Angina and acute coronary insufficiency

To unstable angina in adolescents include the first arising angina, progressive angina and focal dystrophy of the myocardium. With unstable angina, pressing, pulling or contracting pain behind the sternum arises with irradiation into the left arm and shoulder blade, which arises in response to physical and emotional stress, food intake, exposure to cold. Acute coronary insufficiency in children and adolescents is associated mainly with exogenous causes.

Treatment of angina and acute coronary insufficiency

First of all, it is necessary to ensure complete peace. Pain syndrome can be quenched with nifedipine, which is prescribed for 10 mg orally. A more rapid effect is achieved when taking nitroglycerin (1 / 4-1 / 2 tablets) under the tongue every 5-10 minutes before pain relief. With prolonged anginal attacks, the appointment of fentanyl with droperidol, trimeperidine, metamizole sodium. With psychomotor stimulation appoint diazepam (0.25-0.5 mg / kg), phenibut, gopanthenic acid. Heparin sodium is prescribed from the calculation of 150-250 units / kg. For the prevention of ventricular fibrillation, it is advisable to administer 1% lidocaine solution (1-1.5 mg / kg) or 5% solution of brethyl tosylate (1-5 mg / kg).