What are the methods of angina pectoris?

Because of the many types of angina, the patient's own situation varies widely, so there is no uniform standard for determining the severity of the disease and the prognosis. In summary, from the following aspects can help determine the severity of angina.

What are the methods of angina pectoris?

1. See clinical type: angina pectoris is mainly divided into stable angina pectoris, initial angina pectoris, worsening angina pectoris, supine angina pectoris, variant angina pectoris, intermediate syndrome, post-infarction angina pectoris and mixed angina pectoris. In general, stable anaerobic angina is milder, the prognosis is better, mixed type is second, and other types of conditions are heavier. Therefore, some types of angina are collectively referred to as unstable angina.



The main characteristic of the so-called stable angina pectoris is that the frequency of angina pectoris, the cause, the nature and location of the pain, and the duration (3 to 5 minutes) are basically the same, and there is no change within 1 to 3 months. The initial hair style means that the patient has not had angina or myocardial infarction in the past. Less than one month after the initial onset, the patient is quite nervous, and a small number of patients may develop worsening angina and even myocardial infarction. Deterioration type, also known as progressive type, refers to the original stable type of patient. The frequency, degree, and cause of pain often change within 3 months, and the deterioration is progressive, the pain is intensified, and the time is prolonged. It can be more than 10 minutes. Glycerol can not be completely eliminated immediately, indicating that coronary artery disease has developed and may develop into myocardial infarction.

The reclining type refers to angina pectoris that occurs during rest or sleep. The seizure time is longer, the symptoms are heavier, the pain is severe and unbearable, the patient is restless, the nitroglycerin is not effective, the prognosis is poor, and the acute myocardial infarction can be developed. And a serious arrhythmia. The variant is similar to the supine type, and often occurs at night, but the electrocardiogram is different at the time of onset, and the prognosis is poor, and myocardial infarction often occurs. The intermediate type is also known as coronary insufficiency. The attack time is as long as 30 minutes to more than 1 hour. It often occurs during rest or during sleep. The condition is serious and often a prelude to myocardial infarction. Post-infarction angina pectoris refers to angina that occurs shortly after an acute myocardial infarction, suggesting that myocardial infarction is likely to occur again.

Mixed angina refers to the mixed or alternating type of stable exertion and instability, and has both clinical manifestations.

2. Look at the patient's heart condition: If the patient's heart has no obvious organic changes, the ECG is normal at rest, the heart function is normal, and the angina pectoris is not induced during mild physical activity, indicating that the condition is mild. Conversely, if the patient's heart is significantly enlarged, or the heart muscle is hardened, or coronary angiography is found to have severe or extensive lesions, the quiescent electrocardiogram also has significant myocardial ischemia changes, poor cardiac function, and mild activity can induce angina pectoris. Both indicate a serious condition.

3. Look at blood pressure and blood lipids: If the patient has a heavier hypertension, the blood pressure is significantly increased, and the blood pressure is not good, the blood pressure fluctuates greatly, or the blood lipid is significantly increased, which can further aggravate the coronary artery lesion and is unfavorable to the prognosis.

4. Look at the general condition, age and other serious illnesses: If the patient's general condition is good, the age is under 50, and there are no other serious diseases, it is beneficial to the prognosis. On the contrary, the patient's physical condition is poor, the age is over 60 years old, and there are serious diseases such as cerebral hemorrhage, cerebral infarction, diabetes, etc., which can accelerate the deterioration of the disease.

Finally, it should be pointed out that: in general, patients with stable angina pectoris, if they can be treated seriously, obey the doctor's advice, adhere to appropriate exercise, eat properly, and actively do self-care, most patients can establish a new collateral circulation in the coronary artery. The condition can not only be alleviated, but angina may not be attacked any longer, and even enjoy high life.