But spa for a heart attack

People suffering from heart disease are forced to frequently, and sometimes constantly, take various medications. Tablets for heart pain become their eternal companions and should always be in the medicine cabinet. Cardiovascular diseases are the most common in the world, which is why there are many remedies for pain relief. Only a cardiologist can choose the right medications and determine their dosage, but the person taking them must understand them for effective treatment. Not understanding the effects of some medications, people sometimes cancel them on their own, reducing the effectiveness of treatment, or even completely nullifying it.

Types of Medicines

There are many medications for various heart pains, but among them there are several main groups:

Reflex drugs.
Nitrates.
Antiplatelet agents.
Calcium antagonists.
Beta blockers.
Cardiac glycosides.
Drugs that lower blood cholesterol levels.
Thrombolytic drugs.

Let's take a closer look at each group of drugs for heart pain.

Reflex drugs

These are the well-known validol and corvalol. Many people facing heart disease mistakenly believe that validol and corvalol will help them in treatment. In fact, doctors have long proven the ineffectiveness of these drugs. Validol has a calming effect on the body and dilates blood vessels, but it will not help with angina pectoris. However, you should not immediately abandon its use. The fact is that during an attack of angina, a person not only has pain behind the sternum, but he experiences the fear of death, because sometimes the pain can be very severe. Validol will help reduce fear. Also, when taking nitroglycerin, which really helps to stop an attack, a person may experience headache and nausea, which are relieved by validol. This means that it can be used in conjunction with nitroglycerin.

Corvalol helps well with irritability, stress and neuroses, which can provoke an attack of angina. It dilates blood vessels, which means it improves nutrition of the heart muscle and is able to relieve pain. The downside is that a person only relieves pain, but its true cause remains unknown, which means that sooner or later it will appear again. Validol and Corvalol are ineffective on their own, but can be used as part of complex therapy. People whose profession involves reaction speed should take them with caution, as they cause drowsiness and slight dizziness. You should not drive after taking these medications.

Drugs in this group are most often used for heart pain. Nitroglycerin proved to be an excellent remedy for relieving an attack of angina back in the 19th century. Drugs in this group dilate blood vessels, improving blood flow and relieving pain. They begin to act quickly and the effect lasts a long time.

Nitroglycerin is used sublingually, that is, under the tongue. Its effect begins almost immediately, but if necessary, taking the tablet can be repeated, but no more than three tablets with an interval of five minutes. If after this the pain does not go away, it is necessary to call an ambulance, as this may indicate an incipient myocardial infarction. Under no circumstances should you use 2-3 tablets at the same time. It should be borne in mind that nitroglycerin lowers blood pressure, and after taking it, headache and nausea may occur, so it is sometimes recommended to use validol together with nitroglycerin. People prone to allergies sometimes develop a rash on their skin. Nitroglycerin should be used with caution in people with liver and kidney diseases, pregnant women, and those with increased intracranial pressure.

Since cardiovascular diseases are becoming more common, doctors recommend that all people over forty years old have nitroglycerin in their medicine cabinet.

Antiplatelet agents

The most well-known representatives of this group of drugs are aspirin and cardiomagnyl. They improve the rheological properties of blood, that is, they thin it and make it more fluid. Cardiomagnyl, in addition, relieves inflammation and also has an antipyretic and analgesic effect. It contains magnesium hydroxide, which protects the gastric mucosa from the effects of aspirin and prevents the appearance of ulcers.

To improve blood fluidity, drugs of this group change its coagulability, and therefore they should not be used by people prone to bleeding, strokes, or gastrointestinal ulcers. Cardiomagnyl is well tolerated by most patients, but some people may have individual intolerance to aspirin, so only a cardiologist should prescribe drugs after examination.

This is a large group of cardiac medications that not only relieve pain, but also lower blood pressure. They relieve vasospasm and increase blood flow to the heart. The group of these drugs is divided into two generations.

The first generation includes older, long-used drugs such as isoptin and nifedipine. Their effect on the body is short-lived, and therefore you have to drink 3-4 times a day, which is not always convenient.

