Angina
| Subclass of | coronaropathy, chest pain, angina  |
|---|---|
| Health specialty | cardiology |
| WordLift URL | http://data.medicalrecords.com/medicalrecords/healthwise/angina, http://data.wordlift.io/wl01714/entity/angina-pectoris |
| ICPC 2 ID | K74 |
| NCI Thesaurus ID | C51221 |
Angina, in full angina pectoris, be chest pain anaa pressure, wey usually insufficient blood flow cause to de heart muscle (myocardium).[1] E be most commonly a symptom of coronary artery disease.[1]
Angina typically be de result of partial obstruction anaa spasm of de arteries wey dey supply blood to de heart muscle.[2] De main mechanism of coronary artery obstruction be atherosclerosis as part of coronary artery disease. Oda causes of angina dey include abnormal heart rhythms, heart failure den, less commonly, anemia.[3] De term dey derive from Latin angere 'to strangle' and pectus 'chest', wey therefore fi be translated as "a strangling feeling insyd de chest".
An urgent medical assessment be suggested to rule out serious medical conditions.[4] Der be a relationship between severity of angina den degree of oxygen deprivation insyd de heart muscle. However, de severity of angina always no dey match de degree of oxygen deprivation to de heart anaa de risk of a heart attack (myocardial infarction). Sam people fi experience severe pain even though der be little risk of a heart attack whilst odas fi get a heart attack den experience little anaa no pain.[5][6] Insyd sam cases, angina fi be quite severe. Worsening angina attacks, sudden-onset angina at rest, den angina wey dey last more dan 15 minutes be symptoms of unstable angina (dem usually group plus similar conditions as de acute coronary syndrome). As dese fi precede a heart attack, dem require urgent medical attention wey be, in general, dem treat similarly to heart attacks.[7]
Insyd de early 20th century, na dem see severe angina as a sign of impending death.[8] However, modern medical therapies improve de outlook substantially. Middle-age patients wey experience moderate to severe angina (grading by classes II, III, den IV) get a five-year survival rate of approximately 92%.[9]
References
[edit | edit source]- 1 2 "Coronary Heart Disease, Myocardial Infarction, and Stroke — A Public Health Issue | CDC". www.cdc.gov (in American English). 31 July 2019. Retrieved 16 January 2022.
- ↑ Dorland's Illustrated Medical Dictionary. Philadelphia, PA: Saunders. 2003. p. 82. ISBN 0-7216-0146-4. Retrieved 24 August 2022.
- ↑ Perera, Chanaka Aravinda; Biggers, Richard Peters; Robertson, Alan (1 August 2019). "Deceitful red-flag: angina secondary to iron deficiency anaemia as a presenting complaint for underlying malignancy". BMJ Case Reports. 12 (7) e229942. doi:10.1136/bcr-2019-229942. PMC 6677945. PMID 31371333.
- ↑ "Angina". Heart and Stroke Foundation of Canada (in English). Retrieved 2024-11-26.
- ↑ Björck, Lena; Nielsen, Susanne; Jernberg, Tomas; Zverkova-Sandström, Tatiana; Giang, Kok Wai; Rosengren, Annika (26 November 2018). "Absence of chest pain and long-term mortality in patients with acute myocardial infarction". Open Heart. 5 (2) e000909. doi:10.1136/openhrt-2018-000909. PMC 6269644. PMID 30564376.
- ↑ Canto, John G.; Goldberg, Robert J.; Hand, Mary M. (10 December 2007). "Symptom Presentation of Women With Acute Coronary Syndromes: Myth vs Reality". Archives of Internal Medicine. 167 (22): 2405–2413. doi:10.1001/archinte.167.22.2405. PMID 18071161.
- ↑ American Heart Association (8 November 2021). "Angina (Chest Pain)". American Heart Association. Archived from the original on 27 August 2022. Retrieved 27 August 2022.
- ↑ White PD (1931). Heart Disease (1st ed.). Macmillan.
- ↑ Boden WE, O'Rourke RA, Teo KK, Hartigan PM, Maron DJ, Kostuk WJ, Knudtson M, Dada M, Casperson P, Harris CL, Chaitman BR, Shaw L, Gosselin G, Nawaz S, Title LM, Gau G, Blaustein AS, Booth DC, Bates ER, Spertus JA, Berman DS, Mancini GB, Weintraub WS (April 2007). "Optimal medical therapy with or without PCI for stable coronary disease". The New England Journal of Medicine. 356 (15): 1503–16. doi:10.1056/NEJMoa070829. PMID 17387127.
External links
[edit | edit source]
- Treatment of stable angina recommendations for patients in layman's terms
- British Heart Foundation - Angina Archived 2017-12-22 at the Wayback Machine
- Angina Pectoris Animation Video 3D Archived 2011-02-21 at the Wayback Machine
- Guidelines on the management of stable angina pectoris - European Society of Cardiology
- Heart Attack and Angina Statistics by American Heart Association: Final 2006 statistics for the United States
