Angina Disease Case Study

Angina Diagnosis, Cocaine Connection, and Testing

The medical analysis is required to diagnose angina disease, therefore, the patient should give detailed answers to queries about their illness. The data collected comprises when angina occurred, whether they rest or engage in any activity, and if the ailment is for a short or long period. Precisely to the client, I have to discern whether the condition is connected with the time they were taking drugs since using cocaine leads to posterior wall thickening and stiffening of the higher left ventricular mass index (Slomski, 2017).

The vasoconstriction connected to using cocaine is the leading cause of chest pain. Moreover, it is important to know if nausea, neck and arm pain and breath shortness are linked with chest discomfort. It is crucial to analyze the family background for angina as well. Likewise, the patient’s information record is vital; and examinations will be conducted for BMP, EKG, echocardiogram, and CBC to assist in the diagnosis.

Objectives of E.H. Treatment

The aim of Mr. E.H.’s care is to manage severe pain episodes, improve the risk of mortality, and minimize chest pain effects. The program should also offer risk factor adjustment and awareness of drug misuse (Ford & Berry, 2020). Both objectives will assist this particular patient in recovering from angina and assess therapy. The reclamation should include improvements to healthier habits, awareness, and anti-anginal treatment.

Patient’s Dietary, Lifestyle, and Drug Therapy

E.H.’s essential lifestyle adjustment is to stop using hard drugs to aid minimize and eliminating angina. The death threat will decrease when taking a recovery program (Ford & Berry, 2020). Moreover, to minimize the risk factors for cardiovascular disease, Mr. E.H. should take a “heart-healthy” diet (Adam et al., 2017). Nonetheless, I would recommend a sublingual anti-anginal therapy, including certain long-acting nitrates and nitroglycerin. Sublingual angina can be used to manage acute angina (Adam et al., 2017). In addition, I will use the nitroglycerin patch for prophylaxis.

Success Monitoring in E.H. and Drug-to-Drug or Drug-to-Food Conducts

Mr. E.H. should maintain a comprehensive record of the usage of sublingual angina. The log entries will contain all behaviors that lead to the disease, such as drug abuse. The patient record will help monitor the patterns of increased frequency, reduction in symptoms, and changes in condition (Ford & Berry, 2020). Using nitrates, such as nitroglycerin, to relieve chest pain is usually prescribed in conjunction with other medicines. Additionally, E.H. should be informed that nitroglycerin cannot be used simultaneously with erectile dysfunction drugs or alcohol. The patient should consume fruits, grains, and vegetables while avoiding salty and fatty foods.

Adverse Effects that can Lead to Changing Therapy

In some cases, therapy may be recommended where other types of medications have failed. There are various negative reactions caused by the selected agent. If Mr. E.H. experiences dry throat, nausea, and recurrent headaches, the prescription should be adjusted instantly (Slomski, 2017). Other side effects include itching, scaling, soreness, blurred vision, and erratic heartbeat. The patient should pay attention to these reactions and deal with them instantly.

The Choice and Client Awareness Based on First-Line Therapy

The use of calcium channel blockers, including nifedipine, would be second-line management due to the experience of this patient’s asthma and the existence of beta-blocker side effects (Adam et al., 2017). Calcium-channel blockers are successful in alleviating angina, and are, therefore, the safest option. They also prevent the entry of calcium into the heart and artery cells, thus, aiding in lowering the blood pressure. Furthermore, nitroglycerin comprises adverse effects, which include flushing, blurred vision, and brief headache (Adam et al., 2017). Moreover, Mr. E.H. would be provided with treatment for erectile dysfunction, such as Sildenafil, Levitra, and Cialis.

Over-the-Counter Medications

The patient should stop taking over-the-counter drugs since they could be harmful. Moreover, instead of improving the recipient’s coronary perfusion, they may worsen it. To minimize the risk of heart disease, aspirin could be suggested (Slomski, 2017). Using aspirin as an anti-patient is known to lower platelet conglomeration substantially, as it averts blood from clotting and can decrease the size of an already formed clot.


Adam, S. K., Osborne, S., & Welch, J. (2017). Critical care nursing: Science and practice. London: Oxford University Press.

Ford, T., & Berry, C. (2020). Angina: Contemporary diagnosis and management. Heart, 106(5), 387-398. Web.

Slomski, A. (2017). Stenting does not relieve stable angina symptoms. JAMA, 318(24), 2419. Web.

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