Home Spermogram delivery Signs of angina pectoris in men over 50. Symptoms of angina pectoris in men

Signs of angina pectoris in men over 50. Symptoms of angina pectoris in men

Among the most common cardiological diseases is angina pectoris, which affects hundreds of thousands of people on the planet. This pathology is by no means harmless, as it indicates a number of disturbances in the heart, often develops in coronary artery disease, causing a heart attack. Men suffer from angina more often than women, and the manifestations of angina pectoris are specific, and the likelihood of disease progression is increased even at a young age. What are the signs of angina pectoris in men? And what if you are diagnosed with this?

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Why does angina pectoris occur more often in men?

The reasons for the development of pathology are a lack of blood supply to the heart, that is, arteries cannot supply oxygen to the myocardium in the required amount. This is due to the appearance of atherosclerotic plaques blocking the coronary arteries. This violation most often occurs under the influence of several factors:

  • Overweight - men who are prone to obesity, leading a sedentary lifestyle and often overeating, usually suffer from a variety of cardiological diseases, including angina pectoris;
  • Increased physical activity - handymen, movers, builders - exclusively male professions, where endurance and strength are required, lead to the development of pathology;
  • Emotional feelings and stress - usually cause angina pectoris in men engaged in business, senior management. In general, in industries where the brain loads are high and there is no time to relax;
  • Improper nutrition - snacks, lack of vitamins in the diet, fatty, fried, smoked foods;
  • The presence of chronic diseases - for example, high blood pressure in men with angina pectoris - is very common. Also observed diabetes mellitus, anemia, thyroid pathology;
  • Intoxication of the body due to alcohol abuse, nicotine addiction. Since men are more likely than women to lead the wrong lifestyle, they have the disease.

It is curious that in young men under the age of 45 years, angina pectoris manifests itself twice as often as in women. With the onset of menopause, statistics change - the number of sick women becomes higher.

Can affect the development of pathology and hereditary factors, exposure to cold, untimely treatment of a doctor with concomitant pathologies. Pectoral toad occurs in men who are professionally involved in sports, or, conversely, exercise from case to case, giving the body an unusual load.

Typical manifestations of the disease

Symptoms of angina pectoris in men practically do not differ from those that disturb women suffering from a similar disease. Doctors recommend carefully monitoring their condition in order to notice changes in time and take the necessary measures. The first signs of the disease are as follows:

  • Pain sensations arise unexpectedly, without any reason, or during physical, emotional stress, after taking medications do not pass;
  • You can track the trend that the pain appears at a certain time of the day, for example, during rest or when playing sports, hard work;
  • The nature of the pain is difficult to describe - some patients note oppressive sensations, others - bursting and burning;
  • Heartburn symptoms are felt - an unpleasant heaviness in the heart area, as if you swallowed a stone;
  • General weakness, pallor is noted, cold sweat appears, pressure may increase, heart rate may change, becoming uneven.

Complicates the diagnosis and the fact that the manifestations of angina pectoris are similar to other pathologies of a coronary and other nature. The patient may confuse them with overwork or write off to excessive physical exertion. However, this behavior is erroneous: even if you play sports excessively, pain behind the sternum is a clear sign that you need to visit a cardiologist, there are failures in your body.

Symptoms of male angina pectoris

Of course, the manifestation of pathology in men is somewhat different from the symptoms noted by women. The reason is not that the male heart hurts differently or the symptoms are not so pronounced. Just men do not attach importance to pain in the early stages, ignoring them. A visit to a doctor occurs even when angina pectoris passes into a pre-infarction state.

Among men, pathology significantly more often leads to death, which is caused by an untimely visit to a cardiologist.

In the early stages, men describe mild pain, which is localized behind the sternum, and can be given to the jaw, arm, or neck. Sometimes painful sensations are completely absent, and the attack is characterized by heart palpitations, pallor, and increased blood pressure.

Most often, the pain disappears suddenly if the provoking factor is eliminated. So, it is enough to stop playing sports so that the attack is completed. But dyspeptic manifestations, such as nausea, vomiting, discomfort in the intestines, are extremely rare in men.

Progression of angina pectoris affects male sexual function, which even in young people can be reduced. The disease affects people over the age of 30, although the elderly generation complain of cardiological disorders much more often.

