How is unstable angina treated?

Hello, angina pectoris is a manifestation of coronary heart disease, if the drug ** effect is not good, you can consider surgery**, there are coronary artery bypass grafting and coronary stent implantation options, if you don't want surgery** or take medication regularly, control emotions, and check regularly.

Patients are first stratified for risk, and patients in the frequent or persistent pain episodes or intermediate- and high-risk groups should be hospitalized immediately.

1) General treatment: bed rest, 24-hour ECG monitoring at the bedside. Maintain oxygen saturation above 90%. Sedation.

2) Drugs to improve circulation: application of blockers, nitrates, calcium antagonists, etc. 3) Antithrombosis (coagulation):

Low-molecular-weight heparin, unfractionated heparin (generally the former). 4) Antiplatelet resistance: aspirin, diclolid or clopidogrel.

5) Other drugs for coronary heart disease: ACE inhibitors, statins, etc. 6) For individual patients with extremely serious conditions, the conservative ** is not good, and emergency coronary angiography, intervention** or surgical operation should be performed in time**.

Patients in the intermediate- and high-risk groups should undergo coronary angiography and decide on intervention or CABG based on the results.

Answer] :d analysis: Unstable angina pectoris is more severe and can occur day and night. Verapamil and diltiazem are effective, and nifedipine should be used in combination with receptor blockers. So choose D for this question. Master the knowledge of "classification of antiarrhythmic drugs".

Answer] :d variant angina: calcium antagonists are the drug of choice.

Stable angina: common in patients with coronary atherosclerosis. When the heart does more work and the blood supply is insufficient, leading to angina attacks, calcium antagonists dilate blood vessels, slow down the heart rate, weaken contractility, lower blood pressure, and reduce myocardial oxygen consumption, thereby relieving angina.

Verapamil and diltiazine <> are available

Unstable angina: caused by the formation or rupture of atherosclerotic plaques and increased coronary resistance, which is more severe, and can be wide and wide day and night. You can also choose Verapamil and Dizen Qiaodaersulfur <>

For patients with stable angina, a fast-acting nitrate formulation may be chosen, usually within a few minutes. In addition, some early monitoring drugs can also be used to improve the lack of blood and reduce symptoms, the more common is metoprolol bisoprolol.

It should be appropriate to drink the medicine, pay attention to the effect of the drug, according to the doctor's advice, reasonable control of the drug, the drug for a period of time, must be reviewed regularly.

You can first relieve the pain by injecting drugs, and then strengthen the calm relief of pain by taking drugs, so that you can use drugs**.

When we eat, we have to drink the medicine and take the medicine on time every day, so that the medicine can be used to keep angina stable.

Take medicine to drink medicine, take medicine on time every day, so that the medicine, angina pectoris, keep stable.

Unstable angina pectoris, an acute cardiac event of coronary heart disease, is an important component of acute coronary syndrome, and is an intermediate clinical syndrome between chronic stable angina and acute myocardial infarction. Stable angina is similar in nature to typical exertional angina, but is usually more severe, often described as painful, lasting up to 30 minutes, occasionally waking the patient from sleep. increased frequency, severity, and duration of angina; presence of resting or nocturnal angina; chest pain radiating to a nearby or new site; Attacks are accompanied by new associated features such as sweating, nausea, vomiting, palpitations, or dyspnea.

Patients with coronary heart disease often have angina, then, some angina is relatively safe, but some patients are very dangerous, and if not recognized in time, it is easy to have myocardial infarction, which can lead to sudden death in severe cases.

Angina pectoris is characterized by episodic chest pain, which is characterized by:

1.Place. Mainly after the upper or middle sternal body, it can affect the precordial area, with a palm-sized range, and even across the anterior chest, and the boundaries are not clear. It usually radiates to the left shoulder, to the ring finger and little finger on the inside of the left arm, or to the neck, pharynx, or jaw.

2.Quality. Chest pain is often compressive, tight, or constricted, and may also be burning but not sharp, unlike pinprick or knife prick, and occasionally with a fear of dying. During an attack, people often unconsciously stop their activities until symptoms resolve.

3.Incentive. Seizures are often triggered by physical exertion or emotional agitation (eg, anger, anxiety, hyperexcitement, etc.), but can also be triggered by satiety, cold, smoking, tachycardia, and shock. The pain occurs at the time of exertion or agitation, not after a day of exertion. Typical angina occurs under similar conditions.

Sometimes, however, the same exertion causes angina only in the morning rather than in the afternoon, suggesting a lower morning pain threshold.

4.Duration.

Pain usually worsens gradually after onset, then gradually disappears within 3 to 5 minutes, and usually resolves when the activity that caused the original symptom is stopped. Sublingual nitroglycerin can also be relieved within minutes. They can occur once in days or weeks, or multiple times in a day.

1. Stable angina: chest pain attacks are fewer, the duration is shorter, and it can be relieved on its own, the ECG shows low pressure, normal cardiac enzymes, and stable plaques, nitrates can be taken during the attack, and antiplatelet drugs, lipid-lowering drugs, and blockers can be taken when the attack is not attacked;

2. Unstable angina: chest pain attacks are more frequent, longer duration, more severe pain, difficult to relieve after rest and medication, ECG shows serious elevation and depression, troponin in cardiac enzymes can be increased, plaque is unstable, anticoagulants need to be added, and thrombolysis is better.

The degree of blockage of blood vessels in stable angina is fixed. Then the patches on it are also relatively stable and not easy to fall off. Unstable angina: It is unstable in plaque shedding. In general, stable angina is more severe.

Unstable angina is a more critical condition that requires an emergency hospitalization**. Stable angina is relatively stable and less dangerous.