Treatment Options for Angina in Seniors
Treatment of angina is primarily aimed at preventing cardiovascular accidents and increasing the life expectancy of the patient. Another important task is to reduce the number and intensity of anginal attacks, which improves the patient’s quality of life.
The complex of measures for the treatment of stenocardia includes non-drug methods aimed at eliminating the risk factors for atherosclerosis, medication and if indicated, surgery.
Non-drug therapy includes:
normalization of body weight (weight loss should be no more than a kilogram per week),
control of blood pressure with the achievement of target levels,
adherence to the cholesterol diet,
an increase of physical activity with an individual selection of permissible load,
glucose control in diabetes mellitus,
correction of psychoneurotic disorders (antidepressants can improve the quality of life and reduce the severity of the disorder).
Priority is given to drugs that significantly improve patient survival, reduce the risk of myocardial infarction and sudden cardiac death. These include:
disaggregants (aspirin, clopidogrel),
lipid-normalizing drugs (statins, nicotinic acid),
ACE inhibitors (perindopril, ramipril),
beta-blockers (with a history of myocardial infarction).
These drugs, if not contraindicated, are recommended for all patients with angina pectoris.
To improve the quality of life and reduce the frequency of complications, medicines are used from the following pharmacological groups:
beta-blockers (bisoprolol, atenolol);
calcium antagonists (verapamil, nifedipine),
long-acting nitrates and nitrate-like agents,
myocardial cytoprotectors – drugs that protect the heart muscle cells from oxygen deficiency (trimetazidine, meldonium, coenzyme Q, antioxidants).
Operations on myocardial revascularization in patients with stable angina can significantly reduce the symptoms of the disease, and with extensive ischemia improve the life expectancy.
Coronary angioplasty (stenting, balloon dilatation):
The essence of this method is to restore impaired blood flow in the coronary arteries. The operation is minimally invasive, under x-ray control.
Treatment of spontaneous angina:
Therapy includes the elimination of the factors that provoke vasospasm.
As a drug treatment, calcium antagonists and nitrates or a combination of both can be used.
Treatment of microvascular angina:
Treatment of microvascular angina may cause some difficulties. The main goal of therapy is to eliminate the symptoms of the disease. Treatment should begin with nitrates because their efficacy is noted in approximately half of the patients; in its absence, calcium antagonists should be used.
To obtain a long lasting result, analgesics, psychotherapeutic methods, and physical training should be included during various therapeutic measures.
Medigap Policy for the Elderly Above 65: Those who’re 65 and over can use United Healthcare Medicare Advantage 2019 at https://www.medicareadvantageplans2019.org/united-healthcare-medicare-advantage-2019/ for reducing expenses like coinsurance.