The second generation of drugs has a longer effect, you need to take them less often, but they are an order of magnitude more expensive. These are drugs such as amlodipine, lacidipine. Calcium antagonists are used for angina, high blood pressure, arrhythmia and their combination with coronary heart disease. Second generation drugs not only have a longer effect, but are also safer and better tolerated by the body.

Contraindications to the use of No-shpa

Drotaverine should not be taken by hypotensive patients whose blood pressure is already below normal - the medicine will lower it even more. In this case, it is better to use Papaverine as an analogue. This drug also effectively relieves pain and spasms, but lowers blood pressure much less.

Also contraindications are:

Prostate adenoma.
Atherosclerosis.
Glaucoma.
Acute cardiac or vascular failure.
Pathologies of the liver and kidneys in severe or acute form.
Individual intolerance to the drug.

Since this drug has a pronounced antispasmodic effect, that is, it quickly reduces muscle tone, it should not be taken uncontrollably without a doctor’s prescription, especially in case of certain pathologies and characteristics of the patient’s condition.

Also, you should not take No-shpa for headaches, heart or abdominal pain until the ambulance arrives, as this medicine reduces pain very effectively and for a long time, which can hide the clinical picture of the pathology and complicate diagnosis.

Release form, composition, cost in pharmacies

This drug can be produced in three pharmacological forms:

Regardless of the type of release, the active substance is always Drotaverine hydrochloride. Additional substances in tablets and capsules may include magnesium stearate, corn starch, lactose monohydrate, talc and povidone.

The tablets are pale yellow in color, small in size, round in shape, without a shell or bulges. The solution is a transparent liquid of pale yellow color with a greenish tint. In addition to the active substance, it contains purified water, ethanol, sodium metabisulfite, sodium disulfate.

This medicine is sold in pharmacies without a doctor's prescription. The price depends on the form of the drug, packaging and package size. A pack of 6 tablets costs from 50 to 60 rubles. The price of a package of tablets of 24 pieces is from 200 to 240 rubles. A package of 100 tablets will cost 25-270 rubles.

The price of injection ampoules per package of 25 pieces (the volume of one ampoule is 30 ml) is from 450 to 470 rubles. When purchasing, you should always pay attention to the dosage of the drug in tablets and capsules; this also affects its cost.

Admission rules

If your heart hurts, then in order to start treatment correctly, you need to consult a specialist. After the first attack, you should undergo a full medical examination and find out the cause of the pathological condition. To prolong the maximum effect of treatment, doctors determine a complex intake of medications. The dosage of drugs is determined based on the results of the cardiogram.

An overdose can lead to irregular heartbeat, weakness, loss of vision, psychosis and even collapse. Cardiac medications should not be taken with sleeping pills, B vitamins, nitroglycerin, alcohol-containing medications and diuretics.

Trying to relieve heart pain, many resort to the help of validol and corvalol. These medications really calm the nervous system, improve blood circulation and block mild pain. However, for serious attacks they will not bring relief.

Treatment, symptoms, drugs

From this article you will learn about the possibility of using the drug No-shpa for high blood pressure. This medicine is not prescribed to treat hypertension, but it is sometimes used as an aid to high blood pressure accompanied by headache.

Author of the article: Yachnaya Alina, oncologist surgeon, higher medical education with a degree in General Medicine.

No-spa is a drug with an antispasmodic effect. It acts on the smooth muscles of internal organs, relieving spasm and eliminating the pain caused by it. To a lesser extent, No-spa affects the vascular wall, causing vasodilation and a decrease in pressure (hypotensive effect). But the effect of the drug on blood pressure (BP) is insignificant. Therefore, the drug is not included in the list of drugs used for arterial hypertension.

No-spa has a pronounced antispasmodic effect. It is often prescribed by doctors of various specialties: gastroenterologists, urologists, gynecologists. Consultation on the advisability of taking No-shpa can be obtained from a doctor of a narrow specialty according to the profile of the disease, as well as from a family doctor or therapist. Its use may be contraindicated or lead to side effects, so treatment with No-shpa should be carried out under medical supervision. Self-administration of the medication is allowed for 1–2 days. If pain persists or worsens, you should consult a doctor.

