In men, angina pectoris with further symptoms occurs 4 times more often than in women. Most cases of the development of pathology are noted in patients over the age of 40 years, but recently, ischemia is diagnosed in people in a younger age category.
In cardiology, there are stable, unstable angina pectoris and Prinzmetal ischemia. In all cases, quick help will be required.
Depends on the individual tolerance of physical or emotional stress.
Stable pathology. It does not change its course, it depends on the individual tolerance of physical or emotional stress. Classes are used to determine the severity of stable angina pectoris. They include a description of the degrees of load at which the attack develops.
Often acts as a previous heart attack.
Unstable pathology. The course of the disease has several variations. Symptoms occur regardless of whether a person is under stress at the moment. The manifestation of pain syndromes is possible at rest. This type of ischemia refers to a more severe manifestation, and often acts as a previous heart attack. Help with angina pectoris of an unstable nature is best done with the use of medicines in a hospital setting.
Circulatory disorders due to clogged arteries.
Ischemia of Prinzmetal. For variant circulatory disorders, attacks are characteristic in a state of absolute rest, when in the cold or during sleep. A sharp spasm of coronary vessels with oxygen deficiency indicates maximum clogging of the lumen of the arteries.
In emergency care for an attack of angina pectoris include nitroglycerin. It is necessarily indicated at an early stage of symptoms in order to avoid further complications. Features of the drug depend on the form of release.
Available in tablets and solution.
- Tablets or capsules. They put the drug under the tongue, but do not chew or swallow it. Resorption occurs within 1-1,5 minutes. This time is enough to provide assistance and a powerful analgesic effect.
- Solution. Nitroglycerin liquid is dripped onto sugar and placed under the tongue until saliva is completely dissolved. It is also allowed to put under the tongue immediately 3 drops of the product, which corresponds to 1 capsule. This help is sufficient for short symptoms.
When pain persists after 3 minutes, it is recommended to put a second capsule under the tongue or drip drops. In this condition, and if it is impossible to stop the attack, they immediately call the paramedics.
In what cases is nitroglycerin not recommended:
- vascular collapse;
- low pressure;
- intracranial hypertension;
- pulmonary edema:
- severe anemia;
- heart attack, glaucoma, intoxication.
Since angina pectoris is a manifestation of myocardial ischemia, first-aid treatment should ensure the restoration of normal blood flow. The most effective fast-acting drug is Nitroglycerin – tablets belonging to the group of nitrates. The main principle of their action is the expansion of blood vessels, including the coronary arteries, which helps to reduce myocardial oxygen demand.
“Nitroglycerin” for people suffering from heart failure is not only an emergency aid for angina attacks, but it is also recommended as a preventive drug to prevent chest pains if an increase in physical and psychoemotional activity is supposed.
In addition to the tablet form, Nitroglycerin is available in the form of aerosols. Side effects of the action of “Nitroglycerin”:
- the appearance of extraneous noise in the ears;
- visual impairment (flashing effect);
- sensations of severe ripple;
- the appearance of headaches.
If an attack of angina pectoris occurred in a person suffering from hypotension, nitroglycerin should be taken with great care, since nitrates contribute to a further decrease in blood pressure. In such cases, you should start with a half dose. Reduced dosages are also recommended for people suffering from glaucoma or having suffered an ischemic stroke.
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How to recognize an attack?
Help with angina pectoris should be provided immediately if there are threatening symptoms.
Cardialgia This term refers to the pain that appears in the left area of the sternum. In most cases, discomfort extends to other parts of the body – the shoulder blades, limbs, neck and forearm. Often with cardialgia, cardiac arrhythmia is noted. The most unpleasant and intense pain is felt in the middle of the sternum from the inside, where the spongy tissue is located. It connects the chest to the ribs and column of the spine.
Pain in the left sternum.
Types of pain by nature:
- stable (10-15 minutes);
- progressive (5-45 minutes);
- spontaneous (less than 5 minutes).
There are problems when inhaling and exhaling.
Difficulty breathing. The victim may have problems with inhalation and exhalation. This reaction is caused by myocytes – cells of the heart tissue, which are in dire need of oxygen.
Shortness of breath appears with hypoxia, and inhalation is accompanied by pain. Help can be provided through medication.
