中医英语心绞痛.ppt

小组成员单晓琳王丹张丽丽郭金洋张数国赵阳,ANGINASYMPTOMSANDTREATMENT,WHATISANGINA?,Anginaispainthatcomesfromtheheart.,WHATISANGINA?,Anginaispainthatcomesfromtheheart.Thisslideisaboutthecommontypeofanginawhichiscausedbynarrowinginthecoronaryarteriesoftheheart,MorecommonAge50,menwomen,oldyounger,Understandingthearteriesoftheheart,Thecoronaryarteriestakebloodtotheheartmuscle.Thecoronaryarteriesarethefirstarteriestobranchofftheaorta.Theaortaisthelargearterythattakesbloodfromtheleftventricleofthehearttothebody.,Whatcausesangina?,Oneormoreyourcoronaryarteriesisusuallynarrowed.Itiscausedareducedbloodsupplytoapartorpartsofyourheartmuscle.Theheartcomplainswithpain!,Whatarethesymptomsofangina?,Typicalandcommonsymptomsthecommonsymptomispain,acheordiscomfortLesstypicalsymptomsthatsometimesoccurnon-typicalpains,Threetypeofangina,Stable(orchronic)anginaisbroughtonwhentheheartisworkingharderthanusual,suchasduringexercise.Ithasaregularpatternandcanbepredictedtohappenovermonthsorevenyears.Symptomsarerelievedbyrestormedication.,Unstableanginadoesnotfollowaregularpattern.Itcanoccurwhenatrestandisconsideredlesscommonandmoreseriousasitisnotrelievedbyrestormedicine.,Variant(Prinzmetals)anginaandmicrovascular(smallestvessels)anginaarerareandcanoccuratrestwithoutanyunderlyingcoronaryarterydisease.Thisanginaisusuallyduetoabnormalnarrowingorrelaxation(spasm)ofthebloodvessels,reducingbloodflowtotheheart.,Electrocardiogram(EKG)-recordselectricalactivityoftheheartandcandetectwhentheheartisstarvedforoxygen,Stresstest-bloodpressurereadingsandanEKGwhilethepatientisincreasingphysicalactivity,ChestX-ray-toseestructuresinsidethechest,Bloodtests-tochecklevelsoffats,cholesterol,sugar,andproteins,Coronaryangiography-dyeandspecialX-raystoshowtheinsideofcoronaryarteries(dyeisinsertedusingcardiaccatheterization),Howisanginatreated?,AnginatreatmentaimAnginatreatmentaimtoreducepain,preventsymptoms,andpreventorlowertheriskofheartattack.Medicines,lifestylechanges,andmedicalproceduresmayallbeemployeddependingonthetypeofanginaandtheseverityofsymptoms.,Medicinestreatment,1.Medicinescallednitrates2.Beatblockers.3.Calciumchannelblockers4.ACEinhibitors5.Otheranti-anginamedicines,1.Medicinescallednitrates(likenitroglycerin),1.nitroglycerinaremostoftenprescribedforanginawhy?Becauseofitsrapidonset,moreeffective,easytouseandeconomy,isthemostcommonlyuseddrugpreventionandtreatmentofangina,-blockers.,Bisoprololpropranolol,3.Calciumchannelblockers,nifedipine,ACEinhibitors,captopril,Otheranti-anginamedicines,molsidominenicorandil,Surgerytreatment,Sometimesweneedsurgicalmedicaltreatmenttotreatangina,Howcananginabeprevented,Stoppingsmoking,Controllingweight,Regularlycheckingcholesterollevels,Restingandslowingdown,Avoidinglargemeals,Learninghowtohandleoravoidstress,Eatingfruits,vegetables,wholegrains,low-fatorno-fatdiaryproducts,andleanmeatandfish,Mistakeofdiagnosed,1.onlyoldpeople