Chest pain that often radiates to neck, jaw, arms or back is referred as angina pectoris. Angina is a symptom of a coronary artery disease.
Angina is a Latin term which means “squeezing of the chest.” Angina pectoris is among the various causes of chest pain.
In Angina a discomfort in chest occurs when blood oxygen supply to an area of the muscles of the heart decreases. Commonly the blood supply decreases because of narrowing of the coronary arteries.
Usually patient experiences angina during severe emotional stress, exertion or heavy meal. It remains for about 1 to 15 minutes. Patient gets relief by rest or placing nitroglycerine tablet under tongue.
Imbalance between myocardial blood supply and oxygen supply causes myocardial ischemia which results in angina pectoris.
Who Are More Affected?
Prevalence of angina pectoris increases with age. Its incidences are high in women than men.
• Stable Angina:
It is a common form of angina. The pain arises during strenuous exercise or stress. Patient gets relief in pain during rest and prescribed medications.
• Unstable Angina:
In this type of angina the aggravating cause is not predictable. Sometimes climbing stairs can cause pain and sometimes walking can be the cause of pain. Unstable angina requires emergency medical treatment.
Coronary artery disease causes angina. Heart receives oxygen rich blood through coronary arteries. These arteries become narrow because of formation of hard plaques and aggregation of cholesterol on the artery wall. As a result oxygen rich blood supply to the heart muscles decreases. The plaques may also break off and form the blood clot to block the arteries.
• High cholesterol level.
• Sedentary lifestyle.
• Men over age of 45 and women over 55.
• Obese people.
• Family history of heart disease.
• Pressure, heaviness, tightness or pain across the chest.
• Shortness of breath
• Anxiety disorder
• Aortic stenosis
• Coronary vasospasm
• Hiatus hernia
• Mitral regurgitation
• Pulmonary embolism
• Pulmonary hypertension
• Chest X-ray
• Stress test
• Coronary angiography
• Blood test to check for fat, protein, cholesterol and sugar level.
The aim of the treatment is to reduce pain, prevent and lower the risk of heart attack.
• Medicines- nitrates, beta-blockers, calcium channel blockers, anti-platelet medicines, anti-coagulants, high blood pressure medicines.
• Coronary artery bypass graft surgery.
• Congestive heart failure
• Myocardial infarction
• Pulmonary embolism
• Ventricular aneurysm
• Quit smoking.
• Weight should be controlled.
• Regular checking of cholesterol levels
• Rest is must.
• Avoid taking large meals
• Avoid stressful situations.
• Include fruits, vegetables, whole grains, low-fat or no-fat diary products, lean meat and fish in diet.
• The face is flushed.
• The heart acts rapidly.
• Feeling of constriction of the heart and oppressed breathing.
• Throbbing sensation all over body.
• Labored breathing and heart feels contracted.
• Sudden pain in the left side of chest that radiates down left arm.
bull; Patient has fear of death.
• Radiating pain all over the chest.
• Unconsciousness may occur.
• Sensation of impending suffocation.
• Weak and feeble pulse.
• Pain radiates to neck and arms.
• Irregular pulse, palpitation and sharp stitches in heart.
• Least motion aggravates the pain.
• Least movement causes violent palpitations.
• Sensation as if it would cease breathing on moving.
• Frequent stitches in the chest.
• Slow, intermittent and weak pulse.
• This medicine stimulates the heart muscles.
• There are characteristic sensation as if constricted by an iron band.
• The whole body feels caged tighter.
• Patient is panting and prostrated.
• Dragging sensation in the chest with sensation of weight on chest.
• Anxiety and fear of death.
• Irregular pulse.
• Pain in forehead and temples with characteristic chest symptoms.
• Angina pain extends to nape of neck, left shoulder and arm.
• Patient is greatly emaciated.
• It is given in cases of arteriosclerosis, myocardial degeneration and senile heart.
• Rapid irritable pulse.
• Symptoms keep changing.
• Great sensitiveness.
• Patient seeks open air even though she is chilly.
• Patient is mild, gentle with yielding disposition.
• Palpitation and dyspnoea in organic heart diseases.
• Feeble pulse.
• Symptoms get worse when thinking of it.
• Heart alternate with aphonia.
• Sharp lancinating pain in the left lung coming on suddenly, depriving breath.
• Precordial pains which dart to the left shoulder.
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