What alcoholic drinks can be consumed with angina pectoris

When alcohol is consumed, less plaques appear in the human body, which, when exposed to HDL, transform cholesterol and send it back with a blood stream to the liver. As a result of this, this element does not linger in the vessels, but is quickly excreted from the body.

Therefore, we can confidently say that alcohol in the optimal amount favorably affects lipoproteins and blood coagulation, which leads to the absence of the development of many heart diseases.

It is important to note that the amount of alcoholic beverages consumed directly depends on their type, since each of them has a different strength.

However, it must be recalled that alcohol abuse is very harmful to the body, since in this case HDL cannot convert cholesterol and excrete it, so this element will remain in the vessels, and the breakdown of alcohol in the blood will only contribute to the appearance of plaques.

What are the permissible volumes of alcohol in the development of ischemic disease:

  1. If the patient will drink beer, the daily dose of this drink should not exceed 330 ml (while a smaller amount of beer drunk will also have a beneficial effect on health, so do not abuse drinking such an alcoholic product).
  2. The permissible dose of wine is 150 ml (while the drink can be anything: red, white, and so on).
  3. Strong drinks should be drunk in an amount of 20-40 grams (women can drink quite a bit).

It is worth noting that strong drinks include not only vodka or alcohol, but also cognac, whiskey, tequila and so on. Important: the more “natural” the drink, the more benefits it will bring to the body. For example, do not drink alcohol with a strong fragrance or dyes.

A very small dose of alcohol drunk does not affect HDL, and therefore it is also not recommended to reduce it strongly.

What is coronary heart disease?

Under IHD, it is customary to take a disease in which the normal blood supply to the myocardium is impaired. The direct cause is coronary artery damage. Symptoms and clinical presentation are characterized by sudden pain attacks in the sternum. As a rule, symptoms are manifested as a result of severe physical overload, provoking a sharp increase in pressure, tachycardia.

Angina treatment

The goal of treating angina pectoris is to provide prompt symptom relief, prevent future attacks and reduce the risk of further complications.

If doctors think you are at high risk, you will probably be recommended a combination of surgery and medication. Surgery can also be indicated if medication does not help.

If doctors believe that your risk of a heart attack or stroke is low, you can probably significantly reduce it by taking medication and correcting your lifestyle.

Trinitroglycerin is a medicine that is widely used to quickly relieve symptoms of angina pectoris. It can also be used as a preventive measure before taking actions that can trigger an angina attack, such as exercise. Trinitroglycerin belongs to the group of drugs nitrates. Nitrates relax and dilate blood vessels, which increases blood flow to the heart.

Trinitroglycerin is in the form of tablets that need to be kept under the tongue, as well as in the form of a spray. Shortly after taking trinitroglycerin, you may experience headaches, facial flushing, and dizziness.

While taking trinitroglycerin, you need to refrain from drinking alcohol, as it can increase its side effects. If you feel dizzy, do not drive a car or operate complex or heavy machinery.

A single dose of trinitroglycerin usually relieves pain within 2–3 minutes. If the first dose does not help, after 5 minutes you can take the second.

Call the ambulance – 03 from a landline phone, 112 – from a mobile phone and call an ambulance if the pain persists within 5 minutes after taking the second dose of trinitroglycerin.

The shelf life of Trinitroglycerin tablets is usually 8 weeks, after which you need to update the stock. Therefore, you may prefer trinitroglycerin in the form of a spray, since it has a longer shelf life.

Medicines are also used to prevent seizures. Most likely, you will need to take at least one drug daily for the rest of your life.

Your GP or cardiologist (heart specialist) will likely try one drug first to see if it helps prevent symptoms of angina pectoris. This approach is called monotherapy. If the desired effect is not achieved, the doctor may prescribe two drugs. This approach is called combination therapy.

First, a drug called a beta-blocker or a drug called a calcium channel blocker (“calcium antagonist”) is used to reduce the frequency of angina attacks. The choice of drug will depend on your state of health, and in some cases, on your personal preferences.

