Recommendations for patients with ischemic heart disease

What to do after a heart attack or angina?

• Practice exercise regularly and maintained. The most recommended are generally walking, running, cycling and swimming.

• Eating a diet rich in vegetables, legumes, fruits, lean proteins, grains and vegetable oils, especially olive (traditional Mediterranean diet).

• Moderate the use of salt but is not hypertensive.

• If you suffer from obesity, you should lose weight.

• If you are not hypertensive, please continue a moderate alcohol consumption: 1-2 glasses of red wine daily.

• Avoid stressful situations, excessive cold, heavy meals, exercise after meals or vigorous exercise. They are not contraindicated moderate physical activity or sex.

• drugs for impotence may be used, provided they do not use nitrates chronically and an expert in adult cardiology is authorized.

Ischemic heart disease: pharmacological treatment

Acetylsalicylic acid (ASA) to all patients diagnosed with coronary artery disease, unless contraindicated prescribed for use. Moreover, as a precaution all of these patients should always carry sublingual nitroglycerin for use in case of angina.

There are several drugs to control the disease, the most common are beta blockers, calcium channel blockers and nitrates. If the patient has high cholesterol, you may need to use drugs such as statins to lower them.

When consulting a doctor or an emergency service?

• Chest pain similar to that experienced before, not to give in to rest and sublingual nitrates (can be administered to 3-4 tablets every 5 minutes).

• In the case of presenting a daily angina, albeit short-lived.