The primary objectives of treatment in angina pectoris are to alleviate the symptoms, slow the illness progress, and cut back the likelihood of future happenings, for the most part of MI and premature death.
Treatment for angina pectoris
Treatment will facilitate the stoppage of angina attacks and cut back the risk of any further issues such as heart attacks.
Many people with angina ought to take a lot of medicines. Surgery could also be suggested if medicines do not provide assistance.
It's also necessary to form healthy lifestyle changes. Learn more as regards to living with angina for details concerning this.
Drugs to treat attacks
If you've got stable angina (the commonest type), you will be given medication you need to take any time you experience an angina attack.
This is referred to as glyceryl trinitrate or GTN. It is available as a mouth spray or pills that liquefy beneath your tongue.
If you are experiencing an angina attack:
- Stop whatever activity you are doing presently and relax.
- Your GTN medication should be used.
- If the initial one doesn’t help after five minutes, take another one again.
- If the symptoms persist five minutes after taking the second dose, call an ambulance.
GTN can also be used to prevent an angina occurrence before carrying out activities such as exercise. You can have a headache, flushing or dizziness in a little while after making use of it.
GTN tablets typically expire roughly eight weeks after opening the packet, at that instance you are required to change the GTN to another one. GTN spray lasts for much longer; this could also be a lot suitable.
Medications to avoid angina attacks
To help prevent further angina attacks, there may be a need for you to take a minimum of one alternative medication on a daily basis for the rest of your life. Some individuals ought to take two or more medications.
The primary medications used to avoid angina attacks are:
• Beta-blockers: to facilitate the heart to beat with less force and also assist to slow heartbeat
• Calcium channel blockers: to ease the arteries, maximizing the supply of blood to the heart muscle. If you do not have access to either of those medicines, you'll be provided with other medication like ivabradine, nicorandil or ranolazine.
Medicines to avoid the occurrence of hearts attacks and strokes
Angina could be a take-heed call that you are at a greater risk of stern concerns such as heart attacks or strokes.
There can be a need for you to take further medications to cut back this risk.
- low-dose aspirin or painkiller to avoid clotting of the blood
- statins use to cut back your cholesterol (blood fats) level
- ACE inhibitors to cut back your blood pressure level
Angina pectoris surgery
Surgery could also be suggested if medications are assisting you in the control of your angina.
The two main surgical procedures for angina are:
- coronary artery bypass graft (CABG): in this surgical procedure, a part of the blood vessel is taken from a different part of the body and then it is used to redirect blood flow around an impassable or narrow section of artery
- Percutaneous coronary intervention (PCI): a constricted section of artery is made wider via a tiny tube referred to as a stent.
Both of the above surgical operations are equally effective. The most effective one for you will be influenced by your conditions. Consult your surgical doctor to recommend the most suitable and efficient surgical process for you.
You will most likely have to proceed in taking off some medicines even after undergoing surgery.
If you've got unstable angina (where symptoms suddenly get severe), you will require drugs to stop clotting of the blood and cut back your chances of getting a heart attack or stroke.
You may be given:
- low-dose aspirin or painkiller
- an injection of a blood-thinning medicine almost immediately when you are diagnosed
Surgical procedure (either CABG or PCI) could also be suggested if you've got a high risk of getting an additional angina attack, or you have a probability of getting a heart attack or stroke.
Living with angina
If your symptoms are healthily managed and you have a healthy way of life modifications, you will be able to live normally with angina.
Diet and way of life if you have angina
Angina could be a take-heed call that you are in danger of severe complications such as heart attacks and strokes.
To minimize the probability of such complication, you should:
- have a nutritional diet
- minimize the intake of alcohol
- quit smoking if you smoke
- undergo weight loss if you are overweight
Exercise and sport
It's also necessary to remain active if you've got angina.
You might be concern that your symptoms might be activated by exercise or it may result in heart attack, however, it has a minimal risk if you:
- form your activity level progressively and take breaks on a regular basis
- keep your GTN spray or tablets close to you
- if needed, use the spray or take a pill before you begin to exercise
Consult your general practitioner if engaging in exercise is not safe for you.