Emergency treatments offered at the hospital will not be discussed here. Once the emergency is under control, the therapeutic interventions The main aim will be to prevent the problem from getting worse and to prevent recurrence.

If you experience symptoms of angina attack, discuss it with a doctor without delay.

vaistai

The following drugs are used to treat or prevent angina attacks ir užkirsti kelią recurrent infarction.

• Hypolipémiants, to lower cholesterol levels: statins, bile acid binders, etc.
• Antiangineux, to treat coronary heart disease: beta blockers, calcium channel blockers, nitrates.
• Antitrombocitiniai vaistai : acetylsalicylic acid (aspirin) and clopidogrel.

Researchers are working to create molecules capable of raising the level of good cholesterol (HDL).

intervencijos

Depending on the case, one or the other of the following interventions may be indicated in order to prevent recurrent infarction.

• Percutaneous coronary intervention. This intervention, performed by an interventionist cardiologist, consists first of inserting a catheter fitted with an inflatable balloon to unclog a blocked artery, which is called theangioplastika. The catheter is inserted into an artery in the wrist or groin.

   

  At the time of the operation, a small metal stake, or stent, is frequently inserted into the artery, which halves the risk of the artery becoming blocked again. To increase their effectiveness, some stakes are coated with a drug (for example, sirolimus or paclitaxel).

• Bypass surgery. The surgeon grafts a blood vessel, taken from a leg or chest, to create a new passage for blood to bypass a blockage in a coronary artery. Doctors opt for bypass surgery when several coronary arteries are blocked or narrowed, or when the main coronary artery is affected. This intervention takes place especially in the event of diabetas orŠirdies nepakankamumas, or if several blood vessels are blocked.

Gyvenimo būdo pakeitimas

Doctors are increasingly emphasizing the need to change lifestyle habits in order to slow or stop the progression of the disease, as explained in the Prevention section:

• nerūkyti;
• to exercise;
• eat well;
• išlaikyti sveiką svorį;
• have a good sleep;
• learn to relax;
• expressing emotions, etc.

Šios gydymo centrai in cardiology now offer counseling services in matters of nutrition, physical exercise programs, support programs to quit smoking, relaxation workshops, stress management, meditation, etc.

These measures have both preventive and curative value.

Learn from the Mediterranean diet

Several cardiologists recommend this diet, which is effective for užkirsti kelią pasikartojimui.

Studies have shown that the Mediterranean diet manages to reduce 70% risk of recurrence of coronary heart diseasecompared to a balanced diet^34-36 .

The Mediterranean diet is characterized in particular by an abundance of fresh vegetables and fruits, the use of olive oil as a source of fat, the consumption of fish and also of wine, in moderate quantities.

Psichoterapija

Undergoing psychotherapy as part of the treatment of cardiovascular disorders – or even better, in prevention – can bring many benefits^{39, 55}. Chronic stress, anxiety, social isolation and aggression are all factors that, without being noticed, act on our nervous system and undermine our cardiovascular health. In addition, to alleviate these problems, it is common that we resort to behaviors which, instead of helping us, worsen the problem: smoking, alcoholism, compulsive eating, etc.

In addition, people who, after an angina attack, for example, are encouraged to rethink their gyvenimo būdas (exercise, quit smoking, etc.), have an interest in taking all possible means to achieve it. In any case, psychotherapy can play a leading role.