Angina pectoris—or simply angina—is chest pain or discomfort that keeps coming back. It happens when some part of your heart doesn't get enough blood and oxygen. Angina can be a symptom of coronary artery disease (CAD). This occurs when arteries that carry blood to your heart become narrowed and blocked because of atherosclerosis or a blood clot. It can also occur because of unstable plaques, poor blood flow through a narrowed heart valve, a decreased pumping function of the heart muscle, as well as a coronary artery spasm.
Angina is chest pain or discomfort that keeps coming back. It happens when some part of our heart does not get enough blood and oxygen.
Angina is a symptom of coronary artery disease. This occurs when arteries that carry blood to our heart become narrowed and blocked because of atherosclerosis or a blood clot.
Angina can feel like a pressing, squeezing, or crushing pain in the chest under our breastbone or upper back, both arms, neck, or ear lobes.There may also have shortness of breath, weakness, or fatigue
Managing angina includes managing high blood pressure, stopping cigarette smoking, reducing high blood cholesterol levels, eating less saturated fat, exercising, and losing weight
There are 2 other forms of angina pectoris. They are:
Variant angina pectoris
(or Prinzmetal's angina)
- Is rare
- Occurs almost only when you are at rest
- Often doesn't follow a period of physical exertion or emotional stress
- Can be very painful and usually occurs between midnight and 8 a.m.
- Is related to spasm of the artery
- Is more common in women
- Can be helped by medicines such as calcium channel blockers. These medicines help dilate the coronary arteries and prevent spasm.
- A recently discovered type of angina
- People with this condition have chest pain but have no apparent coronary artery blockages
- Doctors have found that the pain results from poor function of tiny blood vessels nourishing the heart, as well as the arms and legs
- Can be treated with some of the same medicines used for angina pectoris
- Was once called Syndrome X
- Is more common in women
CAUSES OF ANGINA PECTORIS
Angina pectoris occurs when our heart muscle (myocardium) does not get enough blood and oxygen for a given level of work. Insufficient blood supply is called ischemia.
RISK FACTOR OF ANGINA PECTORIS
Anything that causes our heart muscle to need more blood or oxygen supply can result in angina. Risk factors include physical activity, emotional stress, extreme cold and heat, heavy meals, drinking excessive alcohol, and cigarette smoking.
SYMPTOMS OF ANGINA PECTORIS
These are the most common symptoms of angina:
- Pressing, squeezing, or crushing pain, usually in the chest under breastbone.
- Pain may also occur in upper back, both arms, neck, or ear lobes
- Pain radiating in arms, shoulders, jaw, neck, or back
- Shortness of breath
- Weakness and fatigue
- Feeling faint
An episode of angina means some part of the heart is not getting enough blood supply. If someone have angina,they have an increased risk for a heart attack.
The symptoms of angina pectoris may look like other medical conditions or problems so one may have to aware about his suffering.
DIAGNOSIS OF ANGINA PECTORIS
Angina can often diagnose angina from our symptoms and how and when they occur. Other tests may include:
- Electrocardiogram (ECG).
- Stress test (usually with ECG; also called treadmill or exercise ECG).
- Cardiac catheterization.
- Cardiac MRI.
- Coronary CT scan.
COMPLICATIONS OF ANGINA PECTORIS
Angina means that you have coronary artery disease and that some part of your heart is not getting enough blood supply. If you have angina, you have an increased risk for a heart attack.
PREVENTION OF ANGINA PECTORIS
Maintaining a healthy lifestyle can help to delay or prevent angina pectoris. A healthy lifestyle includes:
- A healthy diet
- Physical activity and exercise
- Stress management
- Not smoking or quitting smoking
- Keeping or working toward a healthy weight
- Taking medicines as prescribed by doctor
- Treating any related conditions such as high blood pressure, high cholesterol, diabetes, and overweight
HOMEOPATHIC MEDICINE FORANGINA PECTORIS
Bryonia Alba –There is stitching and tearing pain in region of heart which is aggravated by motion, and better by rest and lying on painful side.
Digitalis – Useful when there is sensation as if heart would stop working, condition of patient is worse by motion. Pulse is slow
Crataegus –Useful when there is pain in the region of heart, and under left clavicle.There is feeble, accelerated and irregular pulse with blueness of fingers and toes.
Naja – Useful when there is severe pain in the region of the heart, extending to nape of the neck having slow and irregular pulse with fluttering and palpitation
Spigelia –There is shooting, stabbing pain with pressure and oppression in chest down the left arm. Acts well in smokers and drunkards. Is a useful remedy in anguishing substernal pain which radiates to neck and arms.There is irregular pulse with tendency to syncope, palpitation and sharp stitches in heart.
Cactus –Very excellent remedy for angina pectoris with constriction and congestion of the heart.There is marked palpitation with prostration.
Veratrum album – Useful for poor heart action in tobacco chewers.There is much palpitation, anxiety and rapid respiration.
Note: Angina is a serious medical condition and may require emergency intervention. If a patient suspects having angina pain, they should immediately consult a physician for proper diagnosis and treatment.