How to treat Stable Angina, the Madhavbaug way

Stable angina is the chest pain or discomfort that most often occurs with activity or emotional stress.  Today’s sedentary and stressful lifestyle coupled with addictions like alcohol, cigarettes and intake of junk foods rich in trans fats leads to a constant imbalance of doshas and is the main reason behind increasing cases of coronary artery […]

Stable angina is the chest pain or discomfort that most often occurs with activity or emotional stress. 

Today’s sedentary and stressful lifestyle coupled with addictions like alcohol, cigarettes and intake of junk foods rich in trans fats leads to a constant imbalance of doshas and is the main reason behind increasing cases of coronary artery diseases. 

While defining treatment protocols we need to address each and every issue responsible for the pathophysiology of the disease. 

In this course, learners will come across concepts of the Disease Pathophysiology, Investigations and Monitoring protocols in Stable angina, Conventional treatments in Stable angina, Drug tapering protocol for Anti-Angina drugs, Role of Diet, Exercise, Herbal medicines, Panchakarma and Lifestyle modification changes in the management of stable angina, Stress management and De-addiction protocols etc.

What is Ischemic Heart Disease?

Identifying the Pathophysiology of the disease helps us to understand what has gone wrong and what needs to be avoided.

Pathophysiology knowledge helps us to know how the disease is going to affect the various systems of the body, causing functional changes that can lead to health consequences.

In this course students will get to learn about the pathophysiological changes occurring inside the body responsible for the development of stable angina.

Grades of Angina

Grading scale is used for classification of angina symptoms. Knowing the Grades of angina, helps us to understand the severity of the disease. 

Students will learn four grades of angina given by Canadian Cardiovascular Society in this session. 

This Grading system classifies angina depending upon the degree of effort necessary to induce angina symptoms.  

Based upon these grades, we are going to taper down the antianginal medicines of the patient.

Conventional treatment of Stable angina

Depending upon the severity of the symptoms, pathophysiological changes present inside the body and outcome of the various investigations; cardiologist may recommend either of the treatments in the stable angina patients including Angioplasty, CABG, Chelation therapy, EECP etc. 

In this session students will learn briefly about these treatments and their efficacy in comparison with Madhavbaug treatment efficacy.

Investigations in Stable angina
Investigation can help us to understand how different systems in the body are working. It helps to determine a diagnosis, plan treatment, check to see if treatment is working, or monitor the disease over time. In this course, students will learn importance of various investigations in diagnosis and monitoring the health improvement in the patients with stable angina.
Mechanism of action of Anti-Angina Medicines

Knowing the mechanism of action of the drug help us provide information about how the drug is going to act on the body and what are the possible side effects of the drug. 

In this course students will learn mechanism of action of different anti-anginal medicines including Ranolazine, Trimetazidine, Potassium channel openers, Calcium channel blockers, Ivabradine, Betablockers, Nitrates etc and the side effects caused by long term use of these medicines.

Drug tapering protocol of Anti-Angina medicines

When we start our interventions including diet, exercise, medicines, panchakarma etc, patient gets improvement in his symptoms. 

So that we can think of the gradual discontinuation or reduction of a therapeutic dose of a particular drug. 

This course will help student understand the protocols based on various parameters which can be used in tapering the dose of the medicines.

Monitoring protocol in Stable angina

Monitoring patients regularly while they are under treatment, helps us to assess physical and emotional response of the patient to the treatment and identify patterns and trends. 

It helps in deciding drug tapering, modify exercise prescription, revise treatment protocols. 

In this session, the learner will get to learn about the role of different parameters which need to be assessed in patients with Stable angina.

Dietary prescription in Stable angina

Diet is an important risk factor in the pathophysiology of coronary artery diseases. 

Food-related risk factors include obesity, high blood pressure, uncontrolled diabetes and a diet high in saturated fats. A heart-healthy diet is based on various principles. 

Madhavbaug considers Diet as a Therapy & the most effective Intervention in Reversing Lifestyle Disorders. 

In this course, students will get to learn about Calorie, Quantity and Characteristics of the food recommended in the patients of Stable angina.

Exercise Prescription in Stable angina

Exercise plays a key role in prevention and management of heart diseases. 

Getting regular exercise in patient with the heart disease is important as it helps to improve the endothelial function and makes the heart muscles stronger. 

Regular activity is one of the best ways to make a good recovery. But which exercises we should recommend in the stable angina and how much exercise a patient should perform will be taught in this session.

Medicine Prescription in Stable angina

Ayurveda herbal preparation aims to return the body to a state of natural balance so that it can heal itself. 

These herbal medicines contain active ingredients, which works on various systems inside the body and gives improvement in symptoms along with improvement in the quality of life of the patient. 

In this course students will learn the action of different herbs on various systems of the body, their Doses and Anupana with which it should be prescribed to get better results.

Panchakarma in Stable angina

Panchakarma is considered as the best treatment which treats the root cause of the disease. It helps to repair the damaged caused to blood vessel along with the improvement in the functioning of the heart. 

Madhavbaug has developed its own treatment strategy and panchakarma protocols through extensive researches carried out for years. 

This course will help student to understand the role of Panchakarma in Stable angina and the mode of action of the drugs used in the therapy in reversing the disease Pathophysiology.

Stress management in the Stable Angina

When a person faces high levels of either emotional or physical stress, his heart rate and blood pressure increase.

Moreover, stress-related endothelial dysfunction is an early risk factor that predicts future development of severe cardiovascular disorders. 

Thus, effective management of stress, plays a key role in prevention as well as reversal of the pathophysiology of the heart disease. 

In this course students will learn effective counselling method useful in stress management.

Deaddiction in Stable angina

Addiction refers to an inability to stop doing or using something which is harmful for the body or mind, it includes alcohol, tobacco, smoking etc. 

Quitting the use of these harmful substances can reverse the damage caused to the heart and improve heart function in abusers.

In this course students will get to learn about management principles and effective counselling methods in patients who are addicted to substances.

Lifestyle Modification (Dinacharya) in Stable angina

Dinacharya (daily-routine) is a concept in Ayurvedic medicine that advises daily activities of the patient based upon circadian cycles.

 It deals with the mental, vocal and physical aspects of well-being, that should be followed every day. 

Ayurveda not only explains about how to cure diseases but also lights up on preventive aspects, which are very effective in maintaining health of the body, mind and soul. Hence it focuses on daily regime for healthy and happy living.

This session will help student understand what should be the ideal Dinacharya in the patients with stable angina.

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