Question

QUESTION 15 Define angina using relevant clinical examples. Describe the goal and primary mechanism of angina treatment

Answer 1

Ans. Angina :- episodic pain experienced when the blood oxygen level cannot meet metabolic demands of muscles.

It regarded in chest pain due to ischemia in myocardium.

Clinical manifestation :- examples

In addition to atherosclerosis (most important cause of angina) , this temporary ischemia may be precipitated by coronary artery spasms, strenuous exercise, heavy meals, hyperthyroidism, exposure to cold, and emotional stress,

Chest pain, dyspnia, palpitation, perspiration, techypnea.

Goals and primary mechanism treatment of angina.

-decrease cholesterol level

- provides rest

- maintain chest pain related to ischemia condition.

- angiography for diagnosis for atherosclerosis condition

Treatment : nitroglycerin and rest

Emergency care - give nitroglycerin, oxygen inhalation , repeat nitroglycerin then pain conditions than treatment for M. I. aspirin , streptomycin, morphine heparin

:- lifestyle modifications

:- diatry modification.