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Medical therapy: treatment of angina pectoris - how do you increase the exercise tolerance ? how do you prevent infarction ?

        MEDICAL THERAPY: TREATMENT OF ANGINA PECTORIS - HOW DO YOU INCREASE THE EXERCISE TOLERANCE ? HOW DO YOU PREVENT INFARCTION ?
Q. How do you increase the exercise tolerance ?
A. Nitrates increase the exercise tolerance. Such tolerance should be further increased by gradually increasing the quota of exercise in the form of walking and encouragement to take part in non-competitive games.
Q. How do you prevent infarction ?
A. Aspirin in small doses is given to prevent thrombosis occurring on the atheroma in the coronary artery, and thus preventing infarction. Only 1/2 to 1 tablet daily of soluble aspirin (Dysprin) is all that is necessary for this beneficial effect. Larger doses reduce the beneficial effect to the heart and incidence of bleeding complications increases. Aspirin should be taken dissolved or suspended in a glass of water after meals to prevent any irritant effect on the stomach which can cause ulcer when used for long periods.
Cardioprotective drugs such as betablockers are given not only to treat angina and associated hypertension but also to protect the heart from overstrain during physical exertion.
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