Other Talks in the Category: Cell Biology

0:04
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.
1:24
Let us now discuss the aims and objectives of the management of acute coronary syndrome. The first step in the management of acute coronary syndrome is to estimate the risk in unstable angina or NSTEMI, or non-STEMI. This is followed by a reduction of anxiety, as we have already discussed, in the management of angina. Then the relief of pain is very important. Because the pain can be very severe. And it can contribute to the anxiety of the patient. Next step is to take the patient to a specialized cardiac care center. Because the definitive management can only be initiated in such a center. This is followed by the definitive management of acute coronary syndrome that is thrombolysis or dissolution of the clot which is blocking the coronary arteries, or a percutaneous coronary intervention called a PCI or a placement of stent. This we will discuss later on. This is followed by a supportive management and monitoring the prognosis of the patient. In addition, early management of complications is a very important step in the management of acute coronary syndrome. And also, a regular follow up of the patient.