The Causes And Treatment Of Angina ( Chest Pain )

Chest pain can be caused by heart disease, but have to do with the heart to feel anything. Only when the heart is the cause, is called chest pain angina.

Angina is derived from the Greek word anchone that "strangulation" means, and pectoris from the Latin word for breast. Angina pectoris, or simply angina, is a strangling chest pain due to heart disease.

This heart disease is, in most cases, a lack of oxygen to the heart muscle, which receives oxygenated blood through the coronary arteries. If the coronary arteries are affected by arterial disease, they are narrow and stagnant blood flow. The result is angina. The affected heart muscle itself has relatively few nerves and you almost do not feel, but you feel it the look in other places in the upper body.

The cause of angina may be any other heart disease, such as a valve failure or a cardiomyopathy, or a diseased heart muscle. In addition, a doctor must also consider causes other than heart disease, such as pulmonary embolism or heartburn, stomach ulcers, joint pain or a pinched nerve. The search for the cause of chest pain is daily fare for cardiologists.

Lack of oxygen to the heart muscle

Angina is often caused by lack of oxygen to the heart muscle due to narrowed coronary arteries. As a rule, you notice there in peace little. The pain occurs only during exercise, when the heart pump more work needs to be carried out. For this work, the heart muscle requires oxygen, but at a certain moment, the demand for oxygen exceeds the supply. Then there's chest pain and keep you up with the effort. In general, the longer you can strive without chest pain, the less severe the narrowing of the coronary arteries.

Chest pain is not always occurs during exercise. Sometimes the blood supply is stagnant by a blood clot in the coronary artery and get your already at rest suffer from.

 Chest pain can be caused by heart disease The Causes And Treatment Of Angina ( Chest Pain )

Cause Angina

If you're at the doctor's office with chest pain, it will look for the cause. One of the first causes he will think of is lack of oxygen to the heart muscle. But it is difficult to get there. Certainty about

The doctor begins with an interview and a physical examination. If he finds nothing, he will request a stress test. If the stress test shows no abnormalities, the ECG then it is unlikely that it is angina. There are abnormalities in the ECG, then, supplementary research.

The outcome of the exercise test is rarely simply positive or negative. To get to know more cardiologists choose between a number of imaging techniques such as ultrasound of the heart, a nuclear scan, an MRI scan or CT scan.

If, after additional research is still unclear, a cardiologist will consider cardiac catheterization, where he leads a tube (catheter) into the heart and a contrast dye injection to bring. Intracoronary good picture In that study is a (small) risk associated, for example, a hematoma at the place where the catheter is inserted.

If the chest pain is not a lack of oxygen to the heart muscle but by another heart disease causes, then that during the investigation is likely to light.

Stable angina pectoris 

Stable angina means that the chest pain is not just rising but who always occurs in a certain effort. Every time you walk up the stairs for example, into the wind cycle or cold air gets in, forcing the chest pain you to just stand still. Even after a hearty meal that can happen.

Stable angina is caused by narrowed coronary arteries that can not meet. The increasing oxygen demand of the heart muscle during exercise The pain fades after the cessation of the effort. The pain may take several minutes up to twenty minutes.

Unstable angina pectoris 

In the unstable form of angina is the risk of a heart attack increased. Unstable angina usually comes unexpectedly. The pain occurs without effort, for example if you sit quietly on a chair. If a doctor gets someone with such complaints at his office, he will not let him go. He will carefully examine the ECG and to do a blood test. The blood test shows whether certain substances (eg troponin) in the blood, indicating a lack of oxygen damaged heart muscle.

Usually, the cardiologist will want to explore via cardiac catheterization without first additional and less risky surveys. Coronary arteries in an aneh ECG and aneh blood values ​​in the short term Unstable angina may in fact be caused by a blood clot which is about to exit. Coronary artery If that happens, there is a heart attack.

The unstable form of angina is severe. Typically, an individual with unstable angina hospitalized for observation in the hospital.

Chest pain (angina pectoris) can have many different causes. A doctor has many investigations at his disposal, yet it is often difficult to be certain.

What do you feel? 

The pain of angina is uncommon. Who cramps in the calf, notices that a painful stimulus that is sent. From the calf muscle to the brains The heart muscle can not transmit properly. Such warning signals themselves The pain associated with angina, not only from the heart itself, but also from the area of the heart. Often it seems the pain of a place other than to come mostly from an area between the abdomen, jaw and upper arms the heart himself.

Angina is expressed most by a cord pain along the middle of the chest, especially in men often radiates to the inside of the left arm. But angina is not always perceived as very painful, sometimes the complaint does not go beyond a feeling of pressure. Especially in women after menopause, the pain is often vague, making the correct diagnosis can be missed.

Treatment angina 

Medications can reduce chest pain and reduce the risk of a heart attack. An antidepressant such as a beta blocker creates a slower heart rate and lower blood pressure, causing the oxygen demand decreases. Nitrates may be the chest pain almost immediately by soften whereby the cardiac muscle to dilate more oxygen gets invoked. The coronary arteries Anti-clotting medications such as aspirin, reduce the risk of closure of a coronary artery by a blood clot, which has a heart attack as a result.

Angina is treated by addressing risk factors such as smoking, high blood pressure, LDL cholesterol, or overweight. These risk factors promoting the insidious disease process artery disease.

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