On the diagnosis and treatment of angina pectoris.docVIP

 PAGE \* MERGEFORMAT 10 On the diagnosis and treatment of angina pectoris [Keywords:] diagnosis and treatment of angina pectoris Angina pectoris due to coronary insufficiency, the cardiac rapid and transient ischemia and hypoxia caused by the onset of chest pain, chest tightness for the performance of the clinical syndrome. The clinical characteristics of this disease is squeezed between episodes of chest pain or discomfort, and more at the back of the sternum, anterior to radiation Zhixin, left upper limb, more than a tired, physical activity, emotional excitement, fullness and other incentives, continuing a few minutes, rest or use of nitrate agents can be mitigated. coronal Atherosclerosis is the major cause of coronary spasm, aortic valve stenosis or regurgitation, rheumatic coronary arteritis, congenital coronary artery anomalies, hypertrophic cardiomyopathy, syphilitic aortitis, severe anemia, paroxysmal of supraventricular tachycardia, also can cause angina. First, the diagnosis (A) clinical manifestations 1. Symptoms of angina pectoris with chest discomfort as the main clinical manifestations, the typical symptoms are chest pain, upper body in the sternum or after precordial, and radiation to the neck, throat, lower jaw, left shoulder, left arm in side, or upper abdomen, an area of #8203;#8203;approximately palm-sized, ill-defined, the nature of pain is the pressure, nausea, or tight, heavy, choking or suffocating sensation or difficult to determine the nature of discomfort, patients often need to stop the activity, duration, and more for the few minutes , rarely more than 15 minutes, with rest and nitroglycerin oral pain relief after 2-3 minutes. Atypical cases may manifest as pain, neck or upper abdominal pain. Angina pectoris incentives have physical activity, emotional excitement, and feed the cold, smoking and tachycardia. 2. No abnormal signs General signs, seizures may have a faster heart rate, blood pressure, mental anx