Treatment of Angina aimed at reducing the severity of symptoms and decreasing the risk of suffering from heart attack or death.
The Angina with mild or moderate symptoms can still be treated without medication, that is by living a healthy lifestyle and leave bad habits that can trigger the emergence of the Angina. Some of these are:
- Eat a nutritious diet that is balanced or contains lots of fiber, such as fruits, vegetables, and grains.
- Limit consumption of foods containing saturated fat.
- Do not eat more than the portion or calories needed by the body.
- Balance between physical activity performed with rest. It’s good to seek medical advice first about a safe sport for your condition.
- Avoid stress or handle stress if you experience it.
- Do a weight-loss program if you are obese.
- Avoid tobacco smoke.
- Limit alcohol consumption.
- Always control your blood sugar levels if you have diabetes.
If the Angina is not adequately treated with the adoption of a healthy lifestyle, then the doctor may prescribe some of the following medications to overcome while preventing the occurrence of later Angina:
- Nitrate drugs. In addition to being effective in dealing with the symptoms of Angina, nitrates can also be used as a long-term prevention method or used before carrying out activities that have the potential to cause a sitting breeze (eg exercise). This drug serves to relax the rigid blood vessels so that blood can flow smoothly to the heart. One of the most widely used nitrate drugs is glyceryl trinitrate. This medicine is able to relieve the symptoms of the Angina quickly. Do not consume alcohol during treatment with glyceryl trinitrate because it can aggravate the side effects that appear.
- Blood-prevention medications. This drug serves to separate the pieces of blood and prevent clumping. Some examples of drugs from this class are clopidogrel and ticagrelor.
- Calcium channel blockers. These drugs can smooth the flow of blood in the heart and relieve or prevent the symptoms of the Angina. Drugs also known as calcium antagonists are able to relax the muscle cells contained in the blood vessel wall.
- Nicorandil. This drug is a type of potassium channel activator, and is usually used by people who can not take calcium channel blockers. This drug serves to smooth the blood flow to the heart by widening the coronary arteries.
- Beta blockers. in relieving or preventing the symptoms of Angina, this drug works by counteracting the effects of the hormone adrenaline so that blood pressure decreases and the heart rhythm decreases. Thus, the heart burden will decrease.
- Ivabradine. This is a new generation drug with the same performance as beta blocking drugs. This drug can be an alternative if Angina sufferers can not take beta blocking drugs because of certain medical conditions, such as infections of the lungs.
- Ranolazine. This medicine can prevent the Angina by smoothening the blood flow and relax the heart muscles. Ranolazine is safe to use by patients who have irregular heart rhythms or have a history of heart attacks because these drugs do not affect heart rate.
- In addition to medications to cope with and prevent a sitting seas attack, your doctor may also prescribe some medications to prevent heart attacks and strokes, such as:
- Statins. This drug is able to lower cholesterol levels so that damage to blood vessels can be prevented. In addition, statins may also reduce the risk of stroke and heart attack. Statins work by blocking a cholesterol-producing enzyme found in the liver. Potential side effects of statins are abdominal pain, diarrhea, and constipation.
- Aspirin. This drug serves to reduce the level of blood clots so that the blood will easily flow through a narrow vessel once. In addition to overcoming the Angina Disease , aspirin can also reduce the risk of heart attack. Some of the side effects of aspirin use include nausea, indigestion, and gastric irritation.
- Angiotensin converting enzyme (ACE inhibitor) inhibitor. This drug serves to inhibit the activity of a hormone that can narrow the blood vessels. The hormone is called angiotensin. These drugs can also lower blood pressure. ACE inhibitors should not be used in sitting wind sufferers who have renal impairment because they can lower the blood supply to the organ.
If the symptoms Angina already severe and can no longer be overcome with drugs, surgery will be considered by the doctor in order to prevent the occurrence
heart attack. Some of these types of operations include:
- Bypass operation. This procedure aims to divert blood flow routes so as not to pass through the blocked or damaged blood vessels by using blood vessels from other body parts.
- Angioplasty surgery. Procedures aimed at streamlining blood flow are done by inserting a small balloon into a narrowing blood vessel, so that when the balloon is blown, the blood vessels widen. After that, a special wire will be used. The function of this wire to block the blood vessels to stay open.