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What is angina?

Saint John's Health Center - Frequently Asked Questions
Angina is the medical term for chest pain due to a coronary heart condition known as myocardial ischemia, in which the heart muscle doesn't receive enough blood due to narrowing of the arteries.
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What exactly is angina?

Frequently Asked Cardiac Questions - Dr Barry J Bellovin MD ...
Angina means pain or discomfort, coming from the heart, generally due to blocked arteries, and usually occurring with exertion. Not all chest pain is angina, and not all people with blocked arteries have pain. Not necessarily. Only in people with certain "high-risk" characteristics (e.g. unstable symptoms, triple vessel disease, poor heart muscle function) has it been proven that we can prolong life by these methods.
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What Causes Angina?

Frequently Asked Questions
Unfortunately, a simple EKG does not reliably detect angina. Therefore, the physician must perform additional tests, like an exercise stress test. The stress test is the only investigation needed for many people, since it is accurate most of the time. But even this test cannot identify exactly where or how severely the coronary arteries are blocked. So, in some people, additional tests like coronary angiography may be required.
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What about Angina pain?

Welcome to New Heart and Body:Frequently Asked Questions
Although everyone's body is different, many report their pain stopped within days. Occasionally it takes longer. Medical experts believe no pain means no heart disease. With Heart & Body Extract the absence of pain is just the start of healing.
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Back to top What is angina?

Heart Center: Frequently Asked Questions
Angina pectoris is the medical term for chest pain due to a coronary heart condition known as a myocardial ischemia, in which the heart muscle doesn't receive enough blood for a given level of activity, resulting in pain in the chest.
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What is the difference between typical and atypical angina?

Cardiology Consultants of Philadelphia PC :: CCPdocs.com
First we should define angina. Angina or angina pectoris (chest pain) can be reported when the supply of oxygen that is carried by blood is unable to reach the heart muscle adequately. Angina pectoris can be a recurring symptom and can be described as a feeling of (tightness, fullness, squeezing, heaviness, burning or pain) in the center of the chest. Angina can also be transferred to the left breast, left shoulder, arm, throat, jaw and or even the upper abdomen.
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What is angina and how is it different from a heart attack?

frequently asked questions about heart disease
episode of angina is NOT a heart attack. However, people with angina report having a hard time telling the difference between angina symptoms and heart attack symptoms. Angina is a recurring pain or discomfort in the chest that happens when some part of the heart does not receive enough blood temporarily. A person may notice it during exertion (such as in climbing stairs). It is usually relieved within a few minutes by resting or by taking prescribed angina medicine.
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What is angina pectoris?

Cardiac Pain F.A.Q.
Angina pectoris is the first signal of a cardiovascular disorder following coronary artery disease (inadequate coronary circulation) due to narrowing of a coronary artery.
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Do many people have chronic angina?

LifeHeart.com
According to the American Heart Association's 2002 Heart and Stroke Statistical Update, more than 6.6 million people in the United States are currently diagnosed with angina. Of those, 4.1 million are women and 2.5 million are men. In addition, more than 400,000 people are newly diagnosed with angina each year. Read more about who gets angina and why in Risk Factors.
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Besides chronic angina, what other types and how are they different?

LifeHeart.com
Unstable angina. People with coronary artery disease may develop unstable angina, meaning pain and discomfort can happen unpredictably, even during rest. The pain is generally more severe and frequent than that of chronic angina. New or more severe symptoms of unstable angina require medical help right away, since a heart attack may be about to happen. Chronic angina patients may develop unstable angina as their condition progresses. Syndrome X.
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What drugs are used to treat angina?

LifeHeart.com
Currently, three drug classes are used to treat chronic angina: nitrates, calcium channel blockers, and beta-blockers. Beta-blockers stop the action of a substance in the nervous system (adrenaline) that stimulates the heart to work harder and faster. By reducing the heart's workload (by reducing blood pressure, heart rate, and the strength of the pumping force of the heart), beta-blockers decrease the amount of oxygen that the heart requires to perform.
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Can surgery or other procedures help angina?

LifeHeart.com
Yes, they might. Your doctor may recommend a surgical procedure if your medications no longer help control your angina pain. The goal of these procedures is to allow an increased flow of blood to the oxygen-deprived heart. The four primary procedure options are percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG), enhanced external counterpulsation (EECP), and transmyocardial revascularization (TMR). PCI.
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What does "unstable" angina mean?

