The elasticity of the blood vessels
is reduces by aging and the arteriosclerosis is developed. Due to the
risk factors and other diseases, the lumen of the blood vessels is
decreased, and the atherosclerosis or atheroma occurs, i.e. BLOCKAGE
of the blood vessels. Both of these processes reduce the blood flow
to the heart muscles cells, which causes the lack of the oxygen and
nutritious matters, because of which the chest pain may occur –
angina pectoris. The chest pain which occurs only in the situations
of physical effort or stress is called stable angina pectoris. The
chest pain that occurs in the situations of both physical effort and
rest is called unstable angina pectoris. If the pain lasts for more
than half an hour and it is associated with the shortness of breath
and fear, there is a danger that the acute myocardial infarction is
One should not make the diagnosis on
their own – not every chest pain is angina pectoris – every
suspicious chest pain should be reported to a doctor during the
regular medical check.
What causes the blood vessels blockage?
Fats in blood
The most important factor is the concentration of fats in blood
(cholesterol and fatty acids). When the cholesterol concentration is
increased for one percent, the risk for the heart attack is increased
High blood pressure
People with high blood pressure have 5 times more chances to
develop coronary heart diseases. We speak about the high blood
pressure if the values exceed 140/90 mmHg.
The risk factor is 10 percent increased if the body weight is over
the ideal one. People who have more than 20 percent more than the
ideal body weight the risk is increased for 50%.
Insufficient physical activity
People who do not exercise have two times more risk to develop
coronary heart disease than people who are physically active.
Also diabetes doubles the risk factor for developing the coronary
The risk for developing the coronary heart disease and the blood
vessels disease is doubled in smokers, and the risk of sudden death
due to heart disease is three times bigger.
The accumulation of plaque in the blood vessels is the natural
process that comes with aging. Thus the possibility to develop the
coronary heart disease is increased with the old age.
More and more studies show that the diseases of coronary blood
vessels and heart muscles are equally present both in men and women.
If your parents or siblings have had the coronary heart disease
before they were 55, you are in two to five times more risk.
What can we do?
Live a happy life! Let us try to smile more often and to rejoice
at every and each day and we will make the blockage developing slower
and postpone the eventual offset of the angina pectoris and coronary
We should regularly control:
sugar in the blood
level of the fats in the blood
Healthy food (proper nutrition)
Healthy food is moderate and various and we should pay attention
to several simple rules:
Eat vegetables and fruits every
Use non-fat milk and bread made of
whole grain (brown bread)
Eat meat on every second or third
Eat fish two or three times a week
Use just small quantities of oils
Use just small quantities of sugar and sweets.
One more recommendation: use just small quantities of
salt and the less alcohol the better!
Regular physical activity
Very useful physical activity is walking – 30 minutes every day,
as well as gardening. By doing so we influence the risk factors such
as: blood pressure, overweight and fats in blood. But, be cautious:
excessive physical activity (running, gym, fitness) performed indoors
may be an additional burden to the heart and blood vessels and it
should be supervised by a doctor.
Also it is very important
to quite smoking and alcohol, as well as to successfully manage the
stress on the job or at home. HEALTH IS MORE IMPORTANT THAN ANY OTHER
THING that we so frequently value so much that we lose our nerves
because of it!
What can a doctor do?
According to the estimation of the health status, a doctor may
recommend the following:
To exclude the risk factors
To use regularly medications for the protection of the blood
vessels (for instance, Aspirin PROTECT 100).
If a doctor thinks that the chest pain is ANGINA PECTORIS, the
same measures are still to be used (avoiding the risk factors and the
regular use of Aspirin PROTECT 100).
Additional medicines may be
also included if needed. It is important to follow the instructions
given by the doctor, especially people with more than one risk
factor, women over 45 and men on stressful – positions. Dragoslav
Avramovic, PhD, MD