Beta blockers make the heart beat slower and with less force. This means that after physical exertion the heart needs less blood and oxygen, and this can either prevent angina pectoris or reduce the frequency of its attacks. Common side effects of beta blockers include tiredness, cooling hands and feet, diarrhea, and nausea.

Beta blockers can also interact with other medicines, causing negative side effects. Consult your doctor or pharmacist before taking with other beta-blockers other medicines, including non-prescription drugs.

Calcium channel blockers (calcium antagonists) relax the muscles that form the walls of arteries, which leads to an increase in blood flow to the heart. Side effects of calcium channel blockers include facial flushing, headaches, dizziness, tiredness, and a skin rash. However, these side effects should go away within a few days after your body gets used to the drug.

It is strictly forbidden to drink grapefruit juice if you are taking calcium channel blockers, as this can cause a sharp decrease in blood pressure.

If you cannot take beta-blockers or calcium channel blockers for medical reasons, or if their side effects are too unpleasant for you, your doctor may prescribe another drug.

Long-acting nitrates are similar to trinitroglycerin, but they are designed to prevent symptoms in the long run. Side effects include headache and sometimes reddening of the face, but they must pass over time.

If you are taking long-acting nitrates, you should not take the drug to increase the potency of sildenafil (Viagra). This is because a combination of the two drugs can cause a dangerous decrease in blood pressure.

Ivabradine is a new type of drug that has a similar effect with beta-blockers, since it also slows the heartbeat. However, the mechanism of action of ivabradine is different from beta-blockers, which means that it can be taken by people for whom beta-blockers are contraindicated for medical reasons, for example, in chronic obstructive pulmonary disease.

A common side effect of ivabradine is the appearance of flashes of light in front of the eyes. If you experience this side effect, you should not drive a car at night, as this may be unsafe. See your doctor for a recommendation.

Nicorandil is a potassium channel activator that acts in a similar way to calcium channel blockers, expanding the coronary arteries to increase blood flow to the heart. However, since potassium channel activators achieve this effect in a different way than calcium channel blockers, they can be used by people who can not take calcium channel blockers for medical reasons.

Among the side effects of Nicorandil are dizziness, headaches, and nausea.

Ranolazine acts by relaxing the heart muscles to improve blood flow and prevent angina attacks. Unlike other drugs used to prevent angina attacks, ranolazine does not affect the heart rate, so it may be a more suitable alternative treatment for people with heart failure or arrhythmia. Common side effects of ranolazine include constipation, dizziness, and a feeling of weakness.

If a single drug does not help you, you will probably be prescribed a combination of drugs. This is called combination therapy. If combination therapy does not help, you may be referred for surgical treatment (see below).

There are 3 drugs that help reduce the risk of heart attack and stroke in people with angina pectoris.

Statins act by blocking the action of an enzyme in your liver that is involved in cholesterol synthesis. Lowering your blood cholesterol should prevent further damage to your coronary arteries and reduce your risk of heart attack and stroke.

Statins sometimes have minor side effects such as constipation, diarrhea, and abdominal pain.

Low-dose aspirin refers to a type of drug called an antiplatelet agent (antiplatelet agent). It is used to make your blood less “sticky” and prevent blood clots, which helps reduce the risk of heart attack.

Side effects of low-dose aspirin are rare and include irritation of the stomach and intestines, indigestion, and nausea. If you are allergic to aspirin or you cannot take it due to the presence of another disease that may aggravate from this (for example, a stomach ulcer), there are also other medicines – antiplatelet agents.

ACE inhibitors (angiotensin-converting enzyme inhibitors) are drugs that can be used to lower blood pressure. ACE inhibitors block the activity of the hormone angiotensin II, which constricts blood vessels. In addition to the fact that ACE inhibitors relieve stress from the heart, they also improve blood circulation throughout the body.

