Tips To Prevent Angina

Tips to prevent angina

This time we will discuss how to prevent angina, for those of you who do not know how to prevent you can read our article now ..

Tips to prevent angina

gejala aninaMaking Lifestyle Changes

  1. Use whole-grain breads, pastas and cereals and brown rice. Whole grain foods are rich in vitamins, minerals, phytochemicals and fiber. Whole grain means that the entire grain is used—including the bran, germ and endosperm. In refined, white flour products, only the starchy part of the grain (the endosperm) is used.

Eating a diet rich in whole grain foods can help to reduce the risk of heart disease, obesity, diabetes (type 2) and even some cancers. It can also help you to combat angina.

  1. Lose weight. Weight loss is the cornerstone of home remedy in angina patients. Though it may take time to notice significant weight loss, the health benefits are immediately seen within a few days of trying to lose weight.- Losing weight controls other risk factors too, such as hypertension and diabetes, and also helps maintain your blood pressure and glucose level within the normal range. Sticking to healthy food and habits and adding exercise in your routine will ensure you losing some of your excessive weight if you’re obese.
    And as always, don’t hesitate in consulting your doctor if you experience any negative side effects of your diet or exercise regimen.
  2. Start exercising regularly. Improve your cardiovascular health by doing exercises such as walking, biking, and swimming on a regular basis. Light jogging and brisk walking can be done with a doctor’s clearance. However, angina can be exacerbated with exercise, so make sure whatever you do is safe for you.-Weight lifting and other strenuous activities are not advisable. Keep the exercising to light cardio and more active-based endeavors like hiking, cleaning, dancing, and gardening.
  3. Eat small meals throughout the day. Meals divided into 5 feedings throughout the day will enhance the number of nutrients absorbed and used. This will prevent excessive storage of fat in the body. This will also prevent excessive pooling of blood in the digestive system after a meal, which is a trigger for angina.
  4. Quit smoking. There is no such thing as smoking in moderation. Three puffs of a cigarette stick will immediately narrow the opening of the coronary arteries. It will also induce injury in blood vessel walls. If you do smoke, make the life-saving change of not smoking as soon as possible!- Smoking is bad news for just about every other health-related issue, too. If youd like to lower your risk of heart disease and cancer and not to mention lengthen your life stopping smoking is your ticket to doing so.

Changing Your Diet

1. Use whole-grain breads, pastas and cereals and brown rice. Whole grain foods are rich in vitamins, minerals, phytochemicals and fiber. Whole grain means that the entire grain is used—including the bran, germ and endosperm. In refined, white flour products, only the starchy part of the grain (the endosperm) is used.

Eating a diet rich in whole grain foods can help to reduce the risk of heart disease, obesity, diabetes (type 2) and even some cancers. It can also help you to combat angina.

2. Choose a diet low in saturated and trans fats, and cholesterol. Aim for products that have 5% of each of these substances in the food pack or carton, and do not consume products that have over 10% of each of these substances. All of these substances can lead to an increased risk of heart disease, and may exacerbate your angina.

3. Up your intake of omega-3 fatty acids. Lower your intake of hydrogenated oils and substitute them with natural oils and Omega 3 fatty acids. Omega-3 fatty acids can help to keep your body running smoothly in a variety of ways; they can build cell membranes, control blood clotting and prostaglandin levels, and can protect against heart disease.

Omega-3 fatty acid can be found in salmon, tuna, flax seeds, walnuts, and raw nuts.

4. Choose foods low in salt (sodium) content. Consume approximately one teaspoon of salt per day. Remove or cut out salty foods such as:

Cured foods, foods in brine, condiments, and soy and teriyaki sauces.
Use food products with reduced or no salt added. Cook and flavor foods with spices, herbs, lemon or vinegar rather than salt.

5. Use low –fat meat sources such as lean cuts of meat, poultry, and fish. These foods are low in saturated and trans fats and cholesterol. Saturated and trans fats can increase your chances of heart disease and stroke.

Avoid processed high fat meats such as sausages, frankfurters, bacon, and cold-cut high fat meats.

6. Boil, roast, bake, steam, or poach instead of frying. If you fry food, use a nonstick pan with a small amount of vegetable oil or margarine. Butter is a saturated fat, so try to avoid cooking with it.

7. Choose fat-free products when possible. Use fat-free milk instead of whole milk or cream. Use fat-free or low-fat yogurt and cheeses. Avoid ice cream. Limit egg yolks, though you can still eat egg whites.

