurate dose selection.

    Do not replace Nitroglycerin with another drug, Validol .

    Treatment of angina should be prescribed by a doctor. In complex therapy and for the prevention of myocardial infarction, Aspirin назна is prescribed to improve fluidity of the blood and prevent the formation of blood clots.

    Than to eat in the chronic form of IHD

    Symptoms of stenocardia

    When treating angina pectoris, it is necessary to include foods rich in potassium and magnesium в. These microelements help to normalize blood pressure indicators, help maintain the elasticity of the walls of blood vessels, especially with age, the walls of the vessels become harder, becoming more fragile.

    High blood pressure, excessive cholesterol contribute to hardening of the arteries. Like Aspirin , these trace elements dilute blood and reduce the likelihood of blood clots.

    Magnesium for the treatment of angina pectoris

    The daily requirement for magnesium is 750 mg. The treatment of angina pectoris will be unsuccessful if the patient finds it difficult to abandon coffee and alcohol, since coffee and alcohol contribute to the excretion of magnesium from the body. He is also lost a lot with sweat in the summer heat.

    Magnesium is contained in chocolate , cocoa , it is plentiful in wheat bran , sunflower seeds, nuts, wheat germ, lentils, rice, peas, pumpkin seeds .

    Potassium for prevention of myocardial infarction

    Daily requirement for potassium is 300-3000 mg. The microelement helps regulate heart rate, normalize blood pressure, improve the work of the heart and the endocrine system.

    Potassium is abundant in fish, seafood, mushrooms, black currant . To eliminate the deficit of potassium, you must include in the diet dairy products, cocoa, potatoes, tomatoes, apricots, parsley, raisins and prunes .

    Treatment of stenocardia with folk remedies

    Symptoms of stenocardia

    • Angina is treated with infusion of hawthorn and dogrose . Brew 3-4p.L. fruits of each variety with a liter of boiling water, to cover. A day later, strain, wrung out the swollen fruit. Take a fortnight with 1 glass 3 times a day instead of tea.
    • Take fresh juice herons motherwort 40 drops per 2 p.s. before eating for a month. For winter storage mix the juice with the same amount of vodka. Take 1 tsp. 3 times a day.
    • Brew 1 tbsp. crushed valerian roots a glass of boiling water, insist the night in a thermos. Take half an hour before meals 1/3 cup 3 times a day during the crescent.
    • In the folk treatment of angina, a mixture of garlic and honey is used. Scroll through the meat grinder 5 lemons, you can skin, squeeze the juice. Add in it 5 crushed garlic heads and 0.5 liters of honey, mix. Weekly store in a cool place. Take 2 p.s. every day for two weeks.

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