Pre-infarction or unstable angina is a medical emergency, because it can rapidly develop into acute myocardial infarction..
The main manifestation of angina is the pain in the chest, caused by atheroma plaques. These develop complications, blocking the vessels that irrigate the heart. .
Symptoms of a pre-infarction
You can think you have angina pectoris if you present at least one of the following signs or symptoms:
– chest pain, behind the sternum, which goes towards the upper left limb, the madibula, the teeth or even to the back;
– the pain is like a pressure, weight, burning or even like a claw that tightens your chest;
– with the onset of pain you have an immediate death sensation and you become agitated;
– you have nausea and vomiting;
All of these events appear when you exercise physically, if you are stressed, after sexual contact, after a heavy meal or if you are in the cold; they can persist for more than 15 minutes in the case preinfarction. It can happen as in the case angina unstable the pains appear at rest and may disappear after the administration of nitroglycerin.
Pre-infarction symptoms in women
Women may have different symptoms than men because they do not feel tight or tight in the chest. The symptoms can be very different in women In their case, the signs of angina include stinging in the chest, dizziness, difficulty breathing, or stomach pain. All of these symptoms can also occur in the case of other conditions, so often the diagnosis is delayed.
How dangerous is the pre-infarction?
You have to know that unstable angina is most often followed by heart attack. From the first chest pain you should ask the doctor who will do an electrocardiogram and a set of tests. These will give valuable clues about the risk of heart attack.
Treatment of unstable angina
treatment are angina unstable looks like treatment myocardial. You need to know that if you have an unstable angina attack, you must be hospitalized in the intensive care unit, you will be monitored and you will not be allowed to get out of bed.
For pain relief you can receive sedatives and even morphine. In the first hours of admission, if you have the sensation of suffocation you will also receive oxygen.What medication can you get nitroglycerin intravenously every 5 minutes, provided that the blood pressure does not fall below 100 mm Hg; propranolol, nifedipine, lidocaine or heparin with acenocoumarol are other medicines indicated in treatment of unstable angina.
Aspirin in the dose of 70-160 mg / day and clorpidogrelul are antiplatelet platelets that prevent the formation of clots that can block coronary vessels.
And statins I'm part of unstable angina medication, being recommended from the first day of treatment. They reduce cholesterol and act on atheroma plaques, the main causes of heart attack.
Pectoral angina it can be aggravated if you have fever, anemia, hypo- or hypertension, tachycardia, hyperthyroidism or if the lungs are not functioning properly.
Risk factors include:
– age over 60 years
– family history of ischemic heart disease
– high levels of cholesterol in monkeys
– diabetes treated with insulin
– sedentarism, obesity, male estrogen – protective role
– excessive consumption of refined sugars, saturated fats, alcohol
– psychosomatic type A: ambitious, energetic, aggressive, impatient
– professions with high stress.