Angina is pain or discomfort in the chest. It often has a squeezing or pressure-like feel. This discomfort can also be felt in the shoulders, arms, neck, jaws, or back. Anginal pain usually lasts for no more than 2-10 minutes.
Types of angina include:
—Has a predictable pattern. You generally know what brings it on and what relieves it. You may also know what the intensity will be.
—Is more unpredictable and/or severe. Chest pain may occur while resting or sleeping. The discomfort may last longer and be more intense than that of stable angina.
Unstable angina may be a sign that you are about to have a
Call for emergency medical services right away.
Variant or Prinzmetal's angina
—Caused by temporary spasm of coronary arteries. Occurs when you are at rest, most often in the middle of the night. It can be quite severe.
Typical Angina Pain Areas
Women are more likely to experience pain outside of these areas.
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.
Chest pain or discomfort is the key symptom of angina
Some people do not experience the pain as severely
Elderly people, women, and people with diabetes are more likely to have subtle symptoms and pain outside of the typical areas
Some people have silent ischemia (lack of blood supply to the heart) and experience no symptoms of chest pain
The likelihood of a
when chest discomfort is severe, lasts more than 15 minutes, and is accompanied by other symptoms, such as:
Pain in the shoulder(s) or arm(s), or into the jaw(s)
Shortness of breath
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.
You will be asked about your symptoms and medical history. A physical exam will be done.
Your bodily fluids may be tested. This can be done with blood tests.
Images may be taken of your heart. This can be done with an .
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