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HEART DISEASES: ANGINA PECTORIS

Angina pectoris is a pain-continuous, aching, burning, or with a feeling of constriction – behind the breastbone, sometimes over the heart, radiating to the arm, the neck or the jaws. The pain becomes worse upon walking or upon association with any emotional strain or other stimulus that increases the work of the heart. Immediate rest stops the pain. Immediate relief from stress also stops the pain. It is most important to be certain that the pain is that of angina pectoris. Associated with it is a feeling of impending death which is frightening. The cause of the pain is believed to be a deficiency of the supply of oxygen to the muscle of the heart. The muscle needs oxygen in order to function. An increased demand for oxygen is therefore associated with exercise, emotional strain or anything that causes the heart to beat faster. High blood pressure or constriction of the blood vessels to the heart will also lessen its blood supply. Experts say that the underlying cause of angina pectoris in the vast majority of cases is a constriction of the coronary arteries which impedes the flow of blood into the muscles of the heart. Obviously, in such cases there is always the danger of a sudden complete blocking of these blood vessels, as occurs in coronary thrombosis. When people who have had angina pectoris for a long time develop such attacks while at rest, there is a possibility that coronary thrombosis is threatening. Angina pectoris may occur in people of any business or occupation but is more likely to attack those who work under strain.
Here are ten commandments for people who have angina pectoris:
1. Do not subject your heart to sudden, strenuous, or prolonged physical activity.
2. Eat regularly, slowly, and temperately.
3. If you are excessively overweight, seek sound counsel as to how best dispense with this form of heart handicap.
4. Try to avoid physical activity for at least thirty minutes after eating, particularly after the heaviest meal of the day.
5. Avoid emotional stress and strain. Worry is an important factor in relation to heart strain.
6. By appropriate measures, keep your body as free as possible from so-called foci of infection.
7. Remember that regular intestinal elimination is highly important.
8. Average not less than eight hours of sleep in a room abundantly supplied with fresh air.
9. Remember that perennial health demands a proper balance between work, play, and rest.
10. Have periodic medical examinations, in order to uncover defects of which you may be unaware.
People with angina pectoris can now get relief by various drugs. There are small glass bottles or ampules which contain amyl nitrite. Inhaling this drug brings prompt relief. Some people do well with nitroglycerin tablets which are dissolved under the tongue. Relief of the acute attack is not difficult but the doctor must regulate the life of the person with angina pectoris to minimize attacks, both as to frequency and severity, as much as possible.
*9/318/5*

HEART DISEASES: ANGINA PECTORISAngina pectoris is a pain-continuous, aching, burning, or with a feeling of constriction – behind the breastbone, sometimes over the heart, radiating to the arm, the neck or the jaws. The pain becomes worse upon walking or upon association with any emotional strain or other stimulus that increases the work of the heart. Immediate rest stops the pain. Immediate relief from stress also stops the pain. It is most important to be certain that the pain is that of angina pectoris. Associated with it is a feeling of impending death which is frightening. The cause of the pain is believed to be a deficiency of the supply of oxygen to the muscle of the heart. The muscle needs oxygen in order to function. An increased demand for oxygen is therefore associated with exercise, emotional strain or anything that causes the heart to beat faster. High blood pressure or constriction of the blood vessels to the heart will also lessen its blood supply. Experts say that the underlying cause of angina pectoris in the vast majority of cases is a constriction of the coronary arteries which impedes the flow of blood into the muscles of the heart. Obviously, in such cases there is always the danger of a sudden complete blocking of these blood vessels, as occurs in coronary thrombosis. When people who have had angina pectoris for a long time develop such attacks while at rest, there is a possibility that coronary thrombosis is threatening. Angina pectoris may occur in people of any business or occupation but is more likely to attack those who work under strain.Here are ten commandments for people who have angina pectoris:1. Do not subject your heart to sudden, strenuous, or prolonged physical activity.2. Eat regularly, slowly, and temperately.3. If you are excessively overweight, seek sound counsel as to how best dispense with this form of heart handicap.4. Try to avoid physical activity for at least thirty minutes after eating, particularly after the heaviest meal of the day.5. Avoid emotional stress and strain. Worry is an important factor in relation to heart strain.6. By appropriate measures, keep your body as free as possible from so-called foci of infection.7. Remember that regular intestinal elimination is highly important.8. Average not less than eight hours of sleep in a room abundantly supplied with fresh air.9. Remember that perennial health demands a proper balance between work, play, and rest.10. Have periodic medical examinations, in order to uncover defects of which you may be unaware.People with angina pectoris can now get relief by various drugs. There are small glass bottles or ampules which contain amyl nitrite. Inhaling this drug brings prompt relief. Some people do well with nitroglycerin tablets which are dissolved under the tongue. Relief of the acute attack is not difficult but the doctor must regulate the life of the person with angina pectoris to minimize attacks, both as to frequency and severity, as much as possible.*9/318/5*

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