Violation of the cardiovascular work. In the limbs they feel numb, the skin color becomes a marbled or pale shade. Cyanosis or blueness appears if acute oxygen deficiency develops inside. Blood pressure rises, which increases the risk of stroke or heart attack. Feet and palms may be wet, usually cold sweat is released. There are frequent cases when the victim complains of a fainting condition and a headache.
In the limbs they feel numb, the skin color becomes a marbled or pale shade.
Atypical signs of pathology:
- panic attack, anxiety, fear of death;
- pain in the teeth and throat;
- severe weakness without pain;
- nausea, burning in the stomach, belching.
It is difficult for a non-specialist to draw a clear line between the onset of angina pectoris and the initial stage of myocardial infarction – the symptoms in these conditions are similar, but the consequences vary greatly. Knowledge of the clinical picture of angina pectoris (the outdated name for angina pectoris) will help to avoid serious consequences for the body.
- pains in the sternum, lasting a long time (pressing, compressing, in the form of burning), often radiating to other areas – neck, arms, back, jaw, abdominal cavity;
- attacks are possible both during physical work (angina pectoris) and during rest (rest angina);
- during an attack, a person may feel a lack of air, shortness of breath occurs, accompanied by numbness of the limbs;
- panic attack – a frequent visitor with an attack of angina pectoris;
- as a result of taking “Nitroglycerin” the pain goes away.
Fatigue during physical or emotional stress is the first sign that your cardiovascular system is not coping with its task – to provide tissues with blood in a volume sufficient for their functioning in an active mode.
The appearance of atherosclerotic plaques on the walls of the coronary arteries narrows their lumen, obstructing the outgoing blood flow – and this is the main reason for the development of angina pectoris. At rest, the body has enough blood flow that is available, but with physical exertion, the need for cells in the blood supply increases dramatically.
Intensification of the heart in the presence of atherosclerosis no longer helps, and the body begins to experience oxygen starvation. Unfortunately, the myocardium, that is, the heart itself, is the first to suffer. When experiencing an attack of ischemia, the heart muscle sends an alarm in the form of pain to the brain, indicating the onset of an angina attack.
If atherosclerosis of the coronary arteries is significant and covers most of the lumen, angina pectoris can occur at rest, often during sleep. When an attack does not go away after 20 minutes, this condition can lead to the onset of myocardial cell death, which marks the development of a heart attack. Therefore, it is so important that emergency care for an attack of angina pectoris should be provided as soon as possible.
However, atherosclerosis is not the only cause of angina pectoris. The following pathological conditions can lead to its development:
- myocardial infarction;
- the presence of heart defects;
- spasm of the coronary arteries;
- arrhythmias (bradycardia, tachycardia);
- chronic hypertension;
- pathology of the aorta;
- gastrointestinal diseases;
- climacteric pathological neurosis;
- ENT diseases;
- excess of 40 years of age;
- genetic characteristics of the body;
- male gender;
- increased psychoemotional and physical stress.
Passion for fatty and sugary foods leads to an increase in blood lipids, which is considered the main reason for the development of atherosclerosis. Hypodynamia leads to the same results, so the exclusion of all these factors is the key to preventing heart problems.
Causes of angina pectoris
Violation of the passage of blood through the coronary arteries.
The main reason for the development of angina pectoris is a violation of the passage of blood through the coronary arteries, which occurs against a background of sudden spasm, atherosclerosis, or damage to the inner lining surface in the vessels. The myocardium has a strong need for oxygen, and pain is the most pronounced symptom in the course of such a reaction. Help is to eliminate this serious condition.
In addition to the main reason, there are several groups that include risk factors. If they arise constantly, then the possibility of developing angina pectoris increases several times.
- high cholesterol nutrition;
- smoking, alcoholism;
- inactive lifestyle.
Bad habits can develop a pathology.
- disposition to increase cholesterol;
- progressive hypertension;
- high values of triglycerides contained in blood plasma;
- diabetes and various stages of obesity.
With a combination of several factors, the disease progresses rapidly and causes death. The situation is aggravated, as most people do not resort to timely diagnosis. Almost 60% of patients do not receive proper treatment, do not provide independent assistance on time. They cope with attacks caused by angina pectoris at home.
Angina pectoris – types, symptoms and treatment, what to do with an attack, and what should not
Angina pectoris . The name of the disease that gives rise to various associations – wall, stenosis, asthenia. In fact, stenosis – means “narrowing, contraction.” And angina, it turns out – is it a “contraction of the heart”? Of course not.