What treatment is prescribed for men?

When the examinations were conducted, and the diagnosis revealed the presence of a dangerous pathology, treatment for angina pectoris in men is prescribed. Of course, getting rid of this disease will not work out completely, a special regimen and taking medications must be continued constantly. Nitroglycerin should always be at hand - a drug that should be drunk during seizures.

In general, the treatment of pathology in men is no different from the treatment of angina pectoris in women. Doctors prescribe medications for ischemia, atherosclerosis, to reduce blood pressure and get rid of concomitant diseases.

Among the necessary measures that the patient should adhere to, are:

  • Special diets aimed at reducing excess weight. From the diet you will have to remove foods rich in animal fats, reduce the intake of salt and cholesterol. Eat more fruits and ingredients rich in magnesium and potassium, they help improve heart function, thin the blood;
  • Moderate physical activity will be extremely useful, so it is still necessary to play sports. If you have a sedentary lifestyle, start by walking in the morning;
  • A job change is shown if you are engaged in professions that require exhausting work - you can quit your job for medical reasons;
  • Use traditional medicine after consulting a doctor. So, many patients prepare decoctions with rose hips and hawthorn, eat a mixture with garlic, lemon and honey;
  • Refuse bad habits - smoking is forbidden, and you can drink alcohol only in small doses;
  • Allow enough time for rest and sleep.

If you suffer from hypertension, get a blood pressure monitor and regularly monitor blood pressure to prevent the onset of angina attacks.

The doctor should determine what treatment is needed. Perhaps, if you turned already at the stage of progression of the pathology, and the clinical picture is unfavorable, surgical intervention may be prescribed. Although most often it is the conservative method with taking medications.

The prognosis of the course of the disease in men

Angina pectoris in representatives of the stronger sex in approximately 50-60% of cases ends with myocardial infarction. But this is not due to the severity of the course of the disease, it is just that men ignore dangerous symptoms for more time. What will be the forecast?

  • If you visit the doctor on time, go through the diagnosis, follow all the instructions, treatment will be beneficial, and new attacks will only bother you with an intense load;
  • If you contact a cardiologist too late, an ambulance team will bring you, there is a likelihood of negative consequences. So, clinical death will not pass without a trace for the body, even if resuscitation is competent and quick.

A diagnosis of angina pectoris in men should not cause a feeling of fear. Living with this pathology is quite realistic, although you still have to change old habits. Do not forget about a regular examination with a doctor, and then cardiac diseases will be easily treatable.

Although the symptoms of male angina pectoris are similar to the signs of pathology in women, it is difficult to make an accurate diagnosis, because men rarely note their condition during attacks, cannot describe it in detail. The task of physicians is to prescribe an examination and the necessary treatment measures so that the patient is healthy again, and the attacks do not affect his standard of living.

The signs of angina pectoris in men must be known and able to take the first measures to eliminate this problem, provide first aid. Today, among all diseases, heart diseases are leading. They occur regardless of age or gender. Men suffer from such diseases more often than women of the opposite sex.This is due to many factors.

The occurrence of such diseases can occur due to a violation of blood circulation. This disrupts the delivery of important elements and oxygen to all organs and their tissues. Nutrients and oxygen do not or do not reach the tissues and cells of the myocardium at all. This condition leads to the development of all kinds of diseases of the cardiovascular system. When there is a violation of the normal functioning of the heart, the first alarming symptoms may appear, signaling the first stages of coronary heart disease. Such a disease has its forms: a sharp coronary death, heart failure, myocardial infarction, various malfunctions in the rhythm of the heart, angina pectoris in elderly people (after 50 years). This ailment occurs more often in the male sex, this is due to various factors and causes. To be able to start an adequately selected course of treatment, you should undergo examination and examination, visit a cardiologist.

Causes of angina pectoris

The main difference between male and female health problems is that diseases of the cardiovascular system in men arise as a result of excessive physical exertion, stress, overwork, psycho-emotional overstrain.

