Medication and prevention of ANGINA PECTORIS(inadequate blood supply to the heart.)
Dr. Sunil Dwivedi
Vasanth nagar, Bengaluru Feb 21, 2017
Medications are required if lifestyle changes alone don't help your angina. Medications may include:
- Aspirin. It reduces the ability of your blood to clot, making it easier for blood to flow through narrowed heart arteries.
- Nitrates. This class of drugs relaxes and widens your blood vessels, which allows more blood to flow to your heart muscle. Angina related chest discomfort gets relieved with taking a nitrate tablet under the tongue.
- Beta blockers. These drugs block the effects of the hormone epinephrine, and slow down the heart beats, thereby reducing blood pressure. Beta
- Statins. These drugs are used to lower cholesterol.
- Calcium channel blockers. These drugs relax and widen blood vessels by affecting the muscle cells in the arterial walls.
- Angiotensin-converting enzyme (ACE) inhibitors. These drugs are also used to relax blood vessels.
- Ranolazine. This drug used alone or with other angina medications, works specifically to treat angina.
Medical procedures and surgery
- Angioplasty and stenting. These are used when unstable angina or lifestyle changes and medications don't effectively treat your chronic, stable angina.
- Coronary artery bypass surgery. This is recommended in patients with several blockades or in instances where the blockade is in a position that cannot be treated by stenting. It is a major surgery on heart arteries and involves creating a graft bypass using a vessel from another part of your body or a tube made of synthetic fabric. With this procedure, blood flow is maintained around the blocked or narrowed artery.
Lifestyle changes can help you prevent angina. These include:
- Stop smoking.
- Exercise most days of the week.
- Eat healthy foods.
- Lose extra pounds and maintain a healthy weight.
- Manage stress.
- If you have high cholesterol, high blood pressure, diabetes or another chronic disease, work with your doctor to manage the condition and promote overall health.