This is only a figurative description of that unpleasant and very painful sensation that occurs during an attack. This pain is constricting and so painful that a person begins to gasp for air, making sounds similar to croaking. Therefore, people call angina pectoris.
Let’s get to know better this not-so-pretty “amphibian”. How to make sure that it doesn’t appear in the eye, and if it is destined to be not too pleasant “life partner”, then at least tame?
Angina pectoris is a process during which ischemia (acute oxygen starvation of the myocardium) of the heart muscle occurs. An attack of angina pectoris is a manifestation of cardiac ischemia. Therefore, when talking about angina pectoris, it is IHD, or coronary heart disease, that is meant.
At the time of the onset of an attack of angina pectoris, there is still no necrosis of the heart muscle, that is, a heart attack does not develop. But with a severe attack, a heart attack can be its outcome, and sometimes the cause, since post-infarction angina is known.
In angina pectoris, the mismatch between oxygen delivery to the myocardium and its need is especially acute.
Almost always, its causes are associated with processes developing in the coronary or coronary arteries that provide nutrition to the heart.
But in some rare cases, the cause can be, for example, an increase in physical activity (and, accordingly, the heart’s need for oxygen), against the background of severe anemia and a pronounced decrease in hemoglobin, for example, less than 65 g / l.
About risk factors
The entire “bouquet” of cardiovascular disease revolves around the same set of risk factors. Of course, there are those factors that are impossible to “get around or go around,” for example, being a male and over 50-60 years old.
But then you can largely avoid a heart attack (which is a possible outcome of an attack of angina pectoris), ischemic stroke and sudden cardiac death, if you deal with the following conditions:
- Hyperlipidemia, dyslipidemia, increase in blood of atherogenic fractions (“bad” cholesterol);
- Increased arterial vascular pressure (arterial hypertension);
- Diabetes mellitus, or impaired glucose tolerance. In the event that you have diabetes, it is very important to keep your blood sugar levels as close to normal as possible;
- Obesity. To reduce the risk of cardiovascular disease and angina, in addition to weight loss, it is necessary that for men, the waist circumference should not exceed 102 cm, and for women – 88 cm;
- Smoking and alcohol abuse;
- Lack of exercise. It is known that the absence of a regular load depletes the compensatory capacity of the myocardium, which can lead to the occurrence of myocardial ischemia even with a slight load.
First of all, angina pectoris is stable and unstable. It is difficult to find the official difference in textbooks, but this word can be replaced by another: “predicted.” And then everything will become clear.
Stable angina pectoris is a type in which the conditions for its occurrence, the nature of the course of the attack and, most importantly, the conditions for termination are known in advance. It is this type of angina that can be easily treated and prevented by a heart attack.
- To put it simply, this is a type of angina pectoris, which for 2 months proceeded equally and did not “throw out surprises”.
This type of angina pectoris is called “stable angina pectoris”, and is divided into several functional classes.
FC 1: the usual load in everyday life does not cause an attack, only excessive or prolonged stress. That is why for diagnosis it takes a long time to “drive” the patient on a bicycle ergometer, and even with a heavy load. These patients only “enter” the diagnosis of angina pectoris, and they do not enter hospitals;
With FC 2, angina pectoris has to slightly limit the load. So, an attack can occur if you walk a kilometer at a fast pace, or climb non-stop to the 6-7th floor. In some cases, an additional provocation of attacks occurs, for example, when in freezing air or under stress;
With FC 3 it is no longer possible to walk more than 200 m. Or climb one flight of stairs without pain. Sometimes angina pectoris can occur not only stress, but also rest, and even lying down. You have to drastically limit yourself in everyday life, in your personal life, in sexual relationships;
FC 4 – the inability to perform any load. Getting up from the couch, brushing your teeth, cooking – causes painful discomfort. Often there are attacks at rest.
With unstable angina, the symptoms “fluctuate” – this occurs when the compensatory mechanisms fail and the angina transitions from the chronic to the acute phase, when seizures can occur in the most unforeseen and unexpected conditions.
These attacks are longer, more pronounced. They require often doubled doses of drugs when stopping an attack. With unstable forms, complications arise, for example, arrhythmias or heart failure appears.
You need to know that patients with unstable angina should be treated in a hospital, since this condition is life-threatening. During its development, a progressive narrowing of the coronary artery, tearing of the plaque, the formation of a thrombus, or arterial spasm usually occurs.