One of these diseases is angina pectoris. Her symptoms are easily recognizable among other ailments of the heart. All the causes of this condition can be divided into two large categories:

  1. Factors that cannot be eliminated (unmodifiable). This is gender, age category, genetic predisposition. Often this disease can occur in men over the age of 50, this is due to many processes in the body, including changes in the endocrine system. Angina pectoris is one of those diseases for which there is a genetic predisposition and is observed in several generations along the male line. This is not always a mandatory circumstance, but people whose relatives suffered from such a disease are at risk;
  2. Factors that can be eliminated (modifiable). These are circumstances and conditions that affect the body from the outside. Among these factors, the most common are excessive physical exertion, emotional stress, fatty foods, unhealthy lifestyles (alcohol, smoking), lack of physical activity, hypothermia, frequent stressful situations.

To determine the cause of such a disease, the history of both the patient and the family history, related factors should be taken into account. This is necessary to prescribe the right treatment and alleviate the general condition. The doctor will examine and determine which of the factors can be eliminated. This is a prerequisite for proper treatment and improving the quality of life.

The most pronounced manifestation of the disease is pain after exercise has been performed. It passes when the load ceases. But there are many other provoking circumstances and reasons why severe pain can occur.

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Factors provoking the development of the disease

The main factors that can trigger the occurrence of angina pectoris are:

  1. Unbalanced and irrational nutrition. This factor is the most common provocateur of the onset of the disease. It can be caused by frequent overeating, the consumption of excessive amounts of fatty foods, which is harmful not only to the digestive system, but also to the heart.
  2. A sharp temperature drop (downward) and its effect on the body. It can be too cold water, icy air, excessively cold drinks. A lot of angina attacks can provoke swimming in a too cold pond, which is noteworthy, in people who carry out water procedures during frost, attacks almost never happen.
  3. The next factor is old age. The most common patients with angina pectoris are men who are over 50 years old. This may be due to changes in the endocrine system. The female also has such an ailment, after the onset of menopause.
  4. Another factor is thyroid disease, the presence of diabetes in the body. Genetic predisposition is one of the key factors that trigger the onset of the disease. Direct relatives have cases of heart disease. Atherosclerotic disease acts as another provocateur of such an ailment, since during it in the vessels there is a decrease in lumen, a decrease in the delivery of oxygen and nutrients, thrombophlebitis is formed
  5. One of the factors in the appearance of angina pectoris is a sedentary lifestyle. This contributes to overweight and obesity. Excessive physical overload (this is especially pronounced when there is a lack of oxygen that is delivered to the myocardium), anemia (blood circulation is disturbed, increased blood viscosity and blood clots form), frequent stresses (hanging pressure, emotional overstresses lead to vasospasms and impaired vascular oxygen supply) . A very strong influence on the occurrence of the disease is exerted by cigarette abuse. This addiction can provoke a spasm of blood vessels, as well as insufficient oxygen saturation of organs.

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Typical symptoms of angina pectoris

Symptoms of angina pectoris can sometimes resemble the development of other diseases, so this ailment is determined by the combination of many signs.

The very first sign of the onset of the disease is a sharp pain that cannot be relieved with painkillers. Pain subsides as dramatically as it arises. Pain can occur under certain circumstances, often after prolonged physical exertion, emotional stress, and other factors. After taking nitroglycerin, the pain subsides. An attack may appear suddenly, for example, when walking on stairs or when walking fast. During increased physical exertion, the pain increases, while decreasing it decreases. This symptom is most characteristic of angina pectoris. Painful sensations are localized in the region of the heart, neck, shoulder blade, left upper limb. When an attack occurs, a condition similar to heartburn is observed, it seems to a person that a “stone” lies on the heart (that is why the people nicknamed this ailment “angina pectoris”). Sometimes the pain may not be felt, the signs in this case are only an uneven heart rate, the appearance of cold sweat, pallor of the skin, worsening of the general condition, and an increase in blood pressure.

Typical symptoms of angina pectoris are manifested in the form of a sharp jump in pressure, severe and piercing pains in the chest area, burning sensation, shortness of breath and shortness of breath, lack of air, numbness of the hands with subsequent loss of sensitivity. Pain can be given to the left shoulder and arm. These signs are typical for an attack of angina pectoris.

Today, heart disease is spoken and written even in the newspapers. And it seems as if everyone should learn everything about this disease - but no! “Repetition is the mother of learning” is a Latin proverb with which to continue our article. A reminder of the disease and the severity of its consequences will never be redundant. And the patient’s acceptance of recommendations about a healthy lifestyle is a big plus in favor of his health. Therefore, again and again we will talk about such a well-known and obscure disease as angina pectoris.

