Chest pain could be angina if it: feels tight, dull or heavy – although some people (especially women) may have sharp, stabbing pain. spreads to your arms, neck, jaw or back. is triggered by physical exertion or stress.
Angina symptoms in women can also include nausea, vomiting, pain in the neck, jaw, throat, abdomen or back and feeling out of breath. Once the extra demand for blood and oxygen stops, so do the symptoms. These symptoms are not always recognized as a symptom of a heart condition in women.
Angina can be confused with gallbladder disease, stomach ulcers and acid reflux. It usually goes away within a few minutes with rest or with the use of nitroglycerin. Angina is not the same as a heart attack although the symptoms may be similar.
Angina is chest pain or discomfort caused when your heart muscle doesn't get enough oxygen-rich blood. It may feel like pressure or squeezing in your chest. The discomfort also can occur in your shoulders, arms, neck, jaw, abdomen or back. Angina pain may even feel like indigestion.
Diagnosing angina
Your doctor can suspect a diagnosis of angina based on your description of your symptoms, when they appear and your risk factors for coronary artery disease. Your doctor will likely first do an electrocardiogram (ECG) to help determine what additional testing is needed to confirm the diagnosis.
Angina is rare in people under 35 years of age unless that person has other health problems which make angina more common – such as diabetes or smoking tobacco. Besides age, smoking, and diabetes, risk factors include a history of hypertension or high cholesterol.
High blood pressure makes your heart work harder and can damage the lining of your arteries. If you already have angina, high blood pressure could make your symptoms worse and increase the risk of having a heart attack. If you have high blood pressure, it's essential that you try to reduce it.
Doctors have long known that mental or psychological stress can lead to angina (chest pain or discomfort caused by inadequate blood to the heart). Now, new research reveals a direct correlation between angina and stress-related activity in the brain's frontal lobe.
If you have any of these signs, call 911 and get to a hospital right away. Uncomfortable pressure, squeezing, fullness or pain in the center of your chest. It lasts more than a few minutes, or goes away and comes back. Pain or discomfort in one or both arms, the back, neck, jaw or stomach.
Usually lasts 5 minutes; rarely more than 15 minutes. Triggered by physical activity, emotional stress, heavy meals, extreme cold or hot weather. Relieved within 5 minutes by rest, nitroglycerin or both. Pain in the chest that may spread to the jaw, neck, arms, back or other areas.
An attack of unstable angina is an emergency and you should seek immediate medical treatment. If left untreated, unstable angina can lead to heart attack, heart failure, or arrhythmias (irregular heart rhythms). These can be life-threatening conditions.
Unstable angina is chest pain that is sudden and often gets worse over a short period of time. You may be developing unstable angina if the chest pain: Starts to feel different, is more severe, comes more often, or occurs with less activity or while you are at rest. Lasts longer than 15 to 20 minutes.
Angina is usually caused by the arteries supplying blood to the heart muscles becoming narrowed by a build-up of fatty substances. This is called atherosclerosis. Things that can increase your risk of atherosclerosis include: an unhealthy diet.
Your heart is beating very slowly (less than 60 beats a minute) or very fast (more than 120 beats a minute), or it is not steady (regular)
Stop and rest until the angina discomfort has passed. Make an appointment to see your GP straight away. If the pain doesn't ease, call 999 immediately, because it's possible you could be having a heart attack.
Angina tends to radiate, causing referred pain all around the shoulder and neck. Anxiety chest pains/hyperventilation tend to be more localized near the heart. Anxiety chest pains are usually sharper, although not always.
Regular exercise improves your body's ability to take in and use oxygen, which means you can do daily activities more easