In detail

Pectoral angina

Pectoral angina

Pectoral angina is the disease of the arteries that irrigate the heart, the coronary arteries, from where and the other labels: coronary heart disease, coronary heart disease, coronary ischemic heart disease.

Coronary ischemic heart disease is a disorder in the heart muscle, due to an imbalance between blood supply and the need for oxygen in the heart. Coronary disease, the great disease of the twentieth century, can be associated with excess food, with the accelerated pace of daily life, with the lack of physical exercise, with all sources of pollution, with self-pollution (smoking, alcohol, drugs, doping). The most dramatic clinical manifestation of the disease is myocardial infarction, a major accident, in which men are more likely than women. In the last 10-15 years, he "reaped" among the young people.

The cause of the disease

Atherosclerosis, that is, the deposit of fat in the walls and inside of the arteries, which leads to their narrowing, is at the "root of the river" which so strikingly changes the life chances of man today.

Atherosclerosis is the cause of more than half of all diseases and deaths (more than all cancers, infections and road accidents in one place), and heart artery disease causes over 50% of diseases and deaths caused by atherosclerosis.

It is also worth noting that angina is the cause of myocardial infarction (often fatal suffering), sudden death (even in the absence of heart attack), major cardiac arrhythmias or heart failure, which, if not intervened quickly and correctly, can have unhappy end.

How do we recognize the disease?

The patient has a painful, oppressive or constricting pain in the chest, with more special aspects. Angina access occurs more often when walking, especially up or down the stairs, but regardless of the form of activity, angina occurs during exertion and weakens promptly when the patient stops and stays quiet.

Those suffering from angina prefer to stand rather than lie down, and sometimes the relief may occur after a spell (in the production of pain a "gastric disorder" may be involved). Painful access can occur during mental arousal or exposure to cold and cold wind, factors that can trigger pain even in the absence of physical exertion. Sometimes, the anguish sensation is not perceived as a pain, but as a suffocation, tearing, burning, constriction, asphyxia, symptoms often attributed to "indigestion".

This paroxysmal state rapidly increases in intensity, forcing the patient to stop and rest. The paroxysmal, distressing pain syndrome (fear of death) causes the patient to stop, because he has the impression that this pain would cost him his life if he continued the effort. The seat of angina pain varies from one patient to another, but it is largely the same, being projected behind the sternum or slightly to the left, pain that is perceived in the depth of the chest, radiating in the left shoulder and upper limb, towards the elbow and the last two fingers. of the hand.

Sometimes the pain is projected to the left, at the base of the neck, neck, between the shoulder blades or back. (Angina almost can be excluded if the patient indicates the place of pain using only one finger, near the heart). The duration of painful access is limited, angina is by definition a short episode and gives up completely without leaving unpleasant sensations, although the patient perceives that time passes difficult.

Crises that occur after overeating at a meal or a big upset go to more than 15-20 minutes. Another feature of angina syndrome is reinforced by the observation that a nitroglycerin tablet held under the tongue almost always shortens access.

The diagnosis of coronary heart disease is based on the symptoms shown, plus the result of electrocardiographic, ultrasound, coronary-angiographic investigations, etc., absolutely necessary (18-20% of major cardiac events are asymptomatic or with minor signs). It may also come as a surprise that, in a research, 75% of the patients discovered based on electrocardiogram, having coronary ischemic heart disease, did not accuse angina pain, which means that these "untreated forms of disease" must be carefully looked for. it is seriously evolving. Why do I mention these situations? Because anyone who knows he has or had "something" in his heart, he must undergo a medical examination periodically, even in the absence of a cardiac manifestation, and be careful and compassionate in everyday life.

Treatment

The treatment of ischemic heart disease should take into account the fact that the short life expectancy of the angina patients is also due to the concomitant presence of diabetes, hypertension, heart failure, conditions that require the extension of remedies, but without excess drugs, which intoxicates the body. It is necessary - unequivocally - a position between: - to consider, to the contrary, that any man without special accusations, past 40 years, is a coronary patient (ignorant, current or potential); - to consider that in any typical but especially atypical manifestation (until proven otherwise), we are in the presence of an ischemic heart disease. Adopting a middle-class attitude, neither unnecessarily oversized nor overly cautious, is preferable. The anguished patient should avoid the habits and activities that he knows can trigger painful access.

Rest and relaxation are useful, but most patients do not require prolonged immobilization, and psychic rest is important.

The balanced diet is a sure way to improve the condition of the heart arteries, restoring the circulating quality of the blood. The diet mainly includes vegetables, fruits, fresh vegetables, milk, unfermented unfermented milk. Calorie, no more than necessary. Reducing excess body weight extends life by lowering atherosclerosis, diabetes, hypertension, heart attack. By reducing the meat portion, we protect the arteries, which should also be remembered for those operated by coronary bypass, whose grafted vein can become blocked even after a few months, if they continue to feed as before surgery. Moderate consumption of fish has a protective effect against cardiovascular disease. Garlic, 2-3 dogs daily, taken with a little milk and bran to be well tolerated, improves circulation better than drugs, not without side effects; as well as bran and sprouted wheat, which provides daily stool, lower cholesterol and blood sugar and have a higher intake of natural B vitamins. No effort is useless, because we are facing a disease of fear and extremely widespread.

Quitting smoking improves the condition of the vascular walls and blood quality. Additional help in times of smoking cessation can also be given by acupuncture.

Coffee and diuretic medicines should be reduced, as the first increases the number of beats of the heart, "getting tired", and the others increase the viscosity of the blood, making it difficult to circulate especially in the capillaries.

Alcohol, an important toxic factor for heart muscle, should be used sparingly, only occasionally.

Menopause (predisposes to fattening) requires a lot of attention to maintain a daily caloric intake without excesses.

The gastroesophageal reflux from the hernia of the diaphragm must be combated (reflux, not the gastric acid!), Because irritation of the esophagus by gastric acid, reflexively produces spasm of the coronary arteries, explanation of angina and nighttime heart attacks, hence the recommendation that in the evening it should be eat a little and very early.

Physical activities, judiciously dosed, combat sedentary lifestyle, improving the function of the heart.

Stress, once identified, is treated with more rest, with natural vitamins and less with so-called "tranquilizers" drugs, which often produce harmful side effects.

The birth control pill is involved in the production of atherosclerosis, but if it is not given up, it is necessary to remove other risk factors of heart disease (excess weight, tobacco, coffee, alcoholic beverages).

Water, ingested in large quantities, is the fastest and most harmless treatment, improving circulation. The water should be swallowed slowly, at room temperature, not boiled, slightly sweetened. It can dilute fruit and vegetable juices. The quantity, at a body weight of 60 kg, should be 1.5-2 liters in 24 hours. Those with problems with kidney failure, heart failure, cirrhosis with edema and ascites, measure the amount of urine in 24 hours (diuresis). In addition to this result, 500-600 ml of water will be added, this being the dose to be consumed daily.

Taking the temperature daily may surprise a mild fever, an early sign that an unwanted event is occurring in the body, infection or circulatory disease.

The free radicals of oxygen increase greatly in cardiovascular diseases, and can be neutralized with natural antioxidants found in raw vegetables (dried plums, cauliflower, carrots, celery), especially those containing vitamin E.

Blueberries are the source for medicines that are known to improve the circulation of very fine foods (Difebion, Difrarel, etc.).

Treatment with drugs is meant to increase the efficiency of the exposed natural measures. Aspirin has confirmed for 30 years its quality to restore the blood-coagulant balance of blood, the dose to be administered daily being 20 mg, an amount that does not produce digestive bleeding or asthma attacks. (Currently, there are 500 mg, 100 mg tablets in pharmacies and we have recently seen that there are also 50 mg tablets. Warning, therefore: a 500 mg tablet arrives for 3 weeks). Vitamin E, 1-2 capsules daily, several months. Magnesium and potassium (Panangin, Magnum B6, Aspacardin) decrease hyperexcitability of the heart, preventing severe arrhythmias, administered for many months. Vitamin B12, 1000 gamma vials, an injection every 4-6 days, at least half a year. Nitroglycerin or preparations in this category (Nitropector etc.) are reserved for acute conditions, not being effective as a background treatment.

Hypocholesterolemic medication is not unanimously accepted, with the opinion that it is not sufficiently effective, preferring to resort to a low fat diet, which does not produce side effects like the drugs mentioned. Another significant observation is that the disease can be prevented or ameliorated through a balanced diet. In some tribes with the most natural habits of life (from Kenya, Australia, Papua), arterial disease is virtually unknown, and in Nigeria, although high blood pressure is widespread, however, coronary heart disease is also non-existent, natural nutrition being prevalent.

Surgical treatment is reserved for borderline cases, ranging from removing atheroma plaques from coronary arteries to the heart graft, the results being categorically superior, if a good eating and life behavior is associated.

Tags Heart disease