What makes everyone dance

To say that angina pectoris is all that is connected with the heart will not be entirely correct. Factors leading to the development of the disease exert their influence long before the onset of the first symptoms. So, what causes the development of angina pectoris in men? In a word, it can be called “factors”. The factors for the development of the disease among men are the same as in women. In total, there are about 300 risk factors for cardiovascular disease. But in relation to angina pectoris, 3 most significant factors are distinguished: arterial hypertension, smoking and high blood cholesterol.

Only these three factors in total explain the death in patients in 75% of cases. These factors are classified as modifiable or variable factors. Arterial hypertension is a disease that is characterized by high blood pressure. The prevalence of this risk factor has approximately the same frequency among both sexes. Smoking is another unfavorable factor regarding the development of angina pectoris. Unfortunately, this indicator is growing due to the fact that the number of smoking young women is increasing.

Remember! Smoking does not have a safe threshold. Many studies have long proven that smoking even one cigarette per day increases the risk of cardiovascular disease by more than 2 times.

Elevated cholesterol is another unpleasant thing that causes the development of cardiovascular diseases. Cholesterol has several fractions, which are important in the development of angina pectoris or its prevention. Risk factors for the development of angina pectoris among men are an increase in total cholesterol more than 5 mmol, an increase in low-density lipoprotein cholesterol above 3.0 mmol, and high-density lipoprotein below 1.0 mmol.

The level of triglycerides is also important. An increase in triglycerides above 1.7 mmol acts as a risk factor for angina pectoris. The following risk factors are also important: overweight, diabetes mellitus, the age of men under 55 years of age.

What triggers angina attacks in men

The main reasons leading to the appearance of symptoms of angina pectoris in men are physical and psychoemotional stress, heavy meals, smoking, high blood pressure, and tachycardia. The basis of all these provoking factors is the effect of myocardial depletion of oxygen. There is a mismatch between the needs of the heart for oxygen and the possibilities of its delivery to the myocardium.

What does "angina pectoris" look like?

Before talking about the disease, it is worth mentioning that the signs of angina pectoris in men, as in women, can be atypical. Pain in the arm, suffocation, vomiting, or abdominal pain is something that can lead the patient to think of some other pathology, but not the heart. Sometimes it’s precisely these moments that prevent the patient from seeking timely medical attention. What symptoms are observed in a patient with a typical attack of angina pectoris?

Pain syndrome is the main sign of this ailment. Often, describing the pain syndrome, the patient clenches his fist tightly and puts it on his chest. Pressing pains or a feeling of heaviness behind the sternum in the heart area is one of the most common symptoms of angina pectoris. In addition, the nature of the pain can be aching, bursting, stitching. Pain is often accompanied by symptoms such as dizziness, shortness of breath, headache, heart failure, palpitations, sweating, general weakness.

In addition, one should also be aware of such “mask syndromes” under which angina pectoris can occur: asthma attack, limb pain, lower jaw, abdominal pain, fainting, dizziness and high blood pressure with headache, rhythm disturbance. Some elderly people and people with diabetes may have no symptoms or be so mild that the patient may simply not pay attention to them.

Diagnosis of angina pectoris

Often, the patience and hardy nature of “real” men prevents them from seeking medical help on time. Such moments do happen, but then the patient is unbearable. Diagnosis of angina pectoris begins in the doctor’s office. A patient’s visit to the doctor is where you need to start solving your problems with the heart. Symptoms of the disease are the first and important stage from which the diagnosis of angina pectoris begins. Correctly collected complaints and anamnesis - this is already half the diagnosis.

Therefore, no matter how unimportant the complaints seem, all of them must be presented to the attending physician. In addition to clinical trials of the heart, including examination, palpation, percussion and auscultation of the heart region, instrumental methods are used. The most accessible and no less informative in the diagnosis of heart disease is the electrocardiographic method of research.

However, with regard to angina pectoris, the electrocardiogram may not give any information, since the signs detected with angina pectoris are nonspecific and can occur in other heart diseases. At the time of the attack, if it was registered, the signs of the disease will be a decrease or rise or decrease in the ST segment from the contour. The T waves will also change. They can be either negative or positive. Positive altered T waves on an electrocardiogram are called "coronary."

