There is no such thing as the best drug for angina. Doctors need to formulate a medication plan according to the patient’s specific situation. Clinically, you can generally follow the doctor’s instructions to take nitroglycerin, pranolol, verapamil, etc., which mainly improves myocardial ischemia and relieves the symptoms.
1. Nitrate preparations: the main drugs are nitroglycerin and isosorbide nitrate. Relieve symptoms by dilating coronary blood vessels, occasionally have the adverse reaction of dizziness and palpitation, prohibited in patients with glaucoma and combined right ventricular myocardial infarction.
2. β-blockers: commonly used drugs are pranolol, metoprolol, etc., by slowing down the heart rate, weakening myocardial contractility, reducing myocardial oxygen consumption. The main treatment of hypertensive angina, may cause fatigue, insomnia adverse effects, prohibited in atrioventricular block, sinus bradycardia.
3. Calcium channel blockers: commonly used drugs are verapamil, diltiazem, etc., commonly used in the prevention and treatment of angina pectoris, especially variant angina and angina pectoris caused by coronary artery spasm, prohibited in pregnant women.
Patients should avoid self-medication and take treatment under the guidance of a doctor. If the diagnosis of coronary heart disease is confirmed, it is necessary to be discharged from the hospital in time for systematic treatment.