Munson Health
 
Angina

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by Carson-DeWitt R

(Unstable Angina; Stable Angina; Angina Pectoris; Cardiac Angina; Variant Angina)

 

Causes

Angina is usually a sign of coronary artery disease (CAD). It occurs when the blood vessels leading to your heart are narrowed or blocked. The blockage decreases the blood and oxygen flow to your heart. When your heart is deprived of oxygen, you will feel chest pain and other symptoms.
Coronary Artery Disease
Coronary Artery plaque
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Stable or Unstable Angina

Angina occurs when your heart's need for blood and oxygen is increased by:
  • Exercise or exertion
  • Cold weather
  • A large meal
  • Emotional stress
Stable angina becomes unstable when symptoms:
  • Occur more often
  • Last longer
  • Are triggered more easily

Variant or Prinzmetal's Angina

This type of angina is usually caused by a spasm of a heart vessel. It may indicate that you have one of the following conditions:
This type of angina is usually caused by a spasm of a heart vessel. It may indicate that you have one of the following conditions:
 

Risk Factors

Major risk factors for CAD include the following:
Other risk factors for CAD:
 

Diagnosis

Tests will be done right away to see if you are having an episode of angina or a heart attack. If you have a stable pattern of angina, other tests may be done to determine the extent of your disease. The test results will help to create a treatment plan.
The doctor will ask about your symptoms and medical history. A physical exam will be done.
Tests may include:
 

RESOURCES

American Academy of Family Physicians
http://familydoctor.org

American Heart Association
http://www.heart.org

National Heart Lung and Blood Institute
http://www.nhlbi.nih.gov

 

CANADIAN RESOURCES

Canadian Cardiovascular Society
http://www.ccs.ca

Colege of Family Physicians of Canada
http://www.cfpc.ca

 

References


Angina. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary . Updated November 2, 2012. Accessed November 2, 2012.


Angina. EBSCO Natural and Alternative Treatments website. Available at: http://www.ebscohost.com/healthLibrary/ . Updated July 2012. Accessed November 2, 2012.


Dickstein K, Kjekshus J. Effects of losartan and captopril on mortality and morbidity in high-risk patients after acute myocardial infarction: the OPTIMAAL randomised trial. Lancet . 2002;360:752.


Lopez-Sendon J, Swedberg K, et al. Expert consensus document on angiotensin converting enzyme inhibitors in cardiovascular disease. The Task Force on ACE-inhibitors of the European Society of Cardiology. Eur Heart J . 2004;25:1454.


Reenan J. Clinical Pearl: Indications for bypass surgery. American Medical Association website. Available at: http://virtualmentor.ama-assn.org/2004/02/cprl1-0402.html . Accessed November 2, 2012.


What is angina? National Heart Lung and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/angina . Accessed November 2, 2012.


7/14/2006 DynaMed's Systematic Literature Surveillance. Available at: http://dynamed.ebscohost.com/about/about-us : Andreotti F, Testa L, et al. Aspirin plus warfarin compared to aspirin alone after acute coronary syndromes: an updated and comprehensive meta-analysis of 25,307 patients. Eur Heart J . 2006;27:519-26.

 

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