These are two types of management of coronary heart disease

1. Primary management

2. Secondary management

Primary management of coronary heart disease:

Primary management of coronary heart disease include

· Life style modifications

· Counselling

· Psychotherapy

· Strenuous exercise (1 hour in a week)

It protect from coronary heart disease

Management of Coronary Heart Disease

What is coronary heart disease?

Diagnosis of coronary heart disease

clinical presentation of coronary heart disease

Life style modifications for coronary heart disease:

· Decrease smoking

· Decrease fat diet

· Decrease alcohol

· Increase fruit uptake

· Increase sea foods

· Avoid stress full conditions

Secondary management of coronary heart disease

Pharmacotherapy for coronary heart disease:

· Aspirin or clopidogrel + statins

· ACEIs / ARBs + BB (selective)

· BB + CCB + nitrates

ACEIs = angiotensin converting enzyme inhibitors

ARBs = angiotensin receptor blockers

BB = beta blockers

CCB = calcium channel blockers

If co-morbid with left ventricle dysfunction then give

BB + CCB + nitrates

And in angina with high blood pressure give CCB and angina with low blood pressure give nitrates.

Side effects of pharmacotherapy of coronary heart disease:

Nitrates:

Dizziness

Flushing

Headache

Arrhythmia

ARBs:

Fatigue

Headache

Dizziness

ACEIs:

Dry cough

Orthostatic hypotension

Fatigue

Loss of taste

Dizziness

CCB:

Constipation

Headache

Dizziness

BB:

Fatigue

Weight gain

Loss of libido

Cold extremities

Sexual dysfunction

Arrhythmia

Depression

Statins:

Myalgia

Weakness

Decrease platelets count

Insomnia

GI disturbance

What is throbbing pain?

Throbbing pain is pain which is felt during every beat.

What is flushing?

Flushing is vasodilation which increases perfusion cause redness of the face.

What is arrhythmia?

Arrhythmia is abnormal rhythm of heart palpitations is common sign of arrhythmia.

How constipation is caused?

Calcium channel blockers block the calcium channel in the gastrointestinal tract, decrease calcium so no contraction and relaxation decrease the bowel movement and cause constipation.

In case of GI ulceration aspirin can be replaced by clopidogrel.

Clopidogrel is slightly costly than aspirin, dose of aspirin and clopidogrel is 75mg for both once daily.

Sometimes aspirin and clopidogrel may be given together.

Lifestyle And Home Treatment Of Coronary Heart Disease:

Making sure life-style adjustments can assist maintain the arteries healthful and may save you or gradual coronary artery disease.

Try Those Coronary Heart-Healthful Tips:

Don't smoke:

Smoking is a prime hazard element for coronary artery disease. Nicotine tightens blood vessels and forces the coronary heart to paintings harder. Not smoking is one of the high-quality approaches to decrease the hazard of a coronary heart attack.

Control blood strain:

Adults need to get their blood strain checked via way of means of a fitness care issuer as a minimum each years. You can also additionally want extra-common assessments when you have a records of excessive blood strain. Ask your fitness care issuer what blood strain purpose is high-quality for you.

Manage LDL cholesterol:

Adults need to get a LDL cholesterol take a look at while of their 20s and as a minimum each 5 years after. Some human beings want extra-common assessments. The top-rated LDL cholesterol degree is decrease than a hundred thirty milligrams consistent with decilitre (mg/dL), or 3.4 mill moles consistent with liter (mmol/L). But it relies upon in your typical fitness. If you've got different hazard elements for coronary heart disease, your goal LDL cholesterol can be under one hundred mg/dL (2.6 mmol/L). Ask your issuer what your levels of cholesterol need to be.

Check your blood sugar:

If you've got diabetes, cautiously coping with your blood sugar can assist lessen the hazard of coronary heart disease.

Eat coronary heart-healthful foods:

Eat lots of fruits, vegetables, complete grains, legumes and nuts. Avoid saturated fat and Tran’s fat. Reduce salt and sugar. Eating one or servings of fish every week additionally can also additionally assist maintain the coronary heart healthful. Avoid or restriction alcohol. If you pick to drink alcohol, accomplish that in moderation. For healthful adults, which means up to 1 drink an afternoon for girls and up to 2 liquids an afternoon for men?

Get moving:

Exercise facilitates manipulate weight and manipulate diabetes, excessive LDL cholesterol and excessive blood strain, all hazard elements for coronary artery disease. Get as a minimum a hundred and fifty mints of mild cardio interest or seventy five mints of full of life cardio interest every week, or a aggregate of mild and full of life interest.

Maintain a healthful weight:

Being obese will increase the hazard of coronary artery disease. Losing even a small quantity of weight can assist lessen hazard elements for coronary artery disease? Ask approximately cardiac rehabilitation. If you've got had coronary heart surgery, your physician can also additionally advocate a software of education, counselling and exercising education it truly is designed to assist enhance your fitness. Manage stress.

Find approaches to assist lessen emotional stress:

Getting extra exercising, working towards mindfulness and connecting with others in aid corporations are a few approaches to tame stress.