A 56-Year-old Man Hospitalized for Unstable Angina!!

[Milaap]

A 56-year-old man was admitted for a diagnostic evaluation of recent onset of chest pain. Three days before admission, he had woken up in the middle of the night with a tight precordial pain of strong intensity, lasting for 20 minutes, radiating to the upper left limb and accompanied by dyspnea, which led him to seek medical attention. The myocardial injury markers were not increased, and the ECG was not considered suggestive of acute myocardial ischemia. After receiving a prescription of atenolol and aspirin, the patient was instructed to seek the Cardiology Department for outpatient care. In the days following the initial clinical presentation, he had two new episodes with lower intensity and sought medical assistance at this Hospital. He also complained of dyspnea on exertion, which progressed over many years and had not intensified in the period. He was a smoker of 40 cigarettes per day and had known hypertension, which was controlled without medication. How to cure this condition?

[Mrinmayee]

@milaap The best treatment for your angina depends on the type of angina you have and other factors. If your angina is stable, you might be able to control it with lifestyle changes and medicines. Unstable angina requires immediate treatment in a hospital, which could involve medicines and surgical procedures. Several medications can improve angina symptoms, including:

Aspirin. Aspirin and other anti-platelet medications reduce the ability of your blood to clot, making it easier for blood to flow through narrowed heart arteries.
Nitrates. Often used to treat angina, nitrates relax and widen your blood vessels, allowing more blood to flow to your heart muscle. Nitrates in pills or sprays act quickly to relieve pain during an event. There are also long-acting nitrate pills and skin patches.
Beta blockers. These block the effects of the hormone epinephrine, also known as adrenaline. They help your heart beat more slowly and with less force, decreasing the effort your heart makes and easing the angina pain.
Statins. Statins lower blood cholesterol by blocking a substance your body needs to make cholesterol. They might also help your body reabsorb cholesterol that has accumulated in the buildup of fats (plaques) in your artery walls, helping prevent further blockage in your blood vessels.