Wind seated or angina

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Wind seated or angina is a condition when sufferers experience chest pain due to heart muscles get less blood supply . Disruption of blood supply is due to a narrowing or hardening of the arteries . Attacks could occur sat wind suddenly .

Here are some of the symptoms of the wind sits, among them:

• Pain in the chest, which is likely to spread to the left arm, back, jaw, and neck.
• Hard to breathe.
• The body feels tired.
• Nausea.
• Dizzy.
• Restless.
• Excessive sweating.

See a doctor if you feel a sudden pain in the chest, but had never been diagnosed with any heart problems. While not all chest pain caused by disorders of the heart, went to the doctor is the safest step.

The cause of the wind sits (angina)
In order to work properly, the heart requires the input of oxygen-rich blood adequately. Blood to the organ will be channeled through two large vessels known as coronary arteries. The wind sits occurs when the coronary arteries are narrowed.

Based on the things that can trigger constriction of the coronary vessels, wind sits divided into two types, namely:

• The wind sits stable. Physical activity is the trigger of this condition, one of them is exercise. Because when a person exercise, the heart will need more blood supply. The intake will not be fulfilled if the coronary artery blockage. Attacks sit steady winds can also be triggered by a number of other things, such as smoking, stress, overeating, and cold air.
• The wind sits unstable. This condition can be triggered by fatty deposits or blood clots that reduce or block blood flow to the heart. Unlike steady wind sits, pain due to unstable wind sits will still exist even if the patient has rest and take medication for angina. If left unchecked, sit unstable wind attacks could develop into a heart attack.

A number of factors can increase the risk of wind sits. Some of these factors include:

• High cholesterol. High levels of cholesterol in a person's body has the potential to accumulate in the blood vessels. If this happens, of course, the blood will be difficult to flow into the heart.
• Have diabetes. High levels of sugar due to diabetes, can damage the arterial wall. In addition, diabetes can also increase cholesterol levels in the body.
• Hypertension. If blood flow is blocked, the heart will be more powerful pump and increase the pressure so that blood can flow. If this continues to happen, then the high pressure can damage the walls of arteries or cause hardening of the vessels.
• Stress. When we are under stress, the body produces a number of hormones that can narrow blood vessels. In addition stress can also increase blood pressure.
• Obesity. People who are obese will be susceptible to a number of conditions that can increase the risk of wind sits, such as diabetes, hypertension, and high cholesterol.
• Smoke. This activity can damage artery walls and causes accumulation of cholesterol in the blood that would have difficulty carrying oxygen to be circulated.
• History. If we were ever exposed to diseases related to the heart or have a family that had a history of it, then we will also be at increased risk of wind sits.
• Lack of exercise. People who exercise are less wind sits at risk because it will be prone to obesity, hypertension, high cholesterol, and diabetes.
• Age. Elderly people are particularly susceptible to wind sits compared to people who are young. Especially for men, this increased risk begins at age 45 years, whereas in women starting at the age of 55 years.

Diagnosis wind sits (angina)
In diagnosing the wind sits, generally the doctor will begin by asking about symptoms experienced by patients. In addition, the doctor will ask whether patients had heart disease or a family like doing habits that can trigger the condition, for example, like to eat fatty foods, smoke, or consume hard drinking.

To further strengthen the diagnosis, some simple checks can also be done by a doctor, including measurements of weight, blood pressure measurements and blood tests to determine levels of sugar, cholesterol, and kidney function. In addition through blood tests, kidney function also can be detected through urine testing. Conditions related to kidney is important to detect because there are several drugs that sit wind should not be used by patients with kidney disease.

In addition, the following further tests to confirm the diagnosis of the wind sits:

• Echocardiogram. This test aims to identify issues related to the wind sits, for example, the damage to heart muscle caused by a restricted blood flow or any part of the heart is not enough to get the blood supply. The identification is obtained from an image produced by sound waves.
• The electrocardiogram (ECG). Through this test the electrical activity and cardiac rhythm was recorded with the help of electrodes are connected to a special machine. From the pattern of the recorded heartbeat, doctors can see whether the blood stream of patients experienced penurunun or interference. In addition to the wind sits, electrocardiogram can also detect whether the patient had a heart attack.
• Cardiac endurance test. This test aims to measure the durability of the heart when we are doing physical activity before symptoms appear wind sits. Physical activity can be done with a treadmill exercise in the room. Cardiac endurance test will be combined with an electrocardiogram to help doctors read the heart rhythm.
• CT scan This examination aims to determine the existence and how severe narrowing of the coronary arteries. CT heart scans done with the help of a special machine equipped with a tube-shaped X-ray. From this examination will get a picture of the patient's heart condition in detail.
• MRI scans Same as CT scans of the heart, this test aims to determine the condition of the patient's heart. But the difference is cardiac MRI scan done with the help of radio waves and magnetic fields.
• Heart scintigraphy. This test can be done if the results of an electrocardiogram readings still doubtful. In the heart scintigraphy test, a special dye liquid to be injected into the blood vessels. These dyes will flow to the heart and monitored using a gamma camera to determine if the impaired flow.
• Cardiac angiography. This test is done using a special tool in the form of a thin hose is inserted into the blood vessel. The goal is to determine whether the blood vessel becomes blocked and how severe the blockage. Cardiac angiography was performed if the wind sits diagnosis can not be done in any way or if symptoms persist despite treatment. This test may create risk of complications such as heart attack or stroke. Therefore, this procedure is only done when absolutely necessary.

Treatment wind sits (angina)
Treatment aims to reduce the wind sits severity of the symptoms and reduce the risk of patients having a heart attack or death.

