Angina, coronary heart disease. The second part Print E-mail
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Written by Âàõà Äèçèãîâ   
Ïÿòíèöà, 06 Èþíü 2008
Angina, coronary heart disease. 
Diagnosis, treatment and prognosis. Nitroglycerine and operation. 
Is there a third way of treatment? 

The second part 

One of the most important events of the 2005 Congress of the European Cardiological Society (ESC), attracted considerable interest of experts and practitioners, was held under the chairmanship of Professor Michael Tendera of Poland, and Roberto Ferrari from Italy Session entitled «Inhibition f-channels: from the exclusive reduce the heart rate to the treatment of stable angina pectoris ». 
Potential therapies and unmet needs in medicine, with stable angina pectoris 
This issue was raised by Professor P. Steg from France, which put emphasis on the fact that, despite significant achievements, many of the needs in the treatment of stable angina so far remain unfulfilled. Traditional medical therapy, as highlighted in the RITA-2 study [5], is often insufficient to prevent the development of symptoms of angina pectoris. Unmet needs for medicines, with stable angina pectoris, Professor P. Steg divided into 4 categories: 
available today antianginalnye drugs by patients is often poor, resulting in the abolition or reduction of their doses to insufficient; 
almost half of patients after revascularization indicates persistent angina [6], so the doctor is forced to continue antianginalnuyu treatment performed after the intervention; 
therapeutic refractoriness stenocardia often used drugs with unconfirmed action that puts the problem of finding more effective drugs with proven effect [7]; 
Doctors often can not identify patients with risk of acute coronary syndrome. 
As concluded in his speech, the professor, still a need to more effectively control the symptoms of angina pectoris, for which a need for new drugs with better portability ". / Www.medicusamicus.com http://www.nedug.ru/news/89200.html 26.01. 2007 
Posts distinguished professor P. Steg France hardly need commentary and even a non can be understood by his detention. 
At the same Congress of the European Cardiological Society (ESC) was raised Theme: 
"Selective reduction of heart rate - the key to optimal treatment for stable angina pectoris 
The topic was raised by Professor J. Borer from the United States, which focused on the audience that recent studies have demonstrated a new line of heart rate (HR) as an independent risk factor of cardiovascular sobytiy.V confirmation that Professor J. Borer turned to the study [1], based on data analysis of 24 959 patients with ischemic heart disease (CHD), which demonstrated that patients with HR> 83 sp / min cardiovascular risk at 30% higher than HR < 62 sp / min. Professor J. Borer also presented the results of clinical studies that evaluated the effect of several beta-blockers reduce HR after acute MI / myocardial infarction. from the author. In line with these results there is a direct correlation between the decline in mortality and the degree of reduction of HR, and myocardial ischemia and angina develops when HR reaches the threshold, the reduction of the latter leads to their disappearance. Of particular interest is the audience aroused remark of Professor J. Borer that is, reduction of drug HR was successful in controlling symptoms of angina for more than 40 years. 
According to his data, urezheniya HR can be achieved using different drugs. However, the majority of them non-HR and may be accompanied by cardiovascular and other side effects, when the risk may be higher than the benefits of preventing strokes, which limits their use in many patients ". / Http: / / www.nedug.ru / news / 89200.html 26.01.2007 / 

Thus, we come to the conclusion of an overall review of etiology, pathogenesis, and ongoing treatment for today angina, ischemic heart disease. 
1.Prichina occurrence of angina pectoris, ischemic heart disease - Angina, in most cases, as well as other forms of ischemic heart disease, heart arteries due to atherosclerosis. Atherosclerotic plaques in the arteries stenocardia narrow lumen and prevent their expansion reflex. Which in turn causes a deficit of cardiac blood supply, especially during acute physical or emotional perenapryazheniyah.. / Kardiotsentr RKNPK MZ RF / 
2.Faktory risk: 
Smoking 
hypertension 
Obesity 
diabetes 
Lack of physical activity 
unfavorable heredity 
Various diseases of the circulatory system 
physical and neuro-emotional stress 
Quenching the organism. 

3.Lechenie. 
1. Medication 
2. Surgical treatment 
The main and primary cause of strokes in the opinion of leading cardiologists and cardiac centers of both Russia and European countries is - atherosclerosis of arteries of the heart as a result of education atherosclerotic plaques. 
Risk factors are well known. 
But effective treatment for angina pectoris and ischemic heart disease to date in the world has not yet been found and this is with regret and acknowledged by cardiologists. 
Apart from its opinion the only true and correct, recognizing the immense contribution in the treatment of angina pectoris and ischemic heart disease the huge number of doctors, professors and heart surgeons, stressing his respect and admiration to the unique operations of heart surgeons at the heart of trying to save lives, and not counting a clever and experienced those working in cardiology, however, would like to offer their views on this issue. 
Even with the 1980-82gg. I am seriously interested in the problems of cardiovascular disease. And with 1985goda working nurse in the village, has developed and begun to apply the original methodology bezlekarstvennuyu first aid in the attack of angina pectoris. 
The essence of this technique was as follows: During the attack and strokes on the left side of his back at certain points I have fingers on both hands alternately seized various skin and the force held 5-10 seconds. Within 3-5 minutes of angina attack took place. Depending on the time of day, method of first aid with angina had to change, while achieving maximum efficiency. 
My conclusion is simple: The main cause of angina pectoris with subsequent transition into a state of ischemic heart disease is the patient's central nervous system hypersensitivity. 
For the first time I used this method, one can say casually. We went with my friends to relax on the weekends in the woods. One of the holidaymakers started attack and angina pectoris drugs no one appeared. During the attack took place a few minutes and an hour later all forgotten about it. Then, when the hand is often not subjected to drugs, but something had to be done to help the patient, time and again began to use this technique in different situations, and gradually improve it. In 1985 he tried to show and teach my friends from medical clinics this technique, explaining its usefulness and necessity, but no one technique is not seriously interested. Even when their eyes in patients with angina attack occurred, they were just surprised and looked at it as a stunt. Since 1982-85gg now several thousand patients for this technique, I had a first aid when angina attack. All notebooks with my notes and observations were burned and lost to 90gg. 

In addition, I developed a method of treatment stenocardia, to block further attacks, to stop or at least slow the shift from attacks of angina pectoris in coronary heart disease. At the same time, developed the methodology for the treatment of mikroinfarktah infarction and to reduce the negative effects of a heart attack. Many of the issues of treatment and prevention of these diseases, of course, it is desirable to develop a research institute of cardiology. In each new article I will try to reveal a little sense of my thoughts and conclusions, leaving something nedoskazannym.Ya beforehand asking me to apologize for such a style of my stories, but our life is that you can only go on the road, which can still be freely walk. The road is long and long. You can, of course, and a short path, but it needs big money and big opportunities, which is not available. But there is no guarantee that at the end of this path we will find GOLD TRUTH. We have only to look and work. Much has just started in this direction and how this could be promising, remains to be seen. 

April-May 2008.  
 

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