However, this method cannot be used in isolation in the diagnosis of angina pectoris. These changes quickly disappear after the symptoms are resolved. An electrocardiographic study with various stress tests and samples is the most informative method that allows you to register changes in the ECG in response to physical activity. According to indications, coronary angiography, myocardial scintigraphy can be performed.

We treat angina pectoris

“We treat angina pectoris” - means that not only the doctor, but also the patient is involved in the treatment of the disease. Non-drug treatment is aimed at changing the patient's lifestyle. Medicinal effects include taking medications, which include the following groups: antiplatelet agents, statins, angiotensin converting enzyme inhibitors, beta-blockers, calcium antagonists, nitrates. The selection of the dose and frequency of taking the drugs is up to the doctor. Therefore, attempts at self-medication and dose adjustment should not occur in the patient. Any questions should always be discussed with your healthcare provider.

We are engaged in prevention

Prevention, prevention and once again prevention! Very often, patients make a lot of complaints to the attending physician that the symptoms do not stop, and the condition worsened. Compliance with recommendations from the patient means a lot. Attention should be paid to the following points in the prevention of angina pectoris: combating overweight, giving up bad habits, monitoring and normalizing cholesterol levels, treating high blood pressure and, of course, taking medications.

In addition to the above, one should not lose sight of a dietary review. The exclusion of fatty, fried, salty and spicy foods, as well as its plentiful intake should not occur in a patient with angina pectoris. It should pay attention to low-fat varieties of meat, fish. It is necessary to eat fruits and vegetables, cereals, and products from wholemeal flour. It is permissible to consume dairy products with minimal fat content.

In addition to everything, it is important to remember such a moment as physical activity, and, of course, a positive attitude. Be healthy!

Today, heart disease occupies a leading place among others, they affect people of any age and gender, social welfare. But more often they appear in men than in women, which is associated with many circumstances. This is usually due to circulatory disorders, when the flow of nutrients and oxygen to other organs is very difficult. Myocardial oxygen supply stops or decreases to a minimum, which leads to the occurrence of diseases. As a result, the functioning of the heart is disrupted. All this leads to the appearance of symptoms of coronary heart disease, which can take the following forms:

  1. Coronary sudden death.
  2. Heart failure.
  3. Myocardial infarction.
  4. Various heart rhythm disturbances.
  5. Angina pectoris, which is most often observed in old age. After 50 years, the likelihood of just such a form increases sharply.

Angina pectoris most often appears in men, it is caused by various reasons. In order to be able to start treatment correctly, it is necessary to identify the disease on time. For this, experts recommend regular examinations from relevant specialists.

Causes of Angina Pectoris

Male diseases differ from female diseases in that for the most part they are caused by excessive physical exertion, stress, overwork, psycho-emotional stress. One of these diseases is angina pectoris, the symptoms of which are easy to recognize and distinguish from signs of other diseases.

All the reasons why the development of angina pectoris in men can be observed can be divided into 2 large groups:

  1. Fatal, i.e. unmodifiable factors. This may include age, gender, heredity. Most often, this disease develops in men over the age of 50, which is associated with numerous processes that occur in the body, including changes in the endocrine system. Some diseases, including angina pectoris, are hereditary, i.e. appear in direct descendants. This is not a prerequisite, but the risk of a disorder increases many times if one of the relatives already suffers from such a disease.
  2. Disposable, i.e. modifiable factors. These are various factors that exert an external influence on the body. Among the most common causes of angina pectoris, too strong physical and emotional stresses, the use of fatty foods, and the wrong lifestyle with inactivity can be noted. Among the reasons it should be noted hypothermia, constant stress.

In determining the reason why angina pectoris is observed, it is important to consider all factors. This will allow you to prescribe treatment as accurately as possible, to alleviate the general condition. After the examination, the observing doctor takes into account which factors can be eliminated, which actions require correction. Only this will improve the quality of life and ensure proper treatment of the disease.

