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ANGINA PECTORIS
When the coronary arteries, the arteries that take blood to the heart, get narrower, either because some plaques inside their, formed or because one is psico physical subordinates to stress. One does not sometimes hear pain (for istance in the diabetics), in this case one talks about ischemia silente (silent, what does not cause pain.) Talks about a pain raised more threshold (for endorfine big production of brain; them endorfine are substances anti dolorifiche.) Him no pain ischemia strikes the people that already had previous one ischemia or a previous infarct more frequently.
EFFORT ANGINA
Pain appears for excessive cold, a physical effort, for strong one emotion, after eating much. Often these situations are present in the same moment. It happens because the heart needs than oxygen and coronary arteries are not able to take him to the cardiac muscle because blood is diverted toward the organs that require it more: Stomach (to digest), muscles (to fight the cold and for the effort,) to all the body (for the strong emotion.) The more or less precocious appearance � depending of the state of health of the coronary arteries. Some start hearing pain, for istance, for light efforts, other for intense efforts. Almost always a heart visit is not able to "find" the problem, then the cardiologist suggests more in-depth exams
SPONTANEOUS ANGINA
In this case pain is not bound to efforts, but to the one presence Plaque Indoors of the coronary arteries. If the plaque is big the coronary artery makes go by less blood and less oxygen reaches the cardiac muscle. When the muscle requires the coronary artery is not able to make it go by, and more has the angina sponanea with very strong pain. Almost always the spontaneous angina takes to the infarct.
NO PAIN ANGINA
In this case one has an ischemia or an infarct and one does not hear pain. About the 15% some infarct not from pain. An electrocardiogram is able to "see" the ischemia silente, but accidentally, because if there is not pain the person does not go to the cardiologist happens. It can happen the person informs a big tiredness without having the reason, but the situations which one has tiredness not justified by a precise event in are many. Often the cardiologist also finds out an infarct silente after many years.
FUNCTIONAL ANGINA
The ischemia and pain are not caused by a problem some coronary, but for other illnesses that do not allow to fill well the coronary arteries blood. Between these: The heavy stenosis aortica, the insufficiency aortica, the stenosis mitralica, the heavy anaemia, the hyperthyroidism, the feocromocitoma, the heavy arrhythmies. Always go to its doctor or from a cardiologist. They will come it recommended the verifications to do.
INFARCT
In this case further on to pain, cells of the heart where blood does not get die, one forms a scar that does not take part in the working of the activity of the cardiac muscle. The interruption to the blood passage is due to the break of the plaque that was in the coronary artery or a thrombus (blood clot) that stopped in a point of the same coronary artery. If one arrives to the first aid of a hospital within 3 hours from the beginning of pain, doctors are able to melt the thrombus or the fragments of the plaque broken with suitable drugs. In this case there is a high possibility cells that had the ischemia do not die. The infarct appears at 60% to rest or during the sleep (above all al' dawn,) at 20% for light one physical activity, at 12% for middle efforts, all'8% for heavy efforts. Acute and prolonged, pain, wheeziness, character restlessness, plentiful sweat appear. In the person's that have an infarct, in the days that he precedes himself, there am tiredness, difficulty's in concentrating it, nausea's, palpitations' 70% irritation. In this case call the emergency immediately!
WHAT TO DO?
You think pain is from angina, go immediately to its cardiologist (or in hospital, if it is thought he has an infarct.) In case I treat of angina (pain to the "chest", but not infarct), follow the therapy that will be given by the cardiologist with precision. Begin a poor diet of fat. Begin bland (light) one physical activity (also walks.) Remove the activities stressful or the elements. And, if one is hypertensive, normalize arterial pressure (he will help your doctor, or your cardiologist of confidence.) Thin, if one is overweight corporeal.) Give up smoking, if one smokes.
To remember
Cardiac pain has a value. And 'a kind of alarm doorbell. Him he hears from him because he "protects" and informs, in order that to please reduce the physical and mental engagements. Here because a silent ischemia is more dangerous: He does not notice the risk that runs. The preventive controls (goes to the cardiologist's when good is) can reveal possible risks. |
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