No-spa for high blood pressure - how it works

So, the main effect of this drug is to relax the smooth muscles of the digestive system, the genitourinary system, and then the vascular system.

Without affecting the functioning of the heart muscle and the frequency of contractions, Drotaverine simply has a relaxing effect on the blood vessels. Thanks to this, the lumen in them increases, blood circulation improves, and if blood pressure was high, the medicine lowers it.

No-Spa will also help with headaches, but only if it occurs due to high blood pressure and vasospasm. If the cause of the pain is something else, this drug will be ineffective.

Usually, if blood pressure is high, No-spa is used as an auxiliary drug. In this case, the dosage must be strictly observed, since Drotaverine lowers blood pressure to a critical level. It is used in hypertensive crisis, when the pressure is very high, usually in the form of injections, but with great caution.

At the same time, blood pressure is constantly monitored; in case of overdose, arterial hypotension develops very quickly. It is for this reason that No-Spa is not used for the permanent treatment of hypertension - it reduces blood pressure too intensely to an unacceptable level.

When administering the drug intravenously, the patient must be in a lying position to prevent collapse.

Drotaverine begins to act already 2-3 minutes after administration, sometimes already during the injection. Maximum effectiveness is achieved after approximately 30 minutes.

Mechanism of action of No-shpa

No-spa is produced by Sanofi Aventis. The active ingredient of the drug is drotaverine hydrochloride. The drug acts primarily on the smooth muscles of the gastrointestinal tract, urinary and biliary tract, and uterine myometrium.

The effect is realized by suppressing the function of a special enzyme - type 4 phosphodiesterase. To a lesser extent, the drug affects the myocardium and vascular wall, since the third type of enzyme predominates in them. As a result, No-spa slightly reduces blood pressure and has a hypotensive effect. This effect does not always occur and is considered a side reaction of the drug.

Indications for use No-shpa

The drug is effective for spastic constipation and spastic colitis, pyelitis, tenesmus, proctitis, gastroduodenitis, gastrointestinal ulcers, endarteritis, spasms of the coronary, cerebral and peripheral arteries, algodismenorrhea.

In addition, No-Spa according to the instructions is prescribed for the treatment and prevention of muscle spasms of internal organs in renal, intestinal, biliary colic, cholecystitis, dyskinesia of the gallbladder, bile ducts, postcholecystectomy syndrome.

No-shpa is used during pregnancy to relieve the threat of miscarriage and prevent premature birth. In obstetric practice, the drug is used to relieve spasm of the uterine pharynx during childbirth, in case of prolonged opening of the pharynx, and to relieve postpartum contractions.

The drug is also used for cholecystography and instrumental examinations.

Possibility of using No-shpa at high blood pressure

The mechanism of increased blood pressure during hypertension is complex and occurs under the influence of many factors. At high blood pressure levels, taking No-shpa causes minimal effect or no effect at all. Even if the increase in pressure is due to vasospasm, the effect of taking it will be insignificant and short-lived. When treating hypertension, it is important to select medications that can maintain normal blood pressure for a long time. Therefore, No-shpa is not among the drugs recommended for the treatment of hypertension.

The situation is somewhat different when choosing drugs to relieve a crisis, when preference is given to drugs that have a quick and significant effect. But even in this case, the use of No-shpa is inappropriate due to its minimal effect on blood pressure. The exception is the situation when the increase in pressure is accompanied by significant headaches associated with vascular spasm. The use of No-shpa as an adjuvant helps relieve spasms, reduce pain and improve cerebral circulation.

No-shpu is not classified as an antihypertensive drug. The indications for its use do not include arterial hypertension or other diseases of the heart and blood vessels. A decrease in blood pressure is considered a rare adverse reaction of the drug.

Several decades ago, myotropic antispasmodics, which include No-shpa and papaverine, were used in the form of intramuscular injections to relieve a hypertensive crisis. Today, these drugs are excluded from the standards of care during a crisis, since they have virtually no effect on blood pressure in this condition.

