What Is The First Aid Treatment For Angina Attacks?

When experiencing an angina attack, the primary goal is to reduce the heart's workload and oxygen demand by eliminating potential triggers. Here are the essential steps to follow:

Immediate Actions During an Angina Episode

1. Rest and Positioning: The affected individual should stop all physical activity immediately and rest. It is recommended to sit or lie down in a semi-reclined position to ease the strain on the heart. Remaining calm is crucial to prevent the situation from worsening.

2. Administer Nitroglycerin: If available, the patient should place a nitroglycerin tablet under the tongue (sublingual administration). This medication helps widen the blood vessels, improving blood flow to the heart and relieving chest discomfort. If the pain persists after five minutes, a second dose may be taken, provided the patient is not experiencing severe side effects such as dizziness.

When to Seek Emergency Medical Help

3. Call Emergency Services: If the symptoms do not subside after taking nitroglycerin twice, or if the pain is severe and persistent, it is vital to call emergency services (such as 911 or 120) immediately. This could be a sign of a more serious condition like a heart attack, which requires urgent medical intervention.

Managing Anxiety During an Episode

4. Address Anxiety: Anxiety can worsen angina symptoms, so managing emotional stress is important. If the patient is visibly anxious, a healthcare provider may recommend using a fast-acting anxiolytic like lorazepam (Ativan) or another prescribed medication to reduce stress and lower heart strain. Always follow medical advice when administering additional medications.

5. Avoid Physical Strain: The person should avoid any exertion and remain in a relaxed state. Physical activity increases the heart's need for oxygen, which can exacerbate angina symptoms. Resting in a comfortable position and focusing on slow, deep breathing can help alleviate discomfort.

In summary, recognizing the early signs of angina and responding promptly with rest, nitroglycerin, and appropriate medical support can significantly improve outcomes. However, it is always best to consult with a healthcare professional to understand the best approach for managing angina based on individual health conditions.