Patient Question:Disease:Angina pectoris Description:A few years ago the pain for a few minutes, has been taking heart pills, now the pain for an hour Hope to provide help:In the case of good treatment without surgery, the old lady 81 years old, can not afford to toss and turn, if the consultation need to do what tests? The hospital department: Baoding Provincial Hospital, Department of Cardiology Medication: Name of the drug: heart pills Dosing instructions: take when in pain, do not eat when not in pain Reply from Professor Zhang Yonggang, Department of Cardiovascular Medicine, Second Affiliated Hospital of Shantou University School of Medicine: Treatment of angina is mainly divided into treatment during episodes and treatment during non-episodes (remission period). The main treatment is nitroglycerin 0.3mg sublingually during attack (0.6mg if necessary); secondly, 5-10mg sublingually for hypocardium (slower orally). In remission, long-acting nitrates, such as isosorbide mononitrate (e.g. Xincan) 40mg, 1/day, are available. Betalactam, diltiazem, amlodipine are also available. Trimetazidine may be used in chronic remission (not recommended in the acute phase). If the attack lasts for a long time and is difficult to relieve, it is important to rule out myocardial infarction and requires immediate hospitalization. If the condition is unstable and poorly controlled by medication, hospital admission and, if necessary, PCI catheterization should be performed. In addition to drug prescriptions, attention should also be paid to nutritional prescriptions (low salt and low fat diet, high vitamin and high fiber diet, avoid constipation; diabetes and hyperuricemia should also be controlled accordingly), exercise prescriptions (moderate activity, varies from person to person, do not overwork, and do not stay inactive for a long time after remission), psychological prescriptions (avoid over-excitement, emotional stability), and behavioral prescriptions (avoid bad habits, smoking and alcohol. Non-smokers, family members do not smoke in front of the elderly, it is second-hand smoke for the elderly, which is very harmful), hold out your hand, five fingers, five major prescriptions, regular hospital visits (even if smooth). Cardiovascular disease to pay attention to maintain a healthy lifestyle