The wind sits with mild or moderate symptoms still can be handled without medication, by leading a healthy lifestyle and abandon bad habits that can trigger the wind sits. Some of these include:

• Eating a balanced nutritious diet or one that contains lots of fiber, such as fruits, vegetables, and whole grains. Avoid eating foods that contain lots of salt.
• Do not eat more than portions or calories needed by the body.
• Balance physical activity with rest. It is better to ask your doctor for advice beforehand about healthy exercise for your condition.
• Avoid stress or handle stress if you experience it.
• Do weight loss programs if you are obese.
• Avoid cigarette smoke.
• Limit alcohol consumption.
• Always control blood sugar if you have diabetes.

If the wind does not sit quite overcome with the adoption of a healthy lifestyle, then the doctor may prescribe some medications below.

• Drugs prevention of blood clots. This drug serves to separate pieces of blood and prevent clotting. Some examples of this class of drugs is the clopidogrel and ticagrelor.
• Aspirin. These drugs serves to lower the blood's ability to clot so that blood will easily flow through narrow vessels once. Besides overcoming angina, aspirin can reduce the risk of heart attack. Some side effects of aspirin use among them nausea, indigestion, and stomach irritation.
• Statins. These drugs can lower cholesterol levels so that damage to the blood vessels can be prevented. Moreover, statins can also lower the risk of stroke and heart attack. Statins work by blocking an enzyme-producing the cholesterol contained in the liver. Potential side effects of statins are abdominal pain, diarrhea, and constipation.
• Drugs nitrate. Besides effective in treating the symptoms of the wind sits, nitrate can also be used as a method of long-term prevention or used prior to activities that could potentially cause the wind sits, like exercising. These drugs function relaxes stiff blood vessels so that blood can flow smoothly toward the heart. One of nitrate drug that is widely used is glyceryl trinitrate. These drugs can relieve the symptoms of wind seated quickly. Do not consume liquor during treatment with glyceryl trinitrate as it may aggravate side effects appear.
• Calcium channel blocker drug. These drugs can be the blood flow in the heart and relieve or prevent the symptoms of wind sits. A drug that is also known as a calcium antagonist is capable of flexing muscle cells contained in the blood vessel wall.
• Nicorandil. This drug is usually used by people who can not take medication calcium channel blockers. Even so, nicorandil has the same functionality and performance as inhibitors of calcium, namely improving blood flow to the heart by widening the coronary arteries.
• Beta blocker drugs. In relieve or prevent the symptoms of the wind sits, this drug function counteracting the effects of the hormone adrenaline that decreases blood pressure and decreased heart rhythm. Thus, the burden of heart will decline.
• Ivabradine. This drug has the same performance with a beta blocker drugs, but as an alternative if the patient can not sit wind take the drug.
• Ranolazine. These drugs can prevent the wind sitting by smoothing the blood flow and relaxes the muscles of the heart. Ranolazine safely used by patients who have an irregular heart rhythm or have a history of heart attack because the drug does not affect heart rate.
• Angiotensin-converting enzyme inhibitors. Drugs commonly called an ACE inhibitor serves to inhibit the activity of a hormone that can narrow blood vessels. The hormone called angiotensin. These drugs can also lower blood pressure. ACE inhibitors should not be used in patients with wind sitting who have kidney problems because it can reduce the blood supply to the organ.

If the symptom is severe wind sits and can no longer be solved with medication, surgery will be considered by a physician in order to prevent the occurrence of heart attacks. Several types of operations are included:

• Bypass surgery. This procedure aims to reroute blood flow to not pass through the blood vessels are blocked or damaged by using blood vessels from other parts of the body.
• Angioplasty. The procedure aims to facilitate blood flow is done by inserting a small balloon into the narrowed blood vessels, so that when the balloon is blown, the blood vessels will dilate. After that, a special wire will function this wire to block the blood vessel to keep it open.

Wind Prevention sitting (angina)
Precautionary measures wind sits almost the same as the initial treatment steps wind sits without the use of drugs, ie by adopting a healthy lifestyle. In addition to preventing attacks wind sits in people who have never experienced it, the application of a healthy lifestyle can reduce the severity of symptoms wind sits on the sufferer. Here are some steps that can be taken to prevent the wind sits, among them:

• Exercising. You can do light exercise, such as cycling, running or swimming. Besides being able to lose weight, exercise can also make a smooth blood circulation and lower blood pressure, so that the heart and coronary vessels stay healthy.
• Eating foods that are healthy for the heart. In order to continue to work well, you need food support. Heart-healthy diet should be rich in fiber. You can get fiber requirement through fruits, vegetables, and whole grains. In addition to fiber, foods that contain unsaturated fats are also healthy for the heart as saturated fat can help reduce blood vessel blockage. Some examples of foods that contain unsaturated fats are tuna, salmon, tofu, olive oil, almonds, and avocados.
• Avoid foods that are harmful to the heart. To avoid the wind sits, avoid foods that contain too much salt. Salt dose recommended for health is about one teaspoon per day. Eating too much salt can lead to hypertension. In addition to salt, beware of foods containing saturated fat, such as organ meats, milk, cheese, fried foods and butter. Saturated fat can accumulate inside arteries and impede blood circulation.
• Maintain weight. Healthy weight is important to be maintained. Because if we are obese, the heart will be harder to circulate the blood so it has to pump harder. Over time this can increase blood pressure and trigger the wind sits.
• Limiting consumption of liquor. The calorie content is very high in alcohol. Therefore, consuming alcohol excessively can lead to obesity and hypertension, which in turn can trigger the wind sits.
• Quit smoking. Substances contained in cigarettes can block the arteries and increase blood pressure. If the condition that happens, you not only risk the wind sits, but also the risk of stroke and heart attack.

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