Angina pectoris

5,691 views

Published on

Courtesy to Kristiana Gomez et. al :P


Constructive criticisms and reactions are welcomed. so I would like to thank you guys in advance for helping us to learn more.

2 Comments
21 Likes
Statistics
Notes
No Downloads
Views
Total views
5,691
On SlideShare
0
From Embeds
0
Number of Embeds
41
Actions
Shares
0
Downloads
0
Comments
2
Likes
21
Embeds 0
No embeds

No notes for slide

Angina pectoris

  1. 1.  Angina pectoris is the medical term for chest pain or discomfort  Cause:insufficient blood flow  Angina is a symptom of a condition called myocardial ischemia  Artherosclerosis, Coronary artery disease are the main causes of angina
  2. 2. ATHEROSCLEROSIS CORONARY ARTERY DISEASE ISCHEMIA INFARCTION ANGINA MI next
  3. 3. Back
  4. 4. Back
  5. 5. Back
  6. 6.  Angina is a sign that someone is at increased risk of heart attack, cardiac arrest and sudden cardiac death.  It may occur in the absence of a significant disease of the coronary arteries as a result of coronary spasm, stenosis or insufficiency and etc.
  7. 7. There is a weak relationship between pain and oxygen deprivation in the heart muscle TRUE!!!!! “there can be severe pain with little or no risk of a heart attack, and a heart attack can occur without pain”
  8. 8. 2.Unstable angina 1. Stable angina  preinfarction angina  symptoms occur frequently  chronic stable and last longer angina  pain is lower, and may occur at rest  have episodes of  It has at least one of these chest discomfort three features: that are usually  usually lasting >10 min; predictable  it is severe and of new onset  They occur on (i.e., within the prior 4–6 weeks); and/or exertion or stress.  it occurs with a crescendo pattern (i.e., distinctly more severe, prolonged, or frequent than previously).  are not relieved by rest and NGT tab.
  9. 9. 3. Intractable or refractory angina  severe incapacitating chest pain 4. Variant angina  also called Prinzmetal’s angina  pain at rest with reversible ST-segment elevation  It usually occurs spontaneously  it nearly always occurs when a person is at rest.  It doesn't follow physical exertion or emotional stress, either.  Attacks can be very painful and usually occur between midnight and 8 a.m 5. Silent ishemia  objective evidence of ishemia(such as ECG changes with a stress test), but patient reports no symptoms.
  10. 10.  cigarette smoking  diabetes  high cholesterol  high blood pressure  sedentary lifestyle  family hx. of premature heart disease  Kidney disease
  11. 11.  may produce pain varying in severity from mild indigestion to a choking ► heavy sensation in the upper chest that ranges from discomfort to agonizing pain  accompanied by severe apprehension and a feeling of impending death  The patient with DM may not experience pain  The pain is retrosternal  the pain is poorly localized and may radiate to the neck, jaw, and shoulders, and inner aspects of the upper arms, usually the left arm.
  12. 12.  woman may have different symptoms than man  weakness or numbness in the arms, wrists and hands, as well SOB, pallor, diaphoresis, dizziness or lightheadedness and nausea and vomiting may accompany the pain  atypical symptoms, including breathlessness, nausea, or epigastric discomfort or burping. (women)  It is exacerbated by having a full stomach and by cold temperatures  it subsides with rest or nitroglycerin
  13. 13. Suspect angina:  people presenting with tight, dull, or heavy chest discomfort :  Retrosternal or left-sided  radiating to the left arm, neck, jaw, or back  Associated with exertion or emotional stress and relieved within several minutes by rest  Precipitated by cold weather or a meal.
  14. 14.  ECG  STRESS TESTING  ECHOCARDIOGRAM  CORONARY ANGIOGRAM  C-reactive Protein
  15. 15.  Elderly persons with angina may not exhibit the typical pain profile because of the diminished responses of neurotransmitters that occur with aging, often the presenting symptoms in the elderly is dyspnea. If pain occurs it radiates to both arm not only in left arm, some times there is no symptoms
  16. 16.  OXYGEN DEMAND OXYGEN SUPPLY  are met through pharmacologic therapy and control of risk factors  Reperfusion procedures may be used to restore the blood supply to the myocardium.  These includes PCI procedures(percutaneous transluminal coronary angioplasty [PTCA], intracoronary stents and atherectomy and CABG
  17. 17.  Stop smoking  Cut down on fatty foods, especially high fat foods if you have high blood cholesterol levels  Increase your level of exercise  Eat more oats, which have been shown to reduce cholesterol  Lose weight if your doctor thinks you are overweight  Make sure your blood pressure is not high by having regular check ups  Consider another method of contraception if you take the Pill
  18. 18.  Percutaneous transluminal coronary angioplasty  Intracoronary Stents  CABG (Coronary Artery bypass surgery)
  19. 19.  Nitroglycerin Ex. Drugs (Nitrostat, Nitrol, Nitro-Bid)  Beta-Adrenergic Blocking Agents Ex. Drugs (Lopressor, Toprol, atenolol) Calcium Channel Blockers Ex. Drugs (Norvasc, Cardizem, Tiazac)
  20. 20.  Antiplatelet and Anticoagulant Ex. Drugs ( Aspirin, Clodogrel, Heparin)  Oxygen Administration
  21. 21.  stop all activities  sit or rest in a bed in a semi-Fowler’s  alternate rest and activity periods.  Assess pain and vital signs, noting respiratory distress, ans ST segment on ECG.  Administer nitroglycerin(up to 3 doses) and oxygen.  stress reduction methods with patient(eg, music therapy)
  22. 22.  Stop smoking  Cut down on fatty foods, especially high fat foods if you have high blood cholesterol levels  Eat more oats, which have been shown to reduce cholesterol  Lose weight if your doctor thinks you are overweight  Make sure your blood pressure is not high by having regular check ups

×