Disease provocateurs

The most characteristic sign of angina pectoris is severe pain after physical exertion, which disappears if the stress decreases. But there are a number of other factors, which are called provocateurs, they become the reasons that severe and sharp pains appear. Among these provocative factors, the following should be highlighted:

  1. Improper malnutrition. This factor is observed most often. It is caused by overeating, the consumption of large amounts of fatty foods, which exerts the most negative burden not only on the stomach, but also on the heart.
  2. Abrupt exposure to cold, both local and general. Usually it is cold water, frosty winter air, too cold and icy drinks. A large number of seizures are observed when swimming in ice water, pain is less common in frost.
  3. Age from 50 years. Most often, seizures are observed in men who have crossed the line at 50 years old. This circumstance is associated with changes in the endocrine system. In women, angina pectoris is also observed in old age, especially if menopause has occurred.
  4. The presence of thyroid disease.
  5. The presence of a disease such as diabetes.
  6. Heredity. Often heart diseases are hereditary, i.e. cases of angina pectoris, heart failure, heart attack are observed in direct relatives.
  7. Atherosclerosis. With such a disease, a narrowing of the vascular lumen occurs: the supply of oxygen and nutrients decreases, is minimized, and thrombi form in a large number.
  8. Hypodynamia is too low physical activity. Usually this leads to a strong increase in weight, to obesity.
  9. Too sharp unusual loads, especially if they are observed with insufficient supply of blood to the myocardium.
  10. Smoking. Such a bad habit causes vascular sclerosis, their constant narrowing. And this leads to a lack of supply of organs with oxygen, the formation of carboxyhemoglobin. If you do not give up smoking, then the likelihood of angina pectoris increases. Usually it is a man who suffers from the inability to quit this addiction, even despite the risk of numerous diseases.
  11. Anemia i.e. blood disease, its circulation is disturbed. This leads to an increase in blood viscosity and the formation of blood clots.
  12. Stress, constant psychoemotional stress, increased blood pressure. All this leads to sharp spasms of blood vessels, the impossibility of a normal supply of oxygen to organs.

Signs of angina pectoris: how to distinguish it from other diseases?

The symptoms of angina pectoris can sometimes strongly resemble other diseases, so it is very important to monitor your condition.

This disorder is characterized by such characteristic manifestations that are unusual for other diseases:

  1. The pain begins very sharply, it does not go away, even when taking medications. The pain ends as abruptly as it begins.
  2. There is pain only at certain points. Most often with excessive physical exertion, after nervous overload, with overwork. This usually happens after a hard day after morning jogging.
  3. When taking nitroglycerin, the pain can disappear just as sharply.
  4. An attack occurs after climbing stairs, uphill, even with very fast walking.
  5. With increased physical exertion, pain intensifies, with a decrease or cessation of them, they pass quickly and suddenly. This is the most striking sign that it is precisely angina that is observed, and not another disease.
  6. The pain is most often observed in the region of the heart, but often it quickly spreads to the neck, jaw, to the scapula, left arm.
  7. During the attack, a condition is observed that is very similar to heartburn, it seems that there is a stone in the region of the heart. It is on this basis that angina pectoris got its name - angina pectoris.
  8. There is also a situation where pain is almost not felt, it is only noticeable that the heart rhythm is extremely uneven, a strong pallor appears, cold sweat appears, pressure rises sharply with a general deterioration in well-being.

First aid for an attack

When the first manifestations of the disease or acute attacks are noticed, the patient needs first aid. This is an important point, especially if angina pectoris has not been noticed before. Of course, the first action is to call an ambulance with a description of the observed symptoms, but after that it is required to provide some actions that will help alleviate the patient's condition.

A doctor's call must be provided immediately if such symptoms of angina are observed:

  1. The characteristic pain that appears behind the chest does not subside within 5 minutes. It can be aggravated, accompanied by vomiting, a sharp deterioration in breathing, severe weakness, which makes movement difficult.
  2. When taking nitroglycerin, the pain behind the sternum not only does not go away after the tablet is completely absorbed, but it can also increase, and the general condition worsens.

