Acute coronary insufficiency: save your heart immediately!

You or your loved ones have been diagnosed with acute coronary insufficiency, but you do not know anything about this disease? Read my article, which will answer most important questions concerning this cardiac pathology.

The activity of the heart with its continuity and constancy is able to maintain the same level of supply of nutrients and oxygen to all tissues of the body. In this case, the physiological features of the regulation of cardiac and vascular activity suggest both an intensification and a decrease in the intensity of its work, which in the presence of pathologies of the heart leads to a functional deficiency and "starvation" of tissues. In this case, the peculiarity of the blood supply to the heart is that it receives nutrients and oxygen only during diastole. Therefore, the tension of physiological mechanisms with physical exertion, which leads to an increase in its rhythm, significantly reduces the duration of diastole, impoverishing blood flow in the heart. In general, the heart muscle suffers from ischemia, which is accompanied by burning pain behind the sternum. In this condition of deficiency of blood supply to the heart, acute coronary insufficiency develops . The reasons for the development of this pathological condition can be divided into 2 large groups:

• Coronary causes, caused by the fact that the coronary vessels have foci of atherosclerotic damage or are narrowed, and their wall can be sclerized.
• Non-coronary, associated with a pathological change in the coronary vessels of the heart, and not dependent on the state of the arteries.

If it is necessary to start the reserve capabilities of the body for performing any physical work or under emotional stress, cardiac activity should be accelerated. However, this is associated with worsening of the existing functional defect of the heart vessels.

Symptomatology of acute coronary insufficiency.

Under the influence of adrenaline released in a person at the time of stress or under stress, the vessels narrow their lumen in order to ensure an increase in blood flow velocity for adequate supply of nutrients to tissues. A narrowed atherosclerotic plaque lumen of the vessel or its sclerosed wall is even more narrowed, which causes a deficit in the inflow of nutrients in the heart with blood. There is an acute coronary insufficiency. The patient immediately begins to feel a sharp burning pain behind the sternum, which does not allow him to perform work. This condition is classified as ischemic heart disease and has the following forms: angina pectoris, myocardial infarction. With a long-term pathology, even at rest, the heart may experience a shortage of blood circulation, which is manifested by shortness of breath, blue lips, nose, weakness of the pulse on the arteries of the extremities, sweating and anxious expression. Acute coronary insufficiency, the symptoms of which are quite vivid, does not require additional definite manipulations from the patient, in fact the main role is played by the symptomatology:

• When walking or performing physical exertion, stress causes acute burning pain behind the sternum, which has a pressing character, radiating into the interscapular space, the left arm, the neck, under the left collarbone.
• Such an attack usually lasts no more than 15-25 minutes, and the pain gradually decreases, whereas with a heart attack the pain does not have such a tendency. With its duration of more than half an hour, it is possible to diagnose myocardial infarction in the most acute stage.
• The diagnosis is based on the principle of pain relief: angina pain is removed after 15 minutes after taking nitroglycerin, and the infarction can not be reduced by the way and lasts longer than 30 minutes. To remove the painful infarction syndrome, narcotic analgesics are used , the possibility of using them is available only in the hospital.

Treatment of acute coronary insufficiency.

If you or your loved ones have acute coronary insufficiency, treatment is prescribed exclusively by a doctor, but can be performed by the patient himself during an attack and between them, as well as in a hospital setting.

When there is pain behind the sternum, the patient needs to take nitroglycerin sublingually, resolving the pill completely. After 10 minutes, if the intensity of pain did not decrease, you must repeat the procedure. Treatment between attacks is carried out by long-acting nitrates, selective adrenoblockers and prophylactic antiatherosclerotic drugs. Infarction pains are not stopped by nitroglycerin or another vasodilator, therefore they are the basis for urgent treatment in the clinic. Different drugs are used there, depending on the case. These are narcotic analgesics, antiaggregants and thrombolytics, adrenoblockers, and sometimes with extensive infarcts, diuretics for discharge of blood circulation and blood volume reduction, and laxatives so that the patient does not strain at defecation, which can disrupt the venous return to the heart. Thus, summing up all of the above, it is worth noting that acute coronary insufficiency is a serious pathology of cardiac activity, requiring careful and constant treatment.