It is known that in some cases, ACE inhibitors reduce blood flow to the kidneys, which can negatively affect their performance. Therefore, before taking ACE inhibitors, it is necessary to conduct a blood and urine test to make sure that you do not have kidney diseases. If you continue to take ACE inhibitors, you may need to do blood and urine tests every year.

Side effects of ACE inhibitors include persistent dry cough, dizziness, tiredness and weakness, although they should go away within a few days. Consult your doctor or pharmacist before taking medicines with ACE inhibitors, as they can cause side effects.

Surgery is usually indicated if the symptoms of angina pectoris are not resolved with medication. However, after surgery, you may have to continue to take this or that drug.

For the treatment of angina pectoris, two main types of operations are used:

  • coronary artery bypass grafting (CABG), in which part of a blood vessel is taken from another part of the body and used to redirect blood flow, bypassing a blocked or narrowed part of the artery;
  • stenting or coronary angioplasty – the expansion of a narrowed section of an artery using a very small tube called a stent or balloon.

The choice of one of these operations depends on many factors. In some cases, the implementation of one of them is impossible, for example, due to the structural features of the human blood vessels.

The effectiveness of angioplasty (stenting) and CABG in the treatment of angina pectoris and the prevention of fatal complications is comparable, although each technique has its own advantages and disadvantages.

Since angioplasty does not require large incisions on the body, recovery after surgery is much faster, and postoperative pain is much weaker.

The main disadvantage of angioplasty is the increased, compared with CABG, the risk of re-blocking the unlocked section of the artery. According to recent data, an additional operation is required in approximately 1 out of 25 cases.

CABG is usually prescribed for patients with diabetes and / or people over 65 years of age, as well as in cases where three or more blood vessels are blocked, through which blood enters the heart.

Complications of alcoholic cardiomyopathy

In patients with this diagnosis, the disease can be complicated:

  • Arrhythmias of a life-threatening type, which leads to cardiac arrest. Symptoms: a sudden deterioration in well-being, a frequent pulse, interrupted for a long time;
  • Thromboembolism provoked by a decrease in blood flow velocity. Blood clots move slowly, can come off, clog the brain vessel, kidneys, arteries and this will lead to stroke, thrombosis of the lower extremities, renal failure and other dangerous diseases.

Causes of coronary heart disease

As a result of atherosclerosis, the coronary arteries (these are the blood vessels through which blood is delivered to the heart) narrow. As a result of this, the myocardium is insufficiently supplied with blood and its oxygen enrichment decreases, coronary heart disease develops. If the atherosclerotic plaque ulcerates with the formation of a blood clot, an acute condition occurs – myocardial infarction.

Indeed, the trigger mechanism for the development of atherosclerosis is vascular endothelial dysfunction, that is, the penetration of lipid particles (those “harmful” low-density lipoproteins – LDL) begins in the vascular wall. Then various mechanisms are triggered, which ultimately leads to the formation of fibroateroma or atherosclerotic plaque.

Allocate factors that contribute to vascular endothelial dysfunction. They are called risk factors for the development and progression of atherosclerosis:

  1. Smoking.
  2. Arterial hypertension.
  3. Elevated cholesterol.
  4. Overweight.
  5. Low physical activity.
  6. Stress.

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Smoking

The risk of heart disease in smokers increases by 2-3 times. Nicotine creates all the prerequisites for the development of atherosclerosis (causes vasospasm, promotes the formation of blood clots).

According to the observations of cardiologists, in patients who quit smoking, the progression of vascular atherosclerosis slows down. Today there is a rich arsenal of tools to help quit smoking. When giving up this bad habit:

    Blood pressure is normalized.

The effect of hypertension

Blood pressure in healthy people should not exceed 135/80 mmHg. Do not forget that hypertension not only contributes to the development of atherosclerosis, but also leads to vascular catastrophes. After all, it’s not without reason that hypertension is called a “silent killer”.

