Ischemic Heart Disease

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What is Ischemic Heart Disease?

Ischaemic Heart Disease is defined as an episodic disease resulting in a temporary stoppage of blood in the coronary arteries and ischaemia of the heart muscle.

Clinical Features of Ischaemic Heart Disease

1. Middle aged or elderly man.
2. Frightening chest discomfort usually described as heaviness, pressure, squeezing smothering or choking. Rarely, frank pain is experienced.
3. Patient typically presses sternum with a clenched fist. Pain lasts for 1-5 minutes.
4. Pain may radiate to left shoulder, both arms and forearms.
5. Angina is typically caused by exertion (exercise, sexual activity, etc.), by emotiOi
(stress, anger, fright). Rest relieves pain.

Management of Ischaemic Heart Disease

1. Complete bed rest. Heart pain drug to be administered.
2. No exertion whatsoever.
3. Patient to be kept warm.
4. Shift to hospital.

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