What to do if the elderly often suffer from angina pectoris

Angina pectoris in the elderly can be relieved by adjusting lifestyle, drug treatment, traditional Chinese medicine conditioning, cardiac rehabilitation training, surgical treatment, etc. Angina pectoris is usually related to factors such as coronary atherosclerosis, mood swings, overwork, cold stimulation, and anemia.

1. Adjust your lifestyle

Patients need to avoid strenuous exercise or emotional excitement, keep warm in winter, eat a diet mainly low in salt and fat, consume high-quality protein such as fish and egg protein every day, and limit animal offal and fried foods. Smokers should quit smoking, and drinkers should consume no more than 25 grams of alcohol per day. Maintain a regular schedule and sleep for 6-8 hours.

2. Drug treatment

Nitroglycerin tablets can quickly relieve acute attacks, Shexiang Baoxin Pills are suitable for angina pectoris due to qi stagnation and blood stasis, and atorvastatin calcium tablets can stabilize arterial plaques. Gastrointestinal reactions need to be monitored when using antiplatelet drugs such as aspirin enteric-coated tablets. People with hypertension need to use amlodipine besylate tablets to control blood pressure.

3. Traditional Chinese Medicine conditioning

For the syndrome of qi stagnation and blood stasis, Xuefu Zhuyu Decoction can be added or subtracted. For the syndrome of phlegm and turbid blockage, Gualou Xiebai Banxia Decoction is suitable. Acupoint pressure on Neiguan and Tanzhong points 3 times a day for 5 minutes each time. Moxibustion on Xinshu and Jueyinshu once every other day, combined with gentle exercise such as Tai Chi to improve the circulation of Qi and blood.

4. Cardiac rehabilitation training

After evaluation by a doctor, aerobic training can be carried out 3-5 times a week. If the 6-minute walk test reaches the standard, power bicycle training can be chosen. The initial stage of recovery needs to be carried out under supervision, and the target heart rate is controlled within the range of resting heart rate + 20 beats/min to avoid causing angina pectoris.

5. Surgical treatment

When coronary angiography shows main artery stenosis exceeding 75%, stent implantation or coronary artery bypass grafting should be considered. Clopidogrel tablets need to be taken long-term after surgery to prevent stent thrombosis, and coagulation function should be reviewed regularly. Patients with diabetes need to strictly control blood sugar to delay graft vascular disease.

Patients should carry nitroglycerin tablets with them every day, take them sublingually and stop activities immediately when an attack occurs. Monitor blood pressure three times a week and record it, and bring the record book with you during outpatient follow-up visits. You can eat hawthorn, salvia and other medicinal and edible ingredients in moderation, and avoid activities immediately after a full meal. Family members need to learn CPR skills, and it is better to have an automated external defibrillator at home. Avoid adjusting drug dosage without authorization, and regularly review blood lipids, blood sugar and other indicators.