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Abstract: A 58-year-old male patient reported that he had been suffering from recurrent chest tightness for 10 days, with a feeling of tightness in the chest that could be relieved after rest, without accompanying chest pain, shortness of breath, dizziness, headache, vomiting, nausea, and other uncomfortable symptoms. After systematic testing, the patient was diagnosed with angina pectoris and was treated with medication, and his condition was controlled.
Basic information】Male, 58 years old
Disease Type】Angina pectoris
Hospital】Senior Hospital of Central South University
Time of consultation】June 2022
Treatment plan】Medication (isosorbide nitrate tablets, metoprolol tartrate extended-release tablets)
Treatment period】In-hospital treatment for 6 days, followed by discomfort
Effectiveness of treatment】The condition was controlled and the symptoms of chest tightness disappeared
I. Initial consultation
The first time I saw the patient, the patient complained that the chest tightness had lasted for 10 days, with a tightness in the chest that could be relieved after resting, not accompanied by chest pain, shortness of breath, dizziness, headache, vomiting, nausea and other uncomfortable symptoms, and was not treated with self-medication, so he came to our hospital for consultation because of the strong discomfort. The patient was found to have abnormal Q waves and sinus rhythm during the electrocardiogram examination, and the result was positive when coronary angiography was completed.
II. Treatment process
I first informed the patient that the recent physical discomfort was caused by angina pectoris and that timely medication should be taken to control the progression of the disease and also to help alleviate the adverse phenomenon, after which the patient expressed his understanding and would actively cooperate with the treatment. The patient was first given isosorbide nitrate tablets, a drug that dilates the coronary arteries, allowing the heart to have more blood supply and relieving chest tightness caused by myocardial ischemia. Then the patient was given metoprolol tartrate extended-release tablets, which can lower the blood pressure, slow down the heart rate, make the heart muscle contraction capacity and oxygen consumption less, which can help reduce the number of angina attacks.
III. Treatment effect
On the first day of in-hospital treatment, the patient complained of relief of chest tightness and stable vital signs, and no significant adverse drug reactions such as vertigo and headache occurred during the drug administration. During the course of hospital treatment, each review was better than the previous one. On the 6th day of in-hospital treatment, the condition was under control, the symptoms of chest tightness disappeared, and there was no dyspnea, black haze, syncope, nausea, vomiting, palpitation, hemoptysis, etc. The patient was discharged normally with a clear mind and good mental status.
IV. Notes
The patient was very happy on the day she was discharged from the hospital, and I felt very relieved after seeing her. When the patient was discharged from the hospital, I told him that he should pay attention to rest, try to maintain a low-salt, low-fat diet, eat more eggs, fish, apples, pears and other highly nutritious and easily digestible foods, and do not recommend smoking or drinking, because a healthy diet can help his health and is good for his recovery. Usually, you can do exercises according to your own situation, keep your mood happy, avoid getting cold and overworking. In addition, I also advise patients to take the medication prescribed by me on time, and to seek medical treatment if they find any abnormal symptoms after going home.
V. Personal insight
When persistent chest tightness occurs in the body, it should be alerted and may be a signal from the disease, just like the 58-year-old male patient in this case, who had chest tightness for 10 days and after systematic examination belonged to angina pectoris, but angina pectoris is not necessarily painful, it may only be a symptom of chest tightness like the patient in this article. Therefore, when there are uncomfortable symptoms in the body, you should seek medical consultation in order to identify the cause of the uncomfortable symptoms and avoid leading to more serious consequences.