What medicine should I take for angina pectoris?
Angina pectoris is a common cardiovascular disease, usually caused by insufficient blood supply to the coronary arteries and manifests as chest pain, chest tightness and other symptoms. For patients with angina pectoris, rational use of medication is the key to relieving symptoms and preventing complications. This article will give you a detailed introduction to the drug treatment options for angina pectoris based on the hot topics and hot content on the Internet in the past 10 days.
1. Common drug classifications for angina pectoris
Drug treatments for angina pectoris mainly include the following categories:
| drug class | Mechanism of action | Commonly used drugs |
|---|---|---|
| Nitrates | Expand blood vessels and reduce heart load | Nitroglycerin, isosorbide dinitrate |
| beta blockers | Slow down heart rate and reduce myocardial oxygen consumption | Metoprolol, Bisoprolol |
| calcium channel blockers | Dilate coronary arteries and improve blood supply | Nifedipine, amlodipine |
| antiplatelet drugs | Prevent thrombosis | aspirin, clopidogrel |
| statins | Reduce blood lipids and stabilize plaque | Atorvastatin, rosuvastatin |
2. Medication during acute attack of angina pectoris
Nitroglycerin is the most commonly used first aid drug when angina pectoris attacks acutely. The following are precautions for using nitroglycerin:
| Things to note | Description |
|---|---|
| Usage | Take sublingually, avoid swallowing |
| dose | 1 tablet (0.5mg) each time, repeat after 5 minutes, up to 3 times |
| side effects | Headache, dizziness, low blood pressure |
| Taboo | Use with caution in patients with severe hypotension and glaucoma |
3. Long-term drug treatment plan for angina pectoris
For patients with stable angina, doctors often prescribe long-term medication to prevent the onset of symptoms and reduce the risk of cardiovascular events. The following is a typical long-term medication regimen:
| drug class | Representative medicine | Usage and dosage | Things to note |
|---|---|---|---|
| antiplatelet drugs | Aspirin | 75-100mg/day | Pay attention to gastrointestinal reactions |
| beta blockers | Metoprolol | 25-100mg/time, 2 times/day | Monitor heart rate and blood pressure |
| statins | Atorvastatin | 10-20mg/night | Check liver function regularly |
| Nitrates | Isosorbide dinitrate | 5-10mg/time, 3 times/day | Pay attention to drug resistance issues |
4. Common misunderstandings about angina pectoris medication
In the process of treating angina pectoris, patients often have some medication misunderstandings:
| Misunderstanding | Correct approach |
|---|---|
| Discontinue medication when symptoms disappear | Complete the course of treatment as directed by your doctor to prevent recurrence |
| Adjust dosage yourself | Take medications strictly as prescribed by your doctor |
| Ignoring drug side effects | Regular review and timely feedback on discomfort |
| Overreliance on first aid medications | Emphasis on long-term treatment and lifestyle improvements |
5. Daily precautions for patients with angina pectoris
In addition to drug treatment, patients with angina pectoris also need to pay attention to the following lifestyle adjustments:
1.Diet control: Low-salt and low-fat diet, eat more fruits and vegetables, and control weight.
2.moderate exercise: Carry out aerobic exercise under the guidance of a doctor, such as walking, swimming, etc.
3.Quit smoking and limit alcohol: Smoking will aggravate blood vessel damage, so you should quit smoking completely.
4.manage emotions: Avoid excessive tension and excitement, and keep a calm mind.
5.Regular review: Regularly check blood pressure, blood lipids, electrocardiogram and other indicators.
6. Latest treatment progress of angina pectoris
According to recent medical research, there are the following new developments in the field of angina pectoris treatment:
| direction of progress | Specific content |
|---|---|
| New anti-angina drugs | Such as ranolazine, ivabradine, etc. |
| Interventional treatment technology | Drug-coated stents, bioabsorbable stents |
| gene therapy | Personalized treatment for specific genotypes |
| remote monitoring | Wearable device monitors heart condition in real time |
Conclusion
The medical treatment of angina pectoris is a systematic process and requires an individualized plan based on the patient's specific conditions. Patients should strictly follow the doctor's instructions during medication and adopt a healthy lifestyle. If new symptoms or adverse drug reactions occur, you should seek medical advice promptly to adjust your treatment plan. Remember, drug treatment is only part of the management of angina, and comprehensive health management can effectively control the development of the disease.
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