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- $Unique_ID{BRK02370}
- $Pretitle{}
- $Title{What Kind of Treatment Is Needed for Angina?}
- $Subject{angina treatment hospital treatments pectoris heart coronary arteries
- nitrates beta-blockers calcium channel blockers angioplasty catheter blocked
- bypass arterial grafts surgery circulatory system artery hospitals block
- blocker operation operations}
- $Volume{G-4,R-4}
- $Log{
- The Heart's Blood Supply*0008901.scf}
-
- Copyright (c) 1992,1993 Tribune Media Services, Inc.
-
-
- What Kind of Treatment Is Needed for Angina?
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-
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-
- QUESTION: My question concerns angina. I suffer with this pain, and have
- been under treatment for about three years. Many of my friends tell me that I
- should consider surgery for the problem, but I must admit an intense fear of
- any type of treatment that would require a hospital stay. Do you think I am
- just a foolish old man, or can you find any sense in my point of view? I need
- your answer to show my well meaning friends.
-
- ------------------------------------------------------------------------------
-
- ANSWER: There is nothing foolish about your position, which you have every
- right to, and is certainly understandable. Perhaps a bit of information about
- possible treatments may help you, either in changing your mind or holding firm
- to your opinion.
- The pain of angina pectoris is the result of the suffering of the heart
- when it does not receive enough oxygen. When the coronary arteries which
- bring oxygen rich blood to the heart muscles are narrowed by disease, the
- blood flow is reduced. Therefore all the presently available types of therapy
- attempt to increase that blood flow. About 75 percent of all angina patients
- can be helped sufficiently to control the pain with medicines alone. Three
- types of medications are commonly used: nitrates, beta-blockers and calcium
- channel blockers. When one type of medication is insufficient, another type
- can be chosen, and the dosages can also be adjusted. However, surgery must be
- considered when the full doses of medications can not reduce the pain to
- acceptable levels. There are two types of procedures used extensively to
- correct the narrowed condition of the arteries. One is called coronary
- angioplasty, where a catheter with a balloon tip is used. When the catheter
- is inserted in the blocked artery and the tip reaches the area of the
- narrowing, the balloon tip is inflated, opening the artery to allow more blood
- to flow. The other type of surgery, coronary artery bypass, uses arterial
- grafts to lead the blood flow around the narrowed sections and increase blood
- oxygen to the heart muscles.
- For as long as your medications are controlling your symptoms, you may
- not need the surgery. However, if the condition becomes worse, my advice is
- to discuss the matter with your own physician, who can counsel you most
- accurately.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-
-