Angina is a syndrome of squeezing or heavy pressure-like pain in the chest caused by an insufficient supply of oxygen to the heart muscle. It can also be experienced as pain in the left shoulder blade, left arm, or jaw. The pain usually lasts from one to twenty minutes. It is typically brought on by physical exertion or stress and subsides with rest, because exertion and stress increase the heart's need for oxygen. Angina is usually a precursor to heart attack, although many people have angina for years without experiencing damage to the heart itself. Angina is almost always caused by atherosclerosis, the buildup of cholesterol containing plaques in arteries.


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In people with angina, atherosclerosis narrows and eventually doses the coronary arteries, the blood vessels leading to the heart. Blockage of the coronary arteries in turn reduces the supply of blood (and therefore oxygen) to the heart. When the flow of oxygen to the heart is substantially reduced, or when there is an unusually high demand for oxygen in the heart, angina is the result. Angina can also result from extreme hypoglycemia. That is because hypoglycemia can lead to increased production of hormones associated with stress, which can put a strain on the heart. There is another, rare form of the condition known as Prinzmetal's variant angina, which is essentially a migraine affecting the blood vessels serving the heart rather than the blood vessels serving the brain-that is, the blood vessels are periodically narrowed by spasms rather than by a buildup of plaque. for more information click here

 
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Types of Angina

The major types of angina include: stable, unstable, variant or Prinzmetal's, and microvascular. Awareness how these types are different is important to consider because they have different symptoms and require different treatments.

Stable Angina - is the most common type of angina. It occurs when the heart is working harder than usual. Stable angina has a regular pattern relating to how often the angina occurs, how severe it is, and what factors trigger it. If you have stable angina, you can learn it's pattern and even predict when the pain will occur. The pain normally goes away a few minutes after you rest or take your angina medicine. Stable angina isn't a heart attack, but it is a warning that a heart attack is more likely to happen.

Unstable Angina - does not have a pattern and it may occur more often and be more severe than the stable angina. Unstable angina may also happen with or without physical exertion, and rest or medicine may not relieve the pain. Unstable angina is very dangerous and requires emergency treatment. This type of angina is a sign that a heart attack may happen soon. Variant Prinzmetal's Angina

Variant angina - is rare and a spasm in a coronary artery causes this type of angina. Variant angina normally occurs while you're sleeping or resting and the pain can be severe. It normally happens in the hours between midnight and early morning. Medicine can relieve this type of angina.

Microvascular Angina - can be more severe and also last longer than other forms of angina. Medicine may not relieve this type of angina.

Notes:

Experts believe that nearly 7 million people in the United States suffer from angina. The condition occurs equally among men and women. Angina can be a sign of CHD, even if initial tests don't point to the disease. However, not all chest pain or discomfort is a sign of CHD.

Other conditions that may also cause chest pain include::

* Pulmonary embolism (a blockage in a lung artery)
* A lung infection
* Aortic dissection (tearing of a major artery)
* Aortic stenosis (narrowing of the heart’s aortic valve)
* Hypertrophic cardiomyopathy (heart muscle disease)
* Pericarditis (inflammation in the tissues around the heart)
* A panic attack

 

 

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