What to do if chest hurts when walking

Chest pain when walking is not a trivial matter, it may be a sign of physical problem. For friends who experience chest pain when walking, what should they do? Next, this article will introduce you to what to do if you have chest pain when walking, for your reference only. Friends who want to know what to do if they have chest pain when walking can continue reading! Please see the detailed introduction below.

Chest pain when walking is likely caused by angina. Angina pectoris is a clinical syndrome with paroxysmal chest pain or chest discomfort as the main manifestation caused by insufficient coronary blood supply, acute and temporary myocardial ischemia and hypoxia.

What should I do if my chest hurts when I walk? If it is caused by angina, the treatment is as follows:

1. Treatment during the attack period

1. Rest: Rest immediately when an attack occurs. The patient's symptoms will generally be relieved after stopping the activity.

2. For drug treatment of more severe attacks, fast-acting nitrate preparations can be used. In addition to dilating coronary arteries, reducing resistance and increasing blood flow, this type of drug also relieves angina pectoris by dilating peripheral blood vessels, reducing venous return to the heart, lowering ventricular capacity, intracardiac pressure, cardiac output and blood pressure, reducing cardiac preload and afterload and myocardial oxygen demand.

3. Isoamyl nitrite is a liquid that is easily vaporized. It is contained in a small ampoule. When used, wrap it in a handkerchief, crush it, and immediately cover your nose for inhalation. The effect is fast and short. This drug has the same effect as nitroglycerin, and its effect in lowering blood pressure is more obvious, so it should be used with caution. Another similar preparation is octyl nitrite.

When using the above drugs, sedatives may be considered.

2. Treatment during remission

It is advisable to avoid various inducements as much as possible. Adjust your diet, especially do not eat too much; avoid smoking and drinking. Adjust daily life and workload to reduce mental burden; maintain appropriate physical activity, but not to the extent that pain symptoms occur; bed rest is generally not required. Patients who have their first attack (initial onset) or frequent and severe attacks (exacerbated type), or those with supine type, variant type, intermediate syndrome, post-infarction angina, etc., suspected to be a prelude to myocardial infarction, should rest for a period of time. Use long-acting anti-anginal drugs to prevent angina attacks. The following long-acting drugs can be used alone, alternately, or in combination.

The three basic principles of drug therapy during remission are: selectively dilating diseased coronary arteries; lowering blood pressure; and improving atherosclerosis.

Other treatments

Low molecular weight dextran or hydroxyethyl starch injection is used to improve microcirculatory perfusion and can be used for frequent attacks of angina pectoris. Anticoagulants such as heparin, thrombolytics, and antiplatelet drugs can be used to treat unstable angina. Hyperbaric oxygen therapy increases the body's oxygen supply and can improve stubborn angina pectoris, but the therapeutic effect is not easy to consolidate. External counterpulsation therapy can increase coronary blood supply and may also be considered. For patients with early heart failure, fast-acting digitalis preparations should be used while treating angina pectoris.

4. Surgical treatment

It mainly involves performing aortic-coronary artery bypass grafting under extracorporeal circulation, using the patient's own great saphenous vein as the bypass graft material, with one end anastomosed to the aorta and the other end anastomosed to the distal end of the diseased coronary artery segment; or the free internal mammary artery is anastomosed to the distal end of the diseased coronary artery, diverting blood flow from the aorta to improve the blood supply to the myocardium supplied by the diseased coronary artery.

The above is an introduction on what to do if you have chest pain when walking. I believe that after reading the above introduction, you already know what to do if you have chest pain when walking. From the above introduction, we can know that chest pain when walking is likely caused by angina pectoris. Therefore, for friends who have this symptom, they must go to the hospital for examination in time!