No-shpu is not used for hypertension primarily because of its insignificant effect on blood pressure, but other reasons can be cited:

the drug does not reduce the risk of cardiac complications;
one of the possible side effects of the drug is rapid heartbeat, which can adversely affect the condition of a patient with cardiovascular pathology;
short-term effect of No-shpa on vascular tone;
There are more effective means for lowering blood pressure, which have a positive effect on cardiovascular activity and improve the prognosis of the disease.

You should stop using the drug the old fashioned way, just in case, not only due to the lack of a hypotensive effect, but also due to the possibility of developing side effects. As a result, instead of the expected positive effect, the patient's condition may worsen.

But spa for a heart attack

Author of the article: Yachnaya Alina, oncologist surgeon, higher medical education with a degree in General Medicine.

The effect of the drug on vascular tone is important when the pressure is initially low. In case of arterial hypotension, taking No-shpa is undesirable, since in such a situation the drug that lowers blood pressure can worsen the condition.

The situation is somewhat different when choosing drugs to relieve a crisis, when preference is given to drugs that have a quick and significant effect. But even in this case, the use of No-shpa is inappropriate due to its minimal effect on blood pressure. The exception is the situation when the increase in pressure is accompanied by significant headaches associated with vascular spasm. The use of No-shpa as an adjuvant helps relieve spasms, reduce pain and improve cerebral circulation.

No-shpu is not used for hypertension primarily because of its insignificant effect on blood pressure, but other reasons can be cited:

the drug does not reduce the risk of cardiac complications;
one of the possible side effects of the drug is rapid heartbeat, which can adversely affect the condition of a patient with cardiovascular pathology;
short-term effect of No-shpa on vascular tone;
There are more effective means for lowering blood pressure, which have a positive effect on cardiovascular activity and improve the prognosis of the disease.

No-spa primarily affects the smooth muscle fibers of the hollow organs and ducts of the gastrointestinal tract and genitourinary system. But the myocardium is also a target organ for it. In the heart muscle, the enzyme phosphodiesterase of the third type predominates, which No-spa has no effect on. But myocardiocytes contain a small amount of type 4 enzyme, which is blocked by the drug. As a result, cardiac output may decrease.

This effect of the drug on the contractile function of the heart does not lead to negative consequences while the functional capacity of the organ is preserved. But in case of severe heart failure, the patient’s condition under the influence of No-shpa can noticeably worsen.

Another negative factor in the effect of the drug in the presence of cardiac pathology is the ability to increase the heart rate. One of the goals of therapy for coronary heart disease is to reduce the heart rate to 50–60 beats per minute at rest. This mode of functioning of the heart muscle is considered optimal for reducing cardiac risk, since in this case myocardial contractions occur in a gentle manner, ensuring sufficient blood supply to organs and tissues.

2. Start coughing - many times and with very great force. Every time before you cough, take a deep breath, the cough should be deep and long, as if you are spitting out phlegm deep from your chest.

3. Once again: take a deep breath, cough as you exhale. This will help saturate the heart with oxygen and restore heart rhythm. Deep inhalation and coughing as you exhale should be repeated every 2 seconds without breaks or stops, until medical help arrives.

Cardiologists say that if each of us shared this information with 10 people, at least one life could be saved.

If each of us shared this information with 10 people, at least one life could be saved

COMMENT BY A CARDIOLOGIST

Sergey Tereshchenko, MD, PhD, Professor at the Institute of Clinical Cardiology, Chairman of the Emergency Cardiology Section of the All-Russian Scientific Society of Cardiologists and Head of the Department of Emergency Medical Care at Moscow State Medical University:

After five minutes, if the pain does not go away, give nitroglycerin and acetylsalicylic acid tablet again. Aspirin is contraindicated in only two situations. When there is an allergy to it (aspirin asthma) or active bleeding - with an ulcer, for example.