- Typically, an attack of such unstable angina lasts no more than a week, but can result in a transformation into a heart attack.
There are several forms of unstable angina (briefly):
- First occurring (in theory, any first-occurring angina pectoris is unstable for two months until doctors recognize its features);
- Progressive angina pectoris, with the transition from class to class in a short time;
- Arising after a heart attack or surgery;
- Spontaneous angina pectoris (Prinzmetal).
This form of unstable angina is vasospastic, and severe atherosclerosis is not necessary for its appearance. It occurs during sleep, in the morning hours, against the background of tachycardia (REM sleep phase), turns in bed and nightmares.
As a result, dangerous rhythm disturbances can occur (in a dream), which can cause asystole and clinical death.
How does a typical attack of angina pectoris (angina pectoris) proceed, what are its symptoms and what should I pay attention to?
angina pectoris – a photo of symptoms of pain during an attack
A man clutching at a heart “brought to work” is a cinematic symptom of an angina attack. Medicine offers a slightly more detailed picture of the attack:
- The first sign of an attack of angina pectoris is paroxysmal pain of a constricting nature behind the sternum;
- In most cases, it appears at the height of any tension: both emotional and physical;
- It provokes an attack, in addition to loading, an increase in blood pressure, an attack of tachycardia, cold, windy weather, plentiful and satisfying food intake (all blood rushes to the digestive system, robbing the heart), and even with a sharp transition to a lying position;
- The nature of the pain is burning, pressing, heavy, compressing. In mild cases, simply chest discomfort;
- The usual localization is the top and m >
Many, unfortunately, do not know how to behave if a similar attack happened with relatives or with oneself. If there are symptoms of angina pectoris, what should be done and what cannot be done?
- You need to sit in a chair or lie in bed on a high pillow. If you lie down without a pillow, this can increase the venous load on the heart, and this will strengthen its work and, therefore, the oxygen demand of the myocardium will increase. This will aggravate the attack;
- All belts, collar should be loosened, buttons should be unfastened;
- Some recommendations, especially on the Internet, automatically advise you to “open all windows.” This can be done with fainting, but with chest pains, windows can only be opened in warm weather. In frost, you can only intensify the attack of angina pectoris;
- It is necessary to take aspirin (one tablet) and put a nitroglycerin tablet (0,5 mg) under the tongue. If it is in a capsule, then do not forget to bite it;
- If the pain has passed, then you need to call a doctor at home;
- If the pain persists for 10 minutes, then you need to re-take the nitroglycerin tablet and call an ambulance, preferably a cardio team. To do this, you need to clearly report on chest pain, that this is the first time, that the pain is not stopped by taking nitroglycerin;
- If after another 10-15 minutes the pain does not begin to subside, nitroglycerin can be taken a third time;
- It is advisable that by the time the ambulance arrives, certificates, ECG records are ready for the doctor.
- You can not give aspirin if there is an allergy to it (asthma), or there is a peptic ulcer, especially in the acute stage;
- You can not take a fourth tablet of nitroglycerin;
- Do not take painkillers;
- You can neither get up, rush, walk, be active or emotionally react to it during an attack or after it has ended;
- It is strictly forbidden to drink coffee, smoke or drink alcohol “to relieve” pain;
- It is also precisely forbidden to get up and go to meet an ambulance yourself on the street.
The implementation of these simple but effective measures, we are sure, will save the lives of many people.
We list those methods that are used in the diagnosis of angina pectoris. Since this condition is functional, and not organic, the following tests of functional diagnostics are carried out:
- ECG, electrocardiogram. Since it may not differ from the norm outside the attack, this is a screening method, and is used at the initial stage of diagnosis;
- Functional tests with physical activity: bicycle ergometry or treadmill (treadmill). During the load test, an ECG is recorded. First, the recording is carried out at rest, and then the load gradually increases;
- Holter monitoring. It has great diagnostic value, because it allows you to analyze long periods of time, including nightly;
- Ultrasound of the heart. It determines the contractility of the myocardium, allows you to assess the severity of hypertrophy, the presence of blood clots in the cavities of the heart and much more;
- Coronary angiography – allows you to assess the localization and degree of narrowing of the arteries due to the development of atherosclerotic plaques.
First aid for angina pectoris: tactics and essential drugs
Most often, people with coronary heart disease show angina pectoris or stable angina pectoris. This is a pain in the heart that is clearly associated with physical exertion or nervous tension. Often, to stop such angina pectoris, it is enough to relax and remove the provoking factor that causes emotional arousal.
