{"id":38749,"date":"2024-01-06T07:52:49","date_gmt":"2024-01-06T06:52:49","guid":{"rendered":"https:\/\/www.myspecialdoctor.it\/uncategorized\/angina-pectoris-diagnosis-and-treatments\/"},"modified":"2024-02-07T19:00:20","modified_gmt":"2024-02-07T18:00:20","slug":"angina-pectoris-diagnosis-and-treatments","status":"publish","type":"post","link":"https:\/\/www.myspecialdoctor.it\/en\/general-medicine\/angina-pectoris-diagnosis-and-treatments\/","title":{"rendered":"Angina pectoris: diagnosis and treatments"},"content":{"rendered":"<p><strong>Angina pectoris<\/strong> expresses myocardial ischemia, and its diagnosis is based primarily on the evaluation of patient-reported complaints. Angina can be related to exercise. There can be many different causes: it can be chronic atherosclerosis, but coronary artery spasm is also possible in the absence of atherosclerotic lesions. The main diagnostic question lies in the correct interpretation of anginal pain. In the absence of appropriate diagnostic tools, initial suspicion can be confirmed by regression of anginal pain after sublingual administration of nitroglycerin.  <\/p><h3 class=\"wp-block-heading\">Symptomatology and diagnosis<\/h3><p>The pivotal symptom is the&#13;\npain, which can take on connotations that vary from case to case. The reaction&#13;\npatient&#8217;s instinct is to remain motionless. Other symptoms include&#13;\npallor and skin sweating, atrial gallop, abnormal pulse rate,&#13;\nparadoxical splitting of the second tone and increased pressor values.<\/p><p>As for the&#13;\ninstrumental diagnosis the main examination to be done is the electrocardiogram, from&#13;\nperform under stress. Radioisotopic investigations should also be done and&#13;\ncoronarography.  <\/p><h3 class=\"wp-block-heading\">Principles of therapy<\/h3><p>Therapy involves taking nitroglocerin sublingually at the onset of anginal pain. In case of ineffectiveness, isosorbide dinitrate can be used. For chronic treatment one can use: nitroderivatives, calcium channel blockers, beta blockers, antiplatelet agents.<\/p><p>\n&#13;\nSource: Medical Guard Handbook edited by Piercarlo Salari (Mediserve)&#13;\n&#13;\n<\/p>","protected":false},"excerpt":{"rendered":"<p>Angina pectoris expresses myocardial ischemia, and its diagnosis is based primarily on the evaluation of patient-reported complaints. Angina can be &#8230; <a title=\"Angina pectoris: diagnosis and treatments\" class=\"read-more\" href=\"https:\/\/www.myspecialdoctor.it\/en\/general-medicine\/angina-pectoris-diagnosis-and-treatments\/\" aria-label=\"Read more about Angina pectoris: diagnosis and treatments\">Read more<\/a><\/p>\n","protected":false},"author":8744,"featured_media":34213,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","pmpro_default_level":0,"footnotes":"","_wpscppro_custom_social_share_image":0,"_facebook_share_type":"","_twitter_share_type":"","_linkedin_share_type":"","_pinterest_share_type":"","_linkedin_share_type_page":"","_instagram_share_type":"","_medium_share_type":"","_threads_share_type":"","_selected_social_profile":[]},"categories":[1741],"tags":[2275,2276],"corpo":[],"table_tags":[],"class_list":["post-38749","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general-medicine","tag-angina-pectoris-en","tag-ischemia-en","pmpro-has-access"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.myspecialdoctor.it\/en\/wp-json\/wp\/v2\/posts\/38749"}],"collection":[{"href":"https:\/\/www.myspecialdoctor.it\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.myspecialdoctor.it\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.myspecialdoctor.it\/en\/wp-json\/wp\/v2\/users\/8744"}],"replies":[{"embeddable":true,"href":"https:\/\/www.myspecialdoctor.it\/en\/wp-json\/wp\/v2\/comments?post=38749"}],"version-history":[{"count":3,"href":"https:\/\/www.myspecialdoctor.it\/en\/wp-json\/wp\/v2\/posts\/38749\/revisions"}],"predecessor-version":[{"id":40873,"href":"https:\/\/www.myspecialdoctor.it\/en\/wp-json\/wp\/v2\/posts\/38749\/revisions\/40873"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.myspecialdoctor.it\/en\/wp-json\/wp\/v2\/media\/34213"}],"wp:attachment":[{"href":"https:\/\/www.myspecialdoctor.it\/en\/wp-json\/wp\/v2\/media?parent=38749"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.myspecialdoctor.it\/en\/wp-json\/wp\/v2\/categories?post=38749"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.myspecialdoctor.it\/en\/wp-json\/wp\/v2\/tags?post=38749"},{"taxonomy":"corpo","embeddable":true,"href":"https:\/\/www.myspecialdoctor.it\/en\/wp-json\/wp\/v2\/corpo?post=38749"},{"taxonomy":"table_tags","embeddable":true,"href":"https:\/\/www.myspecialdoctor.it\/en\/wp-json\/wp\/v2\/table_tags?post=38749"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}