In a biochemical blood test, cholesterol above 5 mmol / L is considered elevated! It is necessary to adhere to a certain diet. Be sure to include fruits and vegetables, greens, lean meat and poultry, seafood, low-fat milk and dairy products, whole grain bread, cereals in your menu. It should be excluded: fats (olive oil, vegetable oil can), fatty pork and beef, salt (normal – 5 grams per day), mayonnaise, sweets. When dieting, there is a decrease in total cholesterol in the blood and the process of vascular atherosclerosis slows down.

It is necessary to eat fatty fish, such as salmon, trout, salmon and fresh tuna, not salted herring, mackerel. They contain the omega-3 component, which has a beneficial effect on lowering blood triglycerides, which also slows the formation of atherosclerotic plaques. An additional source of omega-3s is ground flaxseed and flaxseed oil.

Overweight is unfavorable, as it contributes to the development of arterial hypertension, diabetes mellitus, dyslipidemia (an increase in “bad” cholesterol – LDL, and a decrease in “good” – high density lipoproteins). Below is a table of the ratio of height and body weight. If you are overweight, then you need to lose weight.

Lead an active lifestyle, go in for sports. The cardioprotective effect of physical activity develops even if you work out for 30 minutes 3 times a week!

Stress

There is evidence that frequent psycho-emotional situations, as well as depression, contribute to the development of atherosclerosis.

If you experience stressful situations on a daily basis, your doctor can give you advice on taking sedatives (valerian or motherwort). A good effect is given by taking glycine (2 tablets under the tongue three times a day). Glycine reduces psychoemotional stress and improves sleep.

Go out of town more often; fresh air is good for you. Positive emotions reduce the likelihood of coronary heart disease.

Even if you have confirmed the diagnosis of angina pectoris, do not despair, when all the recommendations of doctors are followed, the progression of the disease slows down!

According to medical studies, prolonged alcohol consumption leads to an increase in the amount of triglycerides, which creates a favorable environment for the development of coronary heart disease. Oddly enough, coronary heart disease is directly dependent on liver health: alcohol affects hepatocytes and they cease to fulfill their function.

Daily diet

The Mediterranean diet for angina pectoris belongs to the group of antisclerotic diets. This diet helps to normalize blood circulation in the vessels.

The menu includes fresh vegetables and fruits, seafood, legumes, meat and chicken eggs. Its peculiarity lies in the fact that all these products are eaten a certain amount once a week.

This diet can be called vitamin, since it is based on vegetables and fruits that are not subjected to heat treatment.

The Mediterranean diet is characterized by such features:

  • you need to eat up to 5 times a day, with an interval of 3 hours;
  • complete the meal should be before 18:00;
  • use fiber-rich fruits as a snack;
  • first courses should be cooked on low-fat broths or be vegetarian;
  • daily should eat fresh vegetables and fruits, dairy, cereals;
  • 3-4 times a week you need to eat sea fish;
  • red meat is allowed to eat only 2-3 times a month.

The basis of the Mediterranean diet are such products:

  • cereals, bread, pasta from hard varieties;
  • vegetables (including potatoes, which are excluded in many diets) and fruits;
  • fatty fish;
  • nuts;
  • cereals;
  • beans;
  • cheese;
  • nonfat milk;
  • spices (oregano, basil);
  • olive oil;
  • a hen;
  • eggs (not more than 10-15 pieces per month);
  • honey.

The Mediterranean diet “allows” to consume 1-3 glasses of wine per week.

At home, you can develop a menu for several days that will comply with the rules of the Mediterranean diet.

Monday

  • breakfast – 150 g of oatmeal in water or skim milk, an apple or an orange, a glass of weak tea with a little sugar;
  • first snack – any fruit;
  • lunch – porridge from wheat groats, steamed chicken cutlet, a slice of dark grain bread, a glass of dried fruit compote;
  • second snack – any fruit;
  • dinner – baked fish fillet with lemon juice, fresh vegetable salad with olive oil, a glass of kefir.