It is much worse when stable angina pectoris becomes unstable. That is, attacks are observed more often, become more intense, longer. They can also occur against the background of complete well-being. These are quite alarming calls, because such angina pectoris may well lead to myocardial infarction.
1. Lay or seat the patient so that he is comfortable.
2. Eliminate any irritants.
3. Unfasten the collar, remove the scarf, tie, bow-tie. In general, provide oxygen access. If possible, ventilate the room.
4. Put a nitroglycerin tablet under the tongue. If there is nitroglycerin in the form of drops, then drop 2-3 drops under the tongue.
5. If nitroglycerin does not help, then after 5-7 minutes, give another tablet of nitroglycerin or repeat the procedure with drops.
6. You can give one tablet of aspirin.
7. Call an ambulance. In principle, this item should go first or second in the list. There is no need to be shy, because you definitely can not assess the severity of the patient’s condition.
8. If it is possible to measure blood pressure – you must do it. Angina pectoris is often provoked by high blood pressure, and when it is reduced, unpleasant symptoms gradually disappear. With high numbers, you can give a tablet of captopril or captopres under the tongue, if there are no drugs that the patient takes on the recommendation of a doctor in case of emergency.
Attention! Not all blood pressure lowering medications are suitable for emergency care. Most of them are too slow and not suitable for first aid.
9. Stay until the ambulance arrives and tell the doctor what medications you gave and when.
Nitroglycerin has saved more than one thousand lives, but it has a number of side effects. And there is such a category of people who do not tolerate this drug at all. We will talk about this a bit later. Therefore, it is impossible to joke with nitroglycerin. The ideal option is when a person has not suffered angina pectoris for the first time, and has with him a drug prescribed by a doctor (for example, Isoket). It remains for you to help him find and apply as intended.
It is highly advisable to stay until the ambulance arrives. Doctors cardiologists and resuscitators will confirm how often people who are ill in a public place and brought to them unconscious find 2-3, or even a dozen tablets of nitroglycerin in their mouths. All this is thanks to the “caring” passers-by. Unfortunately, these are the realities of modern life.
We have already talked about this many times, but given the huge number of mistakes that our fellow citizens stubbornly continue to make, it makes sense to repeat. Even if you accidentally had “heart” pills at hand that helped your grandmother or neighbor, do not offer them to a person with angina pectoris. There are a large number of diseases and their manifestations that fit into the philistine concept of “bad with the heart,” but they are all very different. And they require a different approach to treatment.
Sometimes they recommend nitroglycerin in drops to drip on a piece of sugar, and give under the tongue. Sugar really speeds up the absorption of drugs. But you need to remember that in front of you may be a person with diabetes. Hyperglycemia was also not enough for angina pectoris.
In general, follow the instructions and less initiative.
The algorithm presented above is a kind of ideal picture of the world when, by a fluke, there are medications at hand and an ambulance arrives within 10-15 minutes. But what should be done if a person is ill and there are no medications?
1. We exclude physical activity and any emotional stimuli.
2. We lay / seat the patient, provide air access.
3. If the patient is conscious, you need to teach him proper breathing. The bottom line is slow and deep breathing through the nose and a delay at the height of inspiration. This principle is called the Buteyko breathing method. The classic technique involves holding your breath for 40 seconds. Of course, one should not demand the impossible from a person with an attack of angina pectoris. It is important that at least he stops frantically gasping for breath. The algorithm is very simple:
- We slowly and deeply inhale the nose
- We hold the air at the height of the inspiration, as far as possible (5-10 seconds is enough)
- When holding your breath, protrude the upper abdomen as much as possible
This style of breathing helps to reduce air pressure in the chest and facilitate the flow of blood to the heart. In addition, slow breathing leads to the accumulation of carbon dioxide in the blood. And it is a powerful vasodilator. Including expanding coronary vessels, which improves blood circulation.
It is advisable for people suffering from angina to learn breathing according to Buteyko, holding their breath for more time with each exercise. It can preserve health and even save a life.
4. While the patient is breathing correctly, you can proceed to massage the active points on your left hand. This is not a big deal, even if this is your first time doing it. You need to strongly squeeze the end phalanx of the little finger with both fingers on both sides of the nail, and massage for 5-6 minutes (squeeze and relax).
