Angina Pectoris is a condition that is more often called Angina.

Individuals experience Chest pain as the primary symptom, although several other symptoms are often seen.

This condition occurs when the muscles of the Heart don’t receive enough oxygen.

There is often a blockage of the vessels of the heart impeding oxygen.

Often the vessel most commonly involved is the coronary artery.

The blockage is closely related to atherosclerotic heart disease as well as Coronary Heart Disease.

Spasms of the cardiac muscles result in the chest discomfort or pain.

Several less common causes exist.

 

The Location and Duration of the symptoms are the key.

Pain associated with Angina often follows exercise or emotional episodes.

But it can also be attributed to cold temperatures or having a full stomach.

Typically lasts more then 30 seconds and less then 5 minutes.

Nitroglycerin should improve symptoms.

Other cardiac work-ups/testing may be needed in some individuals.

 

Types:

1.)  Stable angina

  • above mentioned criteria

2.)  Unstable angina

  • can also occur at rest
  • can last greater then 10 minutes
  • can be more severe

Symptoms

  • Chest tightness
  • Chest discomfort
  • Chest pressure
  • Burning pain
  • Chocking sensation
  • Pain in abdomen
  • Pain in jaw, shoulders, and/or back
  • Dizziness
  • Nausea

article_zoom_1199_1Diagnostic Testing

  • ECG
  • Exercise ECG
  • Scintigraphic Assessment of Ischemia
  • Echocardiography
  • CT
  • MRI
  • Coronary Angiography
  • Left Ventricle Angiography

 

Treatment

Medication

1.  Verapamil

2.  Diltiazem

3.  Dihydropyridine group

Coronary Artery Bypass Grafting

Percutaneous Coronary Intervention

Stenting

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