Tuesday

  • breakfast – cottage cheese with fruits or berries, a baked apple with honey;
  • the first snack is fruit;
  • lunch – boiled pasta with natural tomato sauce, stewed rabbit, salad of green vegetables;
  • afternoon tea – tea, a handful of dates or dried apricots;
  • dinner – stewed vegetables, a slice of baked chicken, green tea.
  • breakfast – a cereal bread sandwich with a slice of low-fat beef, a vegetable salad seasoned with olive oil, green tea;
  • snack – fruit;
  • lunch – pasta with seafood, vegetable salad, a glass of wine;
  • afternoon tea – oatmeal cookies, a glass of skim milk;
  • dinner – lean meat, steamed or baked in foil, green tea.

Thursday

  • breakfast – cottage cheese pancakes, steamed or baked in the oven, fresh berries, green tea;
  • snack – fruit;
  • lunch – buckwheat porridge with boiled chicken, a salad of fresh vegetables, dried fruit compote;
  • snack – a few slices of melon;
  • dinner – vegetable stew (potatoes, carrots, tomato, onions, asparagus, beans), baked chicken breast.

Friday

  • oatmeal pancakes with a little honey, tangerine, green tea;
  • snack – banana, kefir;
  • lunch – vegetable salad (carrot, cucumber, radish, olives, herbs, olive oil), boiled chicken;
  • snack – any fruit;
  • dinner – steamed fish fillet, boiled rice, some fresh berries.

The proposed menu options can be combined, supplemented with something. It is important not to forget about the principle of antisclerotic nutrition, as a variety of diet.

Compliance with the antisclerotic diet is useful not only for the state of blood vessels, but also for the body as a whole. It normalizes weight, improves mood, instills a habit of maintaining a healthy lifestyle.

Daily diet

The main symptom of the pathology is a rapid heartbeat and severe pain in the chest area. To reduce the frequency of seizures, you need to not only take medications, but also follow a certain regimen.

An ordered diet for angina pectoris is important, as dieting helps:

  1. Obstruction of atherosclerotic vascular changes. If a person refuses junk food, the amount of cholesterol that is deposited on the walls of blood vessels decreases and contributes to the narrowing of their lumen.
  2. Weight loss. Extra pounds create an excess load on the heart muscle;
  3. Improving the general condition of the body and facilitating the functioning of all systems.
  4. The release of the heart and blood vessels from toxic load. The latter occurs against the background of the delay of toxins, which under normal conditions are filtered by the kidneys. If this paired organ functions poorly, then harmful substances penetrate the blood and circulate through the body for a long time.

Another important advantage of the anti-sclerotic diet is a reduced risk of heart attack, stroke and heart failure.

This is facilitated by the antioxidant effect that the products that are the basis of the diet have.

You can calculate the cost of the specified diet based on the number of foods that you need to consume a certain amount once a week.

Daily food – fresh vegetables, herbs, fruits, nuts, beans, durum wheat pasta. For a week, the patient will need:

  • 1 kg of potatoes – about 25 rubles;
  • 1 kg of carrots – about 10 rubles;
  • 1 kg of apples – about 75 rubles;
  • 1 kg of bananas – about 90 rubles;
  • 300 g of greens (parsley) – 90 rubles;
  • 1 kg of beans – 110 rubles;
  • 1 kg of durum wheat pasta – about 80 rubles.

On this dietary table, 3-4 times a week the patient should eat seafood, kefir, yogurt. 1 kg of shrimp costs about 300 rubles. 1 liter of kefir – about 50 rubles, 1 liter of natural kefir – 80 rubles.

Also, cereals should be present on the menu. The average cost of a kilogram of buckwheat is 80 rubles, millet groats – 40 rubles. Several times a week a person following a Mediterranean diet should eat fatty fish. A kilogram of the sea language costs about 180 rubles per kilogram.

Several times a week on the menu there is low-fat meat – chicken, rabbit. A kilogram of chicken (carcass) – about 110 rubles, a kilogram of rabbit meat – about 300 rubles.

Thus, the cost of the basic grocery basket required per week is 1620 rubles.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.

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