When I had an arrhythmia, panic, my right jaw was pierced through the sternum on the right like an arrow, an ambulance arrived, did an ECG, and it turned out that it was an attack of OSTEOCHONDROSIS of the spine. And I have pathology in all three of its sections. In such cases, 40 drops of Corvalol with a minimum of water helps me - everything immediately goes away...

2. So, I, an ordinary person, understood the following: in order not to cause harm with your first aid, you can only take aspirin (from the formation of a blood clot), validol under the tongue (sedative from fear and nervous attack), noshpa (from pain, to muscle relaxes). I think that a person in such a state would hardly dare to strain and cough.

3. Aspirin cannot be given to everyone, and nitroglycerin is not available in all countries. Many people are allergic to aspirin. We don't have nitroglycerin in Israel. In general, I can also add that if the heart suddenly beats strangely. In addition to coughing and deep sighs, start moving vigorously, walking around the apartment to restore blood circulation. Peppermint oil can also help, rubbing your temples and throat under the chin and under the ears. Rub the tip of your nose and ears well. Also helps improve blood circulation. And also have a Kuznetsov implicator in your house. To improve blood circulation, you can lie on it or stand on it, or press your hands one at a time. You can select one button from the applicator and press on the point in the middle of the chin, press on the tip of the nose and on the point in the middle of the forehead. If your face becomes numb, press this button on the side of your face that is numb. You can also massage yourself. I have extensive experience helping patients with heart disease. First I helped my mother, and then myself. But you definitely need to carry heart medications with you. You never know what can happen on the street. And if you have high blood pressure, take the medicine regularly as prescribed. This can prevent stroke and heart attack.

6. after all, pain in the heart area with a return to the left shoulder and arrhythmia, tachycardia, extrasystole are different things. Let's not be confused. And the provision of emergency assistance is different. It is better not to give nitroglycerin if the exact diagnosis is not known, because it only helps with angina pectoris. And for arrhythmias, anaprilin 0.040 mg sublingually. A cough, as advised in the article, is caused by a heart rhythm disorder. If you suspect a heart attack, chew aspirin. Do not take anything else until the ambulance arrives. many medications are incompatible, this is the case. The ambulance will give its own medications, so you must inform the doctors about the medications you are taking. An overdose of heart drugs is fraught with heart block and cardiac arrest, that's two. And finally, some medications in the case of SSP can aggravate the condition, even leading to death, that’s three.

8. Purse your lips into a tube (as if you are inflating a rubber balloon) and forcefully exhale air through pursed lips. Inhale through your nose to the count of ONE, TWO. Exhale through pursed lips to the count of ONE, TWO, THREE, FOUR.

9. I also read the recommendations. You need to take a deep breath and intermittently 5-6 exhalations and again a deep breath and 5-6 exhalations. It acts like nitroglycerin on heart activity.

10. For pain behind the sternum, sometimes kneading the tip of the little finger on your left hand helps a lot.

11. True, they forgot to warn you that the cough will last for a minute, if not less, until you lose consciousness. So the cardiologist is right, it’s better to use this minute by chewing aspirin. Nitroglycerin is desirable, but not required. Aspirin can prevent further thrombus formation and arterial occlusion, thereby reducing the spread of necrosis both deep into the heart muscle and throughout. About half of all first heart attacks are fatal, and an Aspirin in your pocket can save your life if taken immediately. After 3-5 minutes you can take another one.

United States of America, Illinois, Sangamon, Springfield

Effect of the drug on the course of cardiovascular diseases

This effect of the drug on the contractile function of the heart does not lead to negative consequences while the functional capacity of the organ is preserved. But in case of severe heart failure, the patient’s condition under the influence of No-shpa can noticeably worsen.

But first, a list of symptoms for which you need to call an ambulance.

But spa for pain in the heart

Author of the article: Yachnaya Alina, oncologist surgeon, higher medical education with a degree in General Medicine.

