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Angina pectoris, control and monitoring

In stable angina pectoris is common to go for regular check-ups with your GP. The condition should be carefully monitored so that early can be implemented in a new report if you experience frequent seizures, more serious problems or that less stress is needed to trigger angina attacks.

The checks involve a conversation about symptoms and disease to detect any signs of deterioration of the condition, or whether risks have changed. The physical exam is about to listen to heart, check your pulse, checking blood pressure, monitor your weight, or take an ECG, measuring cholesterol and blood sugar and possibly even some blood tests to check that you tolerate the medications used. An overall assessment of these factors provide a basis for judging whether it is necessary to change the treatment regimen, or whether any necessary referral to a specialist.

Control by the cardiologist

If signs of worsening of your angina doctor will consult with or refer you to a cardiologist. Cardiologist may do some additional research that GPs do not have the equipment. It is primarily about making an impact study ( exercise ECG ) and perform an ultrasound examination of the heart ( echocardiography ). If these studies suggestive of worsening of the condition, that one or more of the heart muscle blood vessels (coronary arteries) has become tighter, you will probably be referred to cardiac catheterization in a hospital.

Cardiac Catheterization will determine whether there is narrowing that needs blocking - whether new stenosis, or there is stenosis that has been blocked or stented before. This procedure does not stop the calcification process, and therefore over time risk of coronary arteries that have become blocked, become narrow again (restenoserer). Unfortunately, there is no curative treatment for atherosclerosis, but lifestyle advice and medication can slow the progression significantly.

Self Treatment
Whatever the outcome of the check with their doctor or cardiologist, it is essential that you are diligent in correcting risk factors by following the below delivered, as well as taking the ordained medicines. The goal is to prevent angina, heart attack or sudden death. Although you can not escape aging and inherited risk factors, so there is a wide range of risk factors that you can control.

Delivered to reduce risk

  • Do not smoke! Do not use smokeless tobacco?
  • Is your blood pressure high, it is important that you take the prescribed medicines
  • Lower blood fats through sensible diet, physical activity and any use of cholesterol-lowering medications (statins)
  • Avoid becoming overweight
  • Get good control of your blood sugar if you have diabetes
  • Alcohol should be enjoyed in moderation - no more than 1-2 units daily (eg 1-2 glasses of red wine)
  • Eat fruits and vegetables daily and reduce your intake of saturated fat
  • Avoid extreme emotional stress and highly stressful
  • Exercise regularly, but avoid large and sudden loads. Train rather smoothly than jerky. It appears that one can achieve a lot of exercise equivalent to 30 minute brisk walk 3-5 times a week. Perhaps it is still relatively hard interval training, the pain threshold, it works best for those who manage it
  • Albyl-E is recommended for most people in the form of a daily dose. It reduces the risk of heart attack. If you can not tolerate Albyl-E, you should discuss with your doctor whether you should take an alternative medicine.

The most common and serious complication of angina pectoris (CHD) is a heart attack and sudden death from cardiac arrest. The future depends on the severity of your condition, the extent of any damage to the heart muscle from previous heart attack and risk of arrhythmias in heart.

If you do not have damage to the heart muscle and your angina relieved by rest, the prognosis is good. By changing or improving risk factors, the risk for a future heart attack decrease. Many experts believe that it is possible to reverse atherosclerosis through sensible diet, regular physical activity and changes in other risk factors.

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