Stable Angina in Seniors
Stable angina is considered to be stable for more than one month. A prerequisite is the stereotype of painful attacks with the same physical activity. The frequency of attacks does not increase, load tolerance does not decrease.
Angina pain is most often deep, occurs behind the sternum, starting from its upper third and gradually spreading to the entire precardiac region. Slightly less, it appears to the left of the sternum or in the epigastrium (under the spoon). The pain radiates to the left shoulder blade, the left shoulder, the left arm, and goes along its elbow edge to the little finger. In addition, pain can spread to the neck, lower jaw, and teeth. In rare cases, there is irradiation in the right sections of the chest, right shoulder, shoulder blade and even in the lower back. It is believed that the harder the attack, the more extensive the irradiation zone, but this pattern does not always occur.
In the atypical form, the pain behind the sternum may be absent and localized exclusively in the irradiation zone.
The intensity of pain in angina is quite high, but different people experience it differently, depending on the pain threshold and the body’s ability to synthesize opiates – natural painkillers. As a rule, women estimate the intensity of pain lower than men. When an attack occurs, the patient stops abruptly, as if dying, and often they press their fist clenched to their chest. Pain is often accompanied by dry mouth, cold sweat, pale skin, increased breathing, and the fear of death.
The main causes of angina attack include:
increase in blood pressure.
Additional factors contributing to the onset of an attack include:
exacerbation of concomitant diseases (gastric or duodenal ulcer, cholecystitis, pancreatitis, etc.),
use of certain drugs (cocaine).
The intensity and volume of the load that causes a painful attack is different in different people and depends on the severity of the disease and the degree of narrowing of the coronary arteries.
Non-severe angina pectoris is characterized by the appearance of discomfort in the chest only with a very intense load.
Pain with angina can last from 1 to 15 minutes, but on average the duration of the attack is 2-5 minutes. Pain during the attack gradually increases and, after reaching a climax, it disappears.
Termination of the load leads to relief from pain within 1-2 minutes. Taking nitroglycerin stops the attack in time from 30 seconds to 5 minutes. These are the two most important features of angina, which distinguish it from myocardial infarction.
Medigap Policy for Over 65 People: Individuals who are 65 and above can use 2019 Medicare advantage plans located at https://www.medicareadvantageplans2019.org to pay for extra expenses like coinsurance.