Материал: Атеросклероз на английском языке для иностранцев

Stable angina:

I functional class - habitual physical activity, such as walking or climbing stairs, does not provoke an attack of angina pectoris. Angina pectoris occurs with more intense or prolonged exercise.

II functional class - a slight restriction of the usual physical activity. Angina pectoris occurs when walking more than 300 distances, climbing more than one floor on regular steps at a normal pace, or quickly climbing stairs or uphill.

III functional class - significant limitation of habitual physical activity. Angina pectoris occurs when walking 150 - 300 m ascending one floor at a normal pace.

IV functional class - impossibility of any physical activity without discomfort. Angina pectoris can occur at rest.

Diagnosis of angina pectoris is based on clinical criteria:

-careful questioning (anamnesis);

-pain assessment;

-identification of risk factors for ischemic heart disease;

-use of available instrumental methods.

So, pain syndrome:

-paroxysmal pain

-in the upper or middle part of the sternum or retrosternal, along the left edge of the sternum, in the atrial region

Atypical localization:

-the inner surface of the left hand with numbness IV-V fingers

-over the entire half of the chest

-on the left side of the neck

-jaws, tongue, teeth

-larynx, epigastrium - less often in the right half of the chest

The persistence of the causes of pain is maintained. As a rule:

-physical activity

-nervous overload

-change of weather (cold, wind)

-intake of plentiful, special cold food

-alcohol

-smoking (tobacco toad)

-tachyarrhythmias

Duration of pain from a few seconds to 20 - 30 minutes.

An objective examination of the patient in the early stages of the disease does not always support the diagnosis.

The nature:

-pressing

-tearing

-less often stabbing or by type "Clogged cola", heartburn, sore throat.

It arises stereotypically: it gradually increases and quickly stops after taking nitroglycerin or eliminating the cause that caused it (stopping when walking, stopping the load).