Other Talks in the Therapeutic Area: Cardiovascular & Metabolic

VIVEK LAL: Now that we have understood the pathology and the diagnosis of ischemic heart disease, let us come to a very important aspect of this discussion. And that is the management of IHD. Let us first discuss the aims and objectives of the management of IHD. Initially, let us discuss what are the aims and objectives of the management of stable angina? The first and foremost thing in the management of angina is allaying the anxiety, or reducing the anxiety of the patient. This is very important because there is a sympathetic discharge whenever there is an angina. The patient is anxious. And he's having a sympathetic discharge in the body. This sympathetic discharge in the body, or in other words, a liberation of catecholamine hormones in the body can further aggravate the situation. So it is essential that the patient is calmed down and his anxiety is reduced. Then is the actual management of angina followed by the management of any coexisting disorders like diabetes mellitus, and hypertension. Apart from that, a reduction of the risk factors and other advice has to be given to the patient. For example, he should reduce his weight. He should quit smoking. He should control the blood cholesterol levels. And he should also go for regular exercise.