Angina

Common Condition

Chest pain or discomfort caused by reduced blood flow to the heart muscle, often a warning sign of underlying coronary artery disease and heart attack risk.

Related specialists:CardiologistPhysician

Symptoms

Chest pain, pressure, squeezing, or tightness
Pain spreading to arms, neck, jaw, or back
Shortness of breath
Nausea
Fatigue
Dizziness
Sweating
Pain triggered by physical exertion
Pain that goes away with rest
Women may have atypical symptoms

Causes

1
Coronary artery disease (most common)
2
Coronary artery spasm
3
Anemia (severe)
4
Abnormal heart rhythms
5
Heart failure
6
Aortic valve disease
7
Physical exertion
8
Emotional stress
9
Extreme temperatures
10
Heavy meals

Treatments

Nitroglycerin for quick relief
Beta-blockers
Calcium channel blockers
Ranolazine
Long-acting nitrates
Aspirin
Statins
ACE inhibitors
Angioplasty and stenting
Coronary artery bypass surgery
When to See a Doctor

Seek emergency care immediately if chest pain lasts more than a few minutes, doesn't respond to nitroglycerin, or is accompanied by shortness of breath, sweating, or nausea—this could be a heart attack.

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About Angina

Angina: Your Heart's Warning Signal

Angina is chest pain that occurs when your heart muscle doesn't receive enough oxygen-rich blood. It's an important warning sign of coronary artery disease and heart attack risk.

Types of Angina

Stable Angina: Predictable pattern, occurs with exertion, goes away with rest or nitroglycerin.

Unstable Angina: A medical emergency—occurs unexpectedly, even at rest, and doesn't respond well to nitroglycerin.

Variant (Prinzmetal's) Angina: Caused by coronary artery spasm, often occurs at rest.

How Angina Feels

Classic angina is described as:

  • Pressure, squeezing, or heaviness in the chest
  • Pain spreading to shoulders, arms, neck, or jaw
  • Sensation like an elephant sitting on the chest

Living with Angina

Know Your Pattern: Understand what triggers your angina and how it typically feels.

Carry Nitroglycerin: Always have it with you. Take one tablet under the tongue, wait 5 minutes. If not relieved after three doses, call emergency services.

Pace Activities: Plan activities, rest between tasks, avoid sudden exertion.

Manage Stress: Practice relaxation techniques, get adequate sleep.

"Ang kirot sa dibdib ay pagsasabi ng puso na kailangan niya ng tulong." (Chest pain is the heart's way of saying it needs help.)