First aid for angina

If next to you man began to complain of pain in the chest, above all, provide him the opportunity to relax in the most comfortable position. People who have previously occurred angina usually know themselves what to do and if they do not feel too bad, can self lie down and take the medicine. However, during the attack better person to be around - just in case it would be dramatically worse. If an attack occurred in humans for the first time, or if the earlier attacks were much weaker, it can cause him great fear, because of what some time it may be difficult to understand what to do. In this case, the primary task - to calm the person, try to convince him that now he can not move and worry - it may even worsen his health.

If you are outdoors and take this situation there is no place, you can just kneel down behind the patient so that he could sit down and lean on your back. Help the person take the medication (usually a nitroglycerin). If he has no medicine, call an ambulance - most likely, this is the first attack of angina pectoris (for those who have already been attacks, medication should always be with you), which means that the patient necessarily require medical attention. You should also call an ambulance if the person is suffocating (dyspnea angina does not occur very rarely), or if he lost consciousness.

In addition, emergency aid for angina is required if the attack lasts longer than fifteen minutes. This may indicate that a person has an attack of unstable angina Unstable angina - alarm organism   or a heart attack - in both cases it is necessary to call an ambulance. Generally, if you have any doubts about whether to call the "fast", it is better to do it, even if the patient objected and said that soon he will get better - unfortunately, people can not always adequately assess their condition .

Chest pain - angina or anxiety?

Pain in the heart - it is the fear of many people. As children, many of us know that the appearance of such pain should immediately seek help. However, there are cases when the pain is associated with anxiety disorders, often - with panic attacks.

The cause of the symptoms are similar to symptoms of angina during panic attacks is hyperventilation. In this state, a person exhales carbon dioxide too quickly, and in such quantities that the body does not manage to produce it in sufficient quantities. We used to think that carbon dioxide is harmful, but in fact it is necessary for the implementation of a number of functions. When the level is too low, the blood vessels are narrowed, there is a feeling of pressure in your chest, you may see a little dizzy. This set of symptoms people sometimes mistaken for the beginning of an attack of angina pectoris Angina - oxygen deficiency   or a heart attack.

How to distinguish one from the other? Panic attacks, unlike angina and heart attacks, the most common among people aged 20 to 40 years. When angina and heart attack chest pain Chest pain is one symptom - a lot of diseases   given the hands and other body parts; during a panic attack does not happen. The pain caused by a panic attack Panic attacks - fear of nowhere It may be acute, but not oppressive, but there are exceptions. Unfortunately, these features make it impossible to pinpoint, because of which there was a pain in the chest, so when it occurs is better to address to the doctor - especially if it was the first time in the past you did not suffer from anxiety disorders.

Varieties of hypertensive crisis

Hypertensive crisis - a worsening of hypertension, which begins suddenly, lasts a short time and is manifested as disorders of the heart or brain.

Some patients (especially if they are receiving adequate treatment permanent) crises do not happen at all, in others the crises begin to appear in the early stages of the disease and may even be its only manifestation.

Hypertensive crisis in the early and late stages of hypertension differ from each other as the mechanism of occurrence, and by major manifestations.

The main manifestations of hypertensive crisis in the early stages of hypertension

Such a crisis usually begins with the allocation in the blood increased amounts of adrenaline. Most often it is the result of a stress How to beat stress? Create an oasis . Under the action of adrenaline, a sharp narrowing of the blood vessels, which causes rise in blood pressure. But too high pressure in this type of hypertensive crisis does not happen. The patient begins to feel palpitations, why may panic and fear of death. That is why he must know clearly the signs of crisis, do not be afraid of him and know how to help themselves. Additionally, you may develop a strong headache and tremors occur throughout the body. After spasm of blood vessels pass, patients usually copious notes.

The main manifestations of hypertensive crisis in the later stages of hypertension

In the later stages of hypertension Hypertensive heart disease - the prognosis is poor   cause of crisis is the release of norepinephrine. The crisis may begin on many factors, including the sharp change in atmospheric pressure, magnetic storms, cold, taking a heavy meal (especially at night), heavy physical exertion, stress.

Blood pressure in this case may rise to very high numbers and duration of such crises significantly greater than crises in the early stages of the disease. During such a crisis may dominate the signs of disorders of the cardiovascular system, the brain without violations and abuses on the part of the peripheral nervous system. Severe hypertensive crises manifested by spasms of the blood vessels of several regions (generalized crises).

Hypertensive heart crisis usually occurs in older patients. It begins with the appearance of weakness and anxiety, after which the patient begins to feel palpitations, shortness of breath. This suggests that in the veins of the pulmonary circulation (it goes from the heart to the lungs and back again) is stagnant liquid part of blood seeps through the walls of veins and fills the lungs. This is very dangerous, because it may start swelling Prevention and treatment of edema - it is important to understand the root cause   lungs - a serious condition that requires emergency care.

Hypertensive crises without brain disorders from the peripheral nervous system often occurs at night, while there is a strong and constantly growing headache, nausea, vomiting, lethargy, and sometimes - a semiconscious state.

Hypertensive crisis with brain disorders of the peripheral nervous commonly found in cases where the patient does not feel high blood pressure Blood pressure - dangerous if his swing?   and do not take their medicines. Under the influence of the release of norepinephrine, such patients feel a burst of energy, but then become irritable, after which they may be signs of numbness in one or another part of the body, blurred vision (front sight in the eyes, double vision objects), hearing, speech, changes in traffic patterns.

Kriz generalized spasm of blood vessels is shown both in the brain, heart, kidney and the retina. Condition of these patients can be very heavy.

How to help the patient during a hypertensive crisis

Hypertensive crisis in any case should not be a surprise for the patient. The patient, a doctor is constantly observed, always knows how and why can begin crisis, signs of its approach and first aid for him. At the same time you should try not to panic, to call an ambulance to take a sedative pills pressure reduction (removal of hypertensive crisis doctor prescribes special treatment). Then you can put your feet in a basin of warm water, relax and wait for the arrival of an ambulance.

If ambulance lower blood pressure fails, the patient is usually admitted to the hospital in order to prevent complications of hypertensive crisis.

Hypertensive crisis often develops at an irregular or inadequate treatment of hypertension. If you perform all prescription, crises are usually avoided.