When an ambulance is called, it is necessary to provide the patient with a series of assistance measures that allow him to slightly ease his condition before the doctor arrives. Among these measures are the following:

  1. The patient will first have to be reassured, he should stop panicking. After that, he is seated so that his legs are lowered down. Do not let the patient get up, sudden movements are unacceptable.
  2. Next, you need to give under the tongue give aspirin in the amount of half a large tablet.
  3. To alleviate the condition, a nitroglycerin tablet should be put under the tongue. It can be replaced by other means, for example, nitro-lingual or an aerosol called Isoket. It can not be inhaled, the dose should be single.
  4. If the effect does not occur, then all the proposed funds must be repeated, i.e. make a second dose. Nitroglycerin can be taken repeatedly only with an interval of not less than 3 minutes, all aerosol preparations with an interval of 1 minute. Too often it is impossible to give medicines, as this can lead to a severe worsening of the condition.
  5. You can take the drugs again a maximum of 3 times. If you do not follow this simple rule, you can provoke other problems. Blood pressure can drop sharply, and this is quite dangerous in any condition, not to mention angina pectoris.

Heart diseases are more often observed in men, they can be caused by a variety of reasons. Among them, insufficient or very poor supply of oxygen to the heart muscle.

The article describes the manifestations of angina pectoris in patients of different sexes. First aid measures and treatment principles are described.

Angina pectoris, or "angina pectoris," is called a pathology that occurs due to a transient spasm of the coronary vessels. Symptoms of angina pectoris in women and men are practically the same. The disease is chronic, in the absence of proper treatment provokes a heart attack.

Angina pectoris is not an independent disease, but a symptom complex, which is one of the manifestations of coronary heart disease (CHD). The essence of the pathology is paroxysmal pain localized behind the sternum, arising from the low oxygen supply to the myocardium.

Distinguish:

  • angina pectoris   - occurs in the absence of physical stress, often at night;
  • angina pectoris   - develops against the background of physical and emotional stress.

The prevalence of the disease depends on gender and age. At risk are men and women over the age of 45 years. Angina pectoris is less common in women than in men. Recently, the disease is increasingly being diagnosed in young men under the age of 30 years.

Causes

The leading cause of angina pectoris is narrowing of the coronary vessels caused by atherosclerosis. As a result of atherosclerotic narrowing of the lumen of the arteries, the myocardium is not sufficiently supplied with oxygen, which provokes the occurrence of ischemia, manifested by chest pains.

The main causes of angina pectoris in men are:

  • intense physical and emotional stress;
  • nicotine and alcohol abuse;
  • acute and chronic diseases;
  • overweight;
  • unbalanced nutrition;
  • sedentary lifestyle;

It should be noted that the causes of angina pectoris in women are almost the same, with the exception of hormonal changes that occur against the background of menopause.

How does it manifest

Men and women describe the symptoms of the disease that disturb them in different ways. But there are common manifestations for all - this is pain in the left half of the chest, headaches, respiratory failure, cardiac arrhythmia, a sense of fear, general weakness.

Among women

Signs of heart angina in women are slightly different from those in men. The first signs of angina in women appear more often after 55 years, which is explained by a decrease in the amount of estrogen that prevents the formation of atherosclerotic plaques.

Symptoms of an attack of angina in women can be as follows:

  • dull pain radiating to the region of the left shoulder blade, shoulder, sometimes to the teeth;
  • sweating
  • heartburn, nausea, vomiting;
  • dyspnea;
  • numbness of the upper limbs, a feeling of "goosebumps" on the skin;
  • feeling of fear.

The clinic of angina pectoris in women is most often manifested atypically.

In men

Signs of angina pectoris in men depend on the type and stage of the disease. The main difference from angina pectoris in women is that the symptoms of heart angina in men appear at a younger age.

Pathology is manifested by the following symptoms:

  • unexpected chest discomfort in the form of burning, bursting, or constricting;
  • shortness of breath, inability to take a deep breath;
  • dizziness;
  • loss of sensation in the hands;
  • increased sweating;
  • pallor of the skin;
  • sometimes visual impairment;
  • nausea, heartburn;
  • weakness.

With a disease such as angina pectoris - symptoms, the first signs in men can be mild and patients do not immediately pay attention to their appearance. And this is the main danger of the disease. Failure to seek medical attention often leads to a heart attack.

Diagnostics

Cardioldog carries out diagnostic research in several areas - the survey and examination of the patient, instrumental and laboratory studies.