After making sauces or soups, refrigerate them and later remove the fat from the top of the sauces and soups.

Getting Medical Treatment

1. Get diagnosed by your doctor. If you visit your doctor complaining of chest pain, he or she may decide its wise to do some tests to determine the cause. If he or she suspects it may be angina, the following are the tests that may be conducted:

Electrocardiography “ECG”. It has normal results with 50% of patients, but during the attack, about 50% of patients with normal resting ECG show abnormalities, including abnormalities for arrhythmias and arterial blockages.
Chest x-ray film. This usually shows normal results and can be used for patients with previous myocardial infarction, pericardial effusion or acute pulmonary edema as it reveals cardiomegaly (enlargement of heart muscles).
Exercise stress testing.

Exercise with ECG monitoring, usually the choice for patients without baseline abnormalities or when ischemia is not localized anatomically.
Stress echocardiography. This evaluates segmental wall motion during exercise (in other words, it shows movements in heart walls so it can detect defection sites). This is usually the choice for patients with baseline ECG abnormalities, and to localize ischemia sites and evaluate its severity.

2. Consider starting on Nitrates. If your doctor prescribes you something, odds are it will be a Nitrate. Nitrates, such as nitroglycerin, isosorbide mononitrate (ISMN), and isosorbide dinitrate (ISDN) all provide chest pain relief by relaxing and widening the opening of blood vessels in the whole body. Here are the details:

Nitroglycerin has been used for more than 100 years because of its rapid symptom relief. It is placed in the space under the tongue; the medication will melt on its own and directly reach the heart blood vessels through this route. The typical dose is 0.4 or 0.6 mg.
Side effects of nitroglycerin include light headedness, headache, or a throbbing feeling in the head. It is rarely nagging at the usual dose for angina.
ISMN is given as an oral tablet or skin patch. It does not give as rapid relief as nitroglycerin.The recommended dose is 30-120 mg once daily for oral tablets or 5-25 mg/day for patches.
The side effects are light headedness, headache, or a throbbing feeling in the head.
ISDN is given as oral tablet or skin patch. The recommended dose is 10-60mg twice or thrice daily for oral tablets and 5-25 mg/day for patches.
The side effects are light headedness, headache, or a throbbing feeling in the head.

3. Alternatively, look into beta-blockers. Beta-blockers reduce oxygen demand by slowing down the heart rate and reducing the force of the hearts muscle contractions. The two most popular examples are metoprolol and propranolol. These drugs are best used when reducing angina risks during exercise.

The recommend dose for metoprolol is 50–200 mg twice daily; the recommended dose for propranolol is 80–120 mg twice daily.
The main side effects of beta blockers are slow heart rate, shortness of breath, increasing blood sugar, and depression. Asthma and diabetes patients should consult a doctor first before taking this drug.

4. Or consider calcium channel blockers. Calcium channel blockers act by preventing calcium from causing strong heart contractions and by relaxing the heart arteries. It is used as an alternative when beta-blockers and nitrates are not effective. Some popular examples are amlodipine and verapamil.

The recommended dose for amlodipine is 5-10 mg once a day; the recommended dose for verapamil is 80-160 mg three times a day.
The side effects for calcium channel blockers are commonly swelling of the feet and headache.

5. For severe cases, consider angioplasty. The most common indication for angioplasty is angina with no response to medical therapy. In this procedure, a balloon is inserted into the site of clogging in the heart artery. The balloon is inflated to flatten the clog and a stent may or may not be placed to avoid blockage of the same spot.

  Primary success can be seen in 95% of cases. Recurrent fat deposition in the treated vessels will occur in approximately 20% of cases within 6 months.
The main drawback of this procedure is the need for more follow-ups and repeat procedures in the event of repeat clogging of the treated artery.

6. For incredibly severe cases, consider coronary artery bypass graft (CABG). CABG is generally reserved for very severe cases such as those involving three arteries. Heres how its done:

A detour is made before the site of clog within the artery by cutting a portion of a long vein, such as the Saphenous vein, to serve as the detour. The volunteer vein will still be functional after the procedure. Then, the harvested vein’s ends will be stitched on both the sites before and after the clog. This creates a detour for better blood flow.

The procedure will provide symptom relief in more than 90% of cases. Fat deposition in the detour vein occurs in 10-20% of patients during the first year after operation.

~ Tips to prevent angina ~

Sumber

 

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>