University:
Liberty University
Course:
BIOM 500 | Introduction to Biomedical Sciences
Academic year:

2024
Views:

74

Pages:

8
Author:

Jabin F.

Pathophysiology of Angina Pectoris Due to any cause ↓ Increase o2 demand in body ↓ Increase heart work load ↓ heart needs more blood supply ↓ then coronary artery dilate and supply more blood to heart ↓ But due to any factor blood supply deflected ↓ Heart needs more blood demands ↓ Decrease o2 level in heart & develop condition of ischemia ↓ Start angina (pain) in pectoris (chest muscles) Clinical manifestations Angina is usually felt as a squeezing pressure, heaviness, tightening, burning or aching across the chest. usually start behind the breast bone This pain often spread to the neck, jaw, arms, shoulders, throat, back or even the teeth An attack of a stable angina lasts from 1-5 min. Diagnostic Evaluation Electrocardiogram or echocardiography Chest x-ray Exercise treadmill test Coronary angiography Holter monitoring PET Blood test: check level of fat, cholesterol Pharm Medical Management Pharmacological intervention O2 therapy Nitrate Nitroglycerin Beta blockers - propanol and metoprolol and abenol. Calcium channel blockers: Nifedipine Antiplatelet & anticoagulant aspirin Cholesterol lowering agent statins. Non pharmacological Interventions Bed rest & emotional rest Monitor of chest discomfort Place the pt on cardiac monitor Lifestyle modification & control of risk factors. Surgical Management Coronary artery bypass surgery It is a surgical procedure in which one or more blocked arteries are bypassed by a blood vessel graft to restore normal blood flow of the heart.