  1. Survey and physical examination. The doctor assesses the dynamics of the disease, asks about bad habits, concomitant diseases. Then, the localization, duration, nature of pain is assessed. On examination, attention is drawn to the manifestations of atherosclerosis - the presence of lipid formations on the body and face, pallor of the skin, puffiness. Listening allows you to evaluate your heart rate. Pulse and pressure are measured.
  2. Electrocardiogram. ECG estimates the frequency of contraction of the heart muscles, diagnoses arrhythmia (pictured). At the time of the attack, the procedure reveals a decrease in the ST interval. The daily ECG implies the patient wearing the device for a day. Thus, spontaneous or angina pectoris is detected.
  3. Echocardiography. This is an ultrasonic research method that evaluates heart contractions, pressure in chambers, fixes pathological changes in areas of the heart affected by circulatory disorders.
  4. Coronarography. Coronary airbrushing is indicated to assess the extent and prevalence of damage to the cardiac arteries.
  5. Blood tests. It determines glucose level, creatinine concentration, fat level. Angina pectoris is determined by the presence of anemia, an excess of glucose and cholesterol.

A differential diagnosis is necessarily carried out with neuroses, intercostal neuralgia, diseases of the lungs and gastrointestinal tract.

Treatment

The goal of therapy is to reduce the severity of symptoms, improve the quality of life of the patient, prevent attacks, the progression of the disease and the development of heart attack. The treatment of patients with coronary artery disease should be comprehensive, that is, in addition to drug therapy, include a special regimen of the day, a properly selected diet (table No. 10) and dosed physical activity.

First aid for an attack

An attack of angina pectoris often occurs unexpectedly due to physical exertion, stress, hypothermia or overheating, as well as at rest, for example during sleep. First aid can be provided not only by specialists, but also by people who are next to a person at the time of the attack.

What to do with a sudden attack:

  • call doctors;
  • to seat and reassure the patient;
  • take nitroglycerin - the instruction indicates that 1-2 tablets are enough, otherwise the pressure will drop sharply;
  • open a window for air flow;
  • apply warm warmers to your feet;
  • in case of a state of excitement, offer sedatives - corvalol, valocardin in the minimum dosage.

A specialist in the video in this article will tell you more about the first aid algorithm.

Main treatment

Symptoms of angina pectoris in women and the treatment of this pathology are directly related. The basis of therapy is medication. Several pharmacological groups of drugs are used, the purpose of which is to influence the pathogenesis and symptoms of pathology.

  1. Nitrates. The main group of drugs for cardiac ischemia. Used to relieve seizures. The most common drug is Nitroglycerin. It is taken with the appearance of pain under the tongue in tablets or in the form of a spray. A pronounced side effect of the drugs is a headache. Nitroglycerin contributes to the expansion of the spasmodic vessel, reducing the area of \u200b\u200bischemia and thereby eliminating pain.
  2. Adrenergic blockers. Anaprilin reduces the heart rate, reducing its oxygen demand. This helps reduce ischemia. Used for continuous use, dosage is determined individually.
  3. Calcium channel blockers. These include the drug Diltiazem, or Verapamil. This medicine reduces the load on the myocardium, preventing the occurrence of an attack. Appointed for continuous reception.

Treatment of heart angina in men is carried out according to the same principles. The price of medicines is small, they are dispensed from pharmacies according to doctor's prescriptions.

Symptoms of angina pectoris in women and men can manifest themselves in different ways. But they are united by the fact that they can be a sign of the development of a more serious disease. Properly rendered assistance, timely treatment will save a person from the severe consequences of pathology.

Questions to the doctor

Her husband is 44 years old and has recently been diagnosed with angina pectoris. What is the norm for men with angina pectoris?

Anna I. 36 years old, Sochi.

Good afternoon, Anna. Normal blood pressure in a man after 40 years: upper - 125-135, lower - 85-90. Most often, hypertension and angina are inextricably linked. If the pressure rises above these indicators - this can cause another attack of the disease.

Good afternoon. My mom was diagnosed with angina pectoris. I would like to know exactly what are the signs of an angina attack in women in order to help in time.

Irina, 34 years old, Saratov.

Good afternoon, Irina. The main sign of a starting attack is a sudden feeling of tiredness. Almost immediately, dizziness and pain behind the sternum appear. Some patients have redness of the face and chest.

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