The situation is somewhat different when choosing drugs to relieve a crisis, when preference is given to drugs that have a quick and significant effect. But even in this case, the use of No-shpa is inappropriate due to its minimal effect on blood pressure. The exception is the situation when the increase in pressure is accompanied by significant headaches associated with vascular spasm. The use of No-shpa as an adjuvant helps relieve spasms, reduce pain and improve cerebral circulation.

No-shpu is not used for hypertension primarily because of its insignificant effect on blood pressure, but other reasons can be cited:

the drug does not reduce the risk of cardiac complications;
one of the possible side effects of the drug is rapid heartbeat, which can adversely affect the condition of a patient with cardiovascular pathology;
short-term effect of No-shpa on vascular tone;
There are more effective means for lowering blood pressure, which have a positive effect on cardiovascular activity and improve the prognosis of the disease.

When to call an ambulance immediately

Here are the main 3 Types of Chest Pain That Won't Kill You signs that you need urgent medical attention:

You experience severe, almost unbearable pain that does not go away for 5–10 minutes or more.
Chest pain is accompanied by shortness of breath and difficulty breathing.
The pain radiates to the left shoulder and arm.
The pain is accompanied by cold sweat, dizziness, and severe weakness.
You're pretty sure it's a heart attack. You are very scared.

The symptoms listed above may indicate serious problems. For example, the development of a heart attack, inflammatory heart diseases (myocarditis and pericarditis), diseases of the aorta, which supplies the heart with blood, or pulmonary embolism.

Each of these conditions is deadly, so you should not experiment with home remedies.

How to understand that heart pain is not dangerous

In 80–90% of cases we only think What is Noncardiac Chest Pain? that my heart hurts. In fact, the malaise has other, albeit unpleasant, but much less dangerous causes Chest Pain Causes:

gastroenterological problems;
disturbances in the functioning of the lungs;
intercostal neuralgia;
thoracic osteochondrosis;
various musculoskeletal disorders;
neuroses and other disorders of the central nervous system.

This relatively safe option can be assumed based on three signs 3 Types of Chest Pain That Won't Kill You:

How to relieve heart pain

Let us emphasize once again: real heart problems should be treated only with medications prescribed by your doctor. Amateur activity is unacceptable here!

But it is quite possible to relieve pseudocardiac pain using home methods. Here are ways How to get r > that will help you quickly relieve discomfort behind the sternum.

Take nitroglycerin

This advice is for if you are worried that the pain may be related to a heart attack, and your doctor has previously prescribed this drug for you.

Nitroglycerin will help with angina pectoris. But if the pain is associated with other, non-cardiac causes, such as osteochondrosis or gastrointestinal disorders, the medicine will not work.

On the one hand, this is bad, because relief will not come. On the other hand, it’s good: this is a sign that the cause of the discomfort is not related to the cardiovascular system. You can move on to the next points.

Take aspirin

Firstly, it relieves pain. Secondly, the drug thins the blood (reduces its clotting). This improves blood flow and can alleviate Chest pain: First a > condition in cases where chest pain is still associated with problems in the cardiovascular system.

Attention! Never take aspirin if you are allergic to it or suffer from diseases associated with low blood clotting.

Apply a cold compress

Or apply an ice pack (frozen vegetables) wrapped in a thin towel to your chest.

Often the cause of chest pain is muscle strain or strain. For example, because you lifted something heavy, turned poorly, or worked out too actively in the gym.

Apply a cold compress for 10 to 20 minutes several times a day. This will help Chest pain reduce discomfort.

Drink warm tea

Or another warm drink. This recommendation may work if chest pain occurs shortly after eating.

The fact is that the esophagus and the heart are located nearby and are connected by common nerve endings, which is why problems with the gastrointestinal tract can be confused with manifestations of coronary heart disease.

If you do not observe the dangerous symptoms listed at the beginning of the article, but, in addition to discomfort in the sternum, there is belching, heartburn, and bloating, this is most likely your option.

The American resource Healthline recommends Home Remedies for Heart Pain: What Works? choose tea with hibiscus. Hibiscus not only improves well-being in case of some digestive disorders, but also normalizes blood pressure and cholesterol levels, which has a good effect on the state of the cardiovascular system as a whole.