Prinzmetala Angina

**Prinzmetal** angina is one of the most common cardiovascular diseases in the world. This disease is characterized by attacks of chest pain that can last from several minutes to several hours. Prinzmetal's angina has its own peculiarity, unlike other types of angina. When Prinzmetal occurs



Prinzmetal angina is a form of coronary heart disease. This disease received its name in honor of a doctor from Sweden, Erik Prinzmetall, who first discovered its connection with infections of viral etiology. Previously, the pathology was known as autonomic dysfunction. The disease mainly occurs in men under the age of 40, while among women the pathology is relatively rare. Cardiologists and therapists are involved in diagnosing and treating the disease.

Symptoms of the disease The occurrence of symptoms is associated with the presence of atherosclerotic plaques in the coronary arterial system. The basis for the formation of plaques is an imbalance of lipids entering the blood, cellular nutrition is disrupted, inflammation occurs, and the wound becomes covered with sclerotic tissue. The result is muscle contracture. In addition, spasm of the coronary arteries is a predisposing factor. When it occurs, conditions are created for the occurrence of an attack of Prinzmetal's angina. Patients experience discomfort in the chest, sometimes they are even tormented by pain. They are felt simultaneously with muscle weakness, shortness of breath, and pale skin. Symptoms occur at any time. The duration of the attack is from 3-5 minutes to several hours. Pain most often occurs after infections or during periods of exacerbation of chronic diseases. Women suffer from this form of heart failure less often than men. Men also usually suffer from bronchial pathologies. This fact once again confirms that we are talking about a multisystem disease.

Prinzmetal Treatment As noted, problems that provoke an attack arise due to infection of the organs in contact with the diaphragm. To prevent them, it is necessary to take antibacterial agents, vitamin and antihistamine complexes, and immunomodulators. There is no cure for a viral infection, so we should talk about preventive therapy. For this purpose, antiviral agents are used, for example, acyclovir. Antibacterial drugs usually require long-term use, but have side effects. This is contraindicated for people with many chronic pathologies. Taking into account the ineffectiveness of antibacterial therapy, doctors began to resort to prescribing antibiotics, which are used in a course of 7-10 days. Such medications are often prescribed without an antibiogram - a bacteriological study that shows the sensitivity of bacteria to a specific type of antibiotic. However, in practice, in the case of hereditary pathology of connective tissue (decrease in its elasticity, inability to perform its function), antibiotics are used to eliminate a chronic inflammatory process, such as bronchial infections, when an antibiogram is no longer indicated. However