What is Angina is this a Disease or Condition |
What is Angina is this a Disease or Condition-Types
Depending on the type of pain and duration for which it lasts, angina is classified into four different types:1. Stable Angina:
Occurs when the heart muscle has to work harder to pump blood. Angina can be brought on by conditions that cut off the blood supply to the heart, such as mental stress, physical activity, and cold weather. This type of angina lasts for a short period and is relieved with medicines and rest.
2. Unstable Angina:
It can occur without any exertion while you are at rest. Building plaque and blockage of the major coronary arteries are often the main causes of unstable angina. The pain may last for 10-15 min.
3. Prinzmetal Angina/Variant Angina:
Occurs because of spasms in coronary arteries. Pain occurs at rest, mainly between midnight and early morning.
4. Microvascular Angina:
It is a mild pain that usually lasts for >10 min and may continue for 30 min or more. Because of blocked blood flow through the smallest coronary arteries, it happens.
Any chest pain or discomfort that occurs at rest and continues for >10 min requires medical attention if it is associated with:
What is Angina is this a Disease or Condition-Symptoms
A few features of angina differentiate it from regular chest pain because of other reasons not originating from the heart. In general, angina is experienced as pressure, heaviness, tightness, squeezing, or throbbing throughout the chest, especially behind the breastbone. This pain often radiates to the neck, jaw, arms, back, or teeth. In addition, patients may suffer from indigestion, heartburn, weakness, sweating, nausea, and shortness of breath.Any chest pain or discomfort that occurs at rest and continues for >10 min requires medical attention if it is associated with:
- Profuse sweating
- Giddiness
- Weakness
- Nausea
5. Lightheadedness
The threshold to consult a doctor should be low if the subject has risk factors for atherosclerosis (fat accumulation in arteries), such as advanced age, smoking, diabetes, hypertension, family history of heart disease, and obesity/sedentary lifestyle. What Causes Angina and Risk Factors
Causes
Angina is chest discomfort caused by decreased oxygen supply to a part of the heart muscle. It is caused by partial or complete obstruction to arteries supplying the heart.
Causes
Angina is chest discomfort caused by decreased oxygen supply to a part of the heart muscle. It is caused by partial or complete obstruction to arteries supplying the heart.
What is Angina is this a Disease or Condition-Risk Factors
Coronary arteries narrow down because of fat deposition (plaque) in the arteries' inner linings. The narrowing of arteries is referred to as atherosclerosis, and this build-up occurs because of various factors, such as- Unhealthy diet
- Obesity or being overweight
- Smoking
- Inactive lifestyle
- High cholesterol
- High blood pressure
- Uncontrolled diabetes mellitus
- Age
- Males are more prone to coronary artery disease
- Genetic factors or family history
- Postmenopausal women are more inclined toward a heart attack
- Mental illness
What is Angina is this a Disease or Condition-Prevention
Because heart disease is the underlying cause of angina, preventative measures include controlling risk factors that could lead to heart disease.- Eating healthy food and avoiding junk is the mainstay for controlling cholesterol levels and maintaining a good lipid profile.
- Exercising regularly, at least 30 minutes daily, will help you lose weight, increase your good cholesterol levels and improve your heart function.
- Smoking is the primary cause of atherosclerosis, leading to angina. So, if you smoke, you should now quit.
What is Angina is this a Disease or Condition-Diagnosis
Angina can be challenging to differentiate from chest pain from other body systems. Therefore, you should let the doctor determine the cause of chest pain because self-diagnosis could be misleading and result in complications.Chest pain can occur from almost any organ in the chest other than the heart, such as the lungs, ribs, esophagus (swallowing tube), aorta (the largest artery of the body), and pericardium (layers of the heart). Any chest pain that typically precipitates on exertion and gets relieved on rest favors the spirit. A well-localized pain, varying with phases of respiration or posture and any chest pain reproducible on palpation, is unlikely to be from the heart.
Depending on your explanation of chest pain and physical examination, your doctor may recommend the following tests to confirm angina and its underlying cause.
Depending on your explanation of chest pain and physical examination, your doctor may recommend the following tests to confirm angina and its underlying cause.
- Blood tests: Certain blood markers such as troponin T or I and creatine phosphokinase myocardial band (CPK MB) can help identify changes in artery blockage and plaque formation, thus causing angina
- ECG: Electrocardiograms are used to verify the electrical activity of your heart using an ECG device
- Echocardiography: It is a test that helps doctors visualize the heart in real-time to analyze how effectively it works
- Coronary angiography: In this test, a specific dye is injected into the bloodstream to verify the rate at which blood flows via the arteries. It is an essential test for identifying CHD.
- Stress test: A simple exercise test can determine your heart's electrical activity and functioning when exercising.
What is Angina is this a Disease or Condition- Treatment
Medicines for stable angina:- Nitrates are given to prevent or reduce angina
- Nitroglycerin, aspirin, and clopidogrel may be prescribed to prevent blood clotting and improve blood flow via the arteries
- Beta-blockers may be given to lower heart rate and help it work smoothly.
- Statins such as rosuvastatin and atorvastatin reduce cholesterol and atherosclerosis in the arteries.
What is Angina is this a Disease or Condition-Surgical Procedures:
Angioplasty:
The most common surgery to open up blocked arteries using a small device called a stent.
Bypass Surgery:
A healthy blood vessel (called a graft) taken from the leg, forearm, or chest is used to bypass the affected artery.
Untreated Angina
Can result in a full-blown heart attack with severe damage to the heart muscle. In addition, it can result in a shock-like state, thus resulting in irreversible damage to the heart and abnormal heart rhythms.
1. Reducing risk factors - Stop smoking, lose weight, lower blood pressure, high cholesterol, and high blood sugar, which can help control angina.
2. Modify daily activities - The heart is more at risk in the mornings or after meals; try to reduce the amount of physical activity at those times.
3. Try to reduce stress and anger by meditating and joining programs that help reduce stress.
4. Exercise can help reduce weight and improve angina-related symptoms.
5. Eat healthily and include green leafy vegetables in your diet.
What is Angina is this a Disease or Condition-Medicines for Unstable Angina:
- Blood-thinning agents such as heparin and nitroglycerin may be prescribed to improve blood flow via narrow arteries.
- Aspirin and clopidogrel may be prescribed to prevent blood clotting and reduce the chances of a heart attack.
- Medicine to control blood pressure may be required if you are hypertensive.
- Statins may be prescribed to lower cholesterol.
- A bypass or another route may supply blood to the heart. Stent placement: A stent is a small device placed in the blocked artery to open it up and improve blood flow.
What is Angina is this a Disease or Condition-Lifestyle/Management
Lifestyle-related changes that might help in preventing angina are listed below:1. Reducing risk factors - Stop smoking, lose weight, lower blood pressure, high cholesterol, and high blood sugar, which can help control angina.
2. Modify daily activities - The heart is more at risk in the mornings or after meals; try to reduce the amount of physical activity at those times.
3. Try to reduce stress and anger by meditating and joining programs that help reduce stress.
4. Exercise can help reduce weight and improve angina-related symptoms.
5. Eat healthily and include green leafy vegetables in your diet.
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