Winda or aSitting cold is chest pain that arises due to impaired blood flow to the heart muscle tissue. Chest pain consequence Sitting wind is often similar to chest pain from other illnesses.
Symptoms of angina sit in the form of chest pain like being crushed or pressed. These symptoms appear more often when the sufferer is on the move, when the heart pumps blood faster.
Angina can be treated with medication from a doctor and by living a healthy lifestyle. If handled properly, people with angina can avoid serious complications.
Causes of Sitting Wind (Angina)
Wind sitting (angina pectoris) occurs when the arteries of the heart (coronary) narrow. The coronary arteries of the heart function to drain oxygen-rich blood to the heart muscle, so that the heart can pump blood properly.
When these coronary vessels are narrowed, the oxygen supply to the heart muscle will be disrupted so that the heart cannot pump blood optimally. This condition is also known as coronary heart disease.
The cause of coronary heart disease is the formation of plaque or fat deposits in the coronary arteries (atherosclerosis). Coronary blood vessels that have narrowed can be narrowed when the patient is doing activities.
In addition to coronary heart disease, angina can also arise due to temporary narrowing of coronary blood vessels due to tense blood vessel muscles (variant angina). This sitting wind can occur at any time, even when a person is resting.
A number of factors can increase the risk of coronary heart disease that causes angina in sufferers. These factors include:
- High cholesterol
- Diabetes
- Hypertension
- Stress
- Obesity
- Smoke
- Lack of exercise
- Have a family that has experienced sitting wind
- Male 45 years and over or female 55 years and over
- Consuming too many alcoholic drinks
Sitting Wind Symptoms
The main symptom of angina is chest pain. Chest pain due to sitting wind in the form of pain like being crushed or pressed by a heavy object. Pain caused by sitting wind can spread to other parts of the body, such as the neck, arms, shoulders, back, jaw, and teeth. In women, sometimes chest pain can feel like being stabbed by a sharp object.
There are also several other symptoms that can accompany chest pain with angina or angina, namely:
- A cold sweat
- Nauseous
- Dizzy
- Weak
- Hard to breathe
Symptoms of wind sitting more often occur during activities, and subside or disappear if the sufferer rests or takes medication. This type of sitting wind is called a steady sitting wind.
In certain cases, the sitting wind does not go away even after resting and taking medication, or it occurs when a person is resting. This type of sitting wind is called unstable sitting wind.
When to go to the doctor
If you suffer from diabetes or hypertension, which are risk factors for coronary heart disease, you need to consult a doctor for treatment.
If you experience symptoms of angina, go to the doctor immediately so that he can be treated as soon as possible. Patients who experience symptoms of unstable angina should immediately be taken to the emergency department (IGD) at the nearest hospital, for fear of having a heart attack.
Diagnosis Sitting Wind (Angina)
As a first step, the doctor will examine the symptoms that appear in the patient. The doctor will also ask for a history of symptoms, such as when the symptoms appeared, and whether they appear periodically or suddenly, and ask for a family medical history.
The doctor will also perform general health checks, such as measuring weight and measuring blood pressure. To find out the cause of the emergence of wind sitting, the doctor can also perform examinations:
- Electrocardiographyfi (ECG)ECG aims to observe the rhythm of the heart's electrical flow, which can be problematic when the patient has coronary heart disease. This test can be carried out by the patient while inactive or while doing physical activity, usually walking on the ground treadmill or pedaling a stationary bike.
- EchocardiographyfiThis test aims to observe the structure of the heart, using sound waves. Echocardiography can show abnormalities in the structure of the heart, such as damage to the heart muscle.
- Cardiac catheterizationCardiac catheterization is performed to view the coronary arteries of the heart, using X-rays assisted by a dye that is injected into the blood vessels.
- CT scanCT scans can show a picture of the structure and abnormalities of the heart.
If the patient has unstable sitting angina, the doctor will examine the presence of cardiac enzymes in the blood as a sign of damage to the heart organ due to a heart attack.
In addition, blood tests can be used to determine levels of sugar, cholesterol, and kidney function, to determine risk factors and determine the drugs to be given.
Wind Treatment Sitting in Hospital
If you experience angina, you should consult a cardiologist to find out the cause. Sitting wind is most often caused by coronary heart disease, so doctors will prescribe drugs for coronary heart disease, including:
- Nitrate drugsThis drug works to relax stiff blood vessels so that blood can flow smoothly to the heart muscle. An example of this type of drug is nitroglycerin.
- Drugblood thinnerThis drug works to prevent blood cells from clumping. Some examples of drugs from this class are aspirin, clopidogrel, and ticagrelor.
- Drug calcium antagonistCalcium antagonist drugs can improve heart blood flow and prevent wind sitting. This drug is also able to relax the muscle cells in the walls of blood vessels. Some examples of drugs from this class are amlodipine and diltiazem.
- Beta blockersBeta blockers work to lower blood pressure and heart rate, so the workload of the heart is reduced.
- ACE inhibitor drugsACE inhibitor drugs function to dilate blood vessels and lower blood pressure.
- statinsThis drug will lower cholesterol in the blood, so that damage to blood vessels can be prevented.
Sometimes the narrowing of the arteries of the heart that causes the wind to sit can no longer be treated with drugs. In this condition, special measures are needed by a cardiologist to prevent a heart attack, namely:
- Pemasanga heart ring
This procedure aims to improve blood flow. The trick is to widen the narrowed part of the blood vessel, then put a ring-like device in that part so it doesn't narrow again.
- Operation bypass heartOperation bypass The heart aims to reroute the narrowed blood flow, by creating alternative blood vessels. These blood vessels can be taken from other parts of the body.
Treatment Addition Sitting Wind
To reduce the severity of symptoms and reduce the risk of a heart attack, sufferers need to lead a healthy lifestyle and leave bad habits that can trigger coronary heart disease. The recommended healthy lifestyle is:
- Eat a balanced nutritious diet.
- Eat foods that contain lots of fiber, such as fruits, vegetables, and whole grains.
- Limit consumption of foods that contain saturated fat.
- Do not eat more than the portion or calories needed by the body.
- Adequate sleep, which is 6-8 hours a day.
- Manage stress well.
- Maintain ideal body weight.
- Do not smoke.
- Limit consumption of alcoholic beverages.
In addition, diabetics are advised to keep their blood sugar levels within normal limits. While the patient sleep apnea, It is recommended to consult a doctor for treatment.
Complications of Sitting Wind
Sitting wind can cause dangerous complications, namely heart attacks. A heart attack is an emergency and must be treated immediately. Immediately go to the nearest hospital emergency room, if you experience symptoms of a heart attack.
Sitting Wind Prevention
Sitting wind can be prevented in the following ways:
- Regular exercise, such as leisurely cycling, walking, or swimming.
- Eat heart-healthy foods, especially foods that contain fiber and unsaturated fats, such as vegetables, fruits, tuna, and olive oil.
- Avoid consumption of foods that are high in salt and saturated fat, such as coconut milk, fried foods, cheese, and butter.
- Maintain ideal body weight.
- Stay away from drinks
- Do not smoke.