Frequently Asked Questions
Unstable" angina is a form of angina that is much more serious than stable angina. Unstable angina occurs when a person is resting, asleep, or undergoes physical exertion. Severe discomfort may come on suddenly in someone who has never had angina before. Attacks may intensify or happen more often. Unstable angina is caused by blood clots that form around damaged plaque (fatty deposit) within a coronary artery. Sometimes the clot washes away after the damage has healed.
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How do nitroglycerin pills stop angina?

Frequently Asked Questions
Nitroglycerin tablets are "vasodilators" - that is, they increase the diameter of the arteries, improving blood flow to the heart and the rest of the body. They also dilate (open up) the veins and temporarily decrease the return of blood to the heart, and this eases the workload of the heart. Once enough blood returns to the heart muscle, angina symptoms stop. The heart's workload also becomes easier, since it can pump blood without as much resistance from narrow blood vessels.
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What is the difference between angina and a heart attack?

Patients' Frequently Asked Questions (PFAQ) - Heart & Circul...
I'm a 45-year-old woman and 30 lbs. overweight. If I were to make one change in my health behaviors, what do you suggest that I do or not do? I do not smoke. What is the relation of Hormone Replacement Therapy (HRT) to Coronary Artery Disease (CAD)? The newspapers suggest that one is at higher risk of having a heart attack if one takes HRT.
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My father has just been diagnosed with chronic angina. What exactly is angina?

LifeHeart.com
Your father has a serious heart condition that occurs when the heart does not receive all the oxygen-rich blood it needs to function well. He may feel pain or discomfort in the center of the chest behind the breastbone. He may also have what is called "radiating pain" in the jaw, shoulder, back, or arms. Angina pain can be triggered by physical activity, such as climbing stairs, or by emotional stress, such as frustration or anger.
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Are there different types of angina?

Coronary Artery Disease
Some risk factors for coronary artery disease (CAD), such as your sex, age, and family history, cannot be changed. Other risk factors for CAD that are related to lifestyle often can be changed. Your chance of developing coronary artery disease increases with the number of risk factors you have. Using birth control pills and you smoke and are over age 35, or you have a family history of atherosclerosis or blood-clotting disorders.
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Is angina a condition associated with aging, or can you get it at any age?

LifeHeart.com
Since angina is associated with coronary artery disease (CAD), the condition usually shows up in people ages 55 and older. But younger people can have CAD and angina attacks as well. Read Coronary Artery Disease for more. Your mother may find that anticipating and dealing with angina attacks limit her daily activities. Sometimes people with chronic angina avoid certain actions they think will trigger an attack.
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If I have angina, am I at risk for having a heart attack?

LifeHeart.com
Yes, because people with angina usually have coronary artery disease, they are at an increased risk for a heart attack. If angina episodes start happening more often, lasting longer, or occurring even when you're at rest (known as unstable angina), a heart attack may be about to happen. Studies indicate that every year, 3% to 3.5% of angina patients have heart attacks. If you feel you might be having a heart attack, call 911 or your local emergency number right away.
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Are potential new treatments for chronic angina in development?

LifeHeart.com
Gene therapy for angiogenesis. To grow new vessels, the body produces a protein called VEGF. A new procedure enables physicians to inject the gene for VEGF directly into the patient's heart muscle. Researchers hope the gene will become a part of the heart muscle cells and help grow new blood vessels, which will provide other pathways for oxygen-rich blood to move around clogged coronary arteries and reach the heart. Drug-coated stents.
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My angina attacks are very painful and uncomfortable. Can they damage my heart?

LifeHeart.com
Angina usually doesn't damage the heart like a heart attack, in which part of the heart muscle may die from lack of oxygen-rich blood. Instead, angina can take its toll by causing ongoing physical and emotional pain or discomfort. Besides enduring painful and frightening attacks, angina patients often feel depressed and anxious about future attacks. Although angina isn't normally considered "chronic pain," some experts believe it should be categorized this way.
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What should I do if I feel angina pain during exercise (or at any other time)?

LifeHeart.com
Stop right away, rest, and take short-acting nitroglycerin, if your doctor has prescribed it. Ask your doctor if you should make changes in your exercise routine to prevent future attacks. He or she may refer you to a cardiac rehabilitation program, which can run tests to find the right level of activity for you. If your angina becomes more painful or starts after very mild physical activity, see your doctor immediately. Visit Exercise for Heart Health for additional information.
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