The second active point is on the palm between the bones of the middle and ring finger. Here, it is also necessary to do acupressure – first with rotational movements, and then with pressure. These are the elements of acupressure.
5. If possible, you can lower your hands in hot water. You can add a tablespoon of mustard to 1 liter of water.
6. There are recommendations in the absence of other means of stopping hypertension to use mustard plasters. To do this, mustard plasters are first placed in hot water, heated to 40-45 degrees for about 20 seconds. Then they are applied to the skin in the region of the heart. To maintain heat, you can wrap the body with a bandage or cover it with a warm blanket. After 2-3 minutes, a slight burning sensation will be felt. After 10-15 minutes, mustard plasters must be removed.
Mustard contains essential oils that irritate nerve endings. As a result, the blood vessels of not only the skin expand, but also the organs that are nearby.
It should be remembered that proper breathing, acupressure of active points on the arm and application of mustard plasters are additional methods of stopping angina pectoris. If it is possible to take nitroglycerin, give preference to this proven method.
Skeptics may object – the heart can be sick for various reasons, and nitroglycerin is not always necessary. It’s true. But it’s better to be safe anyway. Your insecurity can cost the health and even life of another person.
And finally, a few words about nitroglycerin. This is an effective drug for the relief of angina pectoris. It dilates the coronary vessels and reduces the oxygen demand of the myocardium. It acts quickly and is rapidly excreted from the body. The bioavailability of nitroglycerin is 100%. That is, absolutely all the active substance enters the body and has an effect.
It should be noted that nitroglycerin dilates the blood vessels of not only the heart, but also the brain.Therefore, taking this medicine may develop a headache, sometimes quite intense, as well as other side effects – dizziness, nausea, tachycardia. Some people do not tolerate nitroglycerin at all.
Follow the doctor’s recommendations – and be healthy!
An attack can occur suddenly when a person is at home or in a public place.
If the victim felt disturbing symptoms while being at home, the tactics of behavior are as follows: loosen clothes (unfasten the collar, belt), let in fresh air into the room, try to calm down.
If a person suddenly has the above symptoms, relatives should immediately call the ambulance team and provide him with first aid, it is necessary to carry out the following actions:
- Create comfortable conditions for him: lay on a horizontal surface, placing a pillow or a roller under his head; open the window and door in the room, unfasten the buttons on the clothes.
- To reassure the victim, talking with him in a calm tone.
- Cover your feet with a warm blanket or put a heating pad.
- Offer to take nitroglycerin by placing it under the tongue. In the absence of the effect of taking one tablet, it is necessary to give another medicine. Severe forms of angina pectoris may require taking several nitroglycerin tablets.
- With increased headaches, you can give the victim a tablet of Citramon or Validol.
- Prepare sweet warm tea or a decoction of herbs, a warm drink will calm the patient, help relieve a panic attack.
- Offer the patient any sedatives (tincture of valerian root, motherwort), which will help relieve a panic attack.
- With a sharp increase in blood pressure, give a hypotensive medicine.
If a person feels bad in a public place, the following actions should be taken:
- call a team of doctors;
- reassure a person by inviting him to lie down or sit down;
- to ensure an influx of fresh air (indoors), it is important to avoid crowding by inviting other people to free up space near the victim;
- talk with a person in a calm voice before the ambulance arrives;
- find out if there have been similar attacks before, to inform the doctors;
- if a person has Nitroglycerin tablets with him, put the tablet under his tongue.
How to remove an attack folk remedies?
There are many herbs and products that contain beneficial elements for the heart muscle. They strengthen the tissues of the body and contribute to the better functioning of blood vessels.
You can reduce the number of relapses of angina with honey.
Alternative medicine does not offer methods for instant relief from pain, but some drugs can significantly reduce the number of relapses. One such product is honey.
Regular consumption of the bee product helps to stabilize the coronary supply and increase the elasticity of blood vessels. For a good cleaning of clogged vessels, it is necessary to make a mixture of lemons and honey in a ratio of 1: 1 in kilograms. Grind everything well and mix, after which add 10 minced garlic cloves.
Take a tablespoon several times a day. The course should not be less than 2 months.
Prevention of angina pectoris
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Primary prophylaxis includes regular examination with the aim of early detection of heart disorders. Be sure to take tests for blood sugar and hemoglobin level. It is important to monitor body weight to prevent obesity. This requires power control. Junk food is excluded, the diet is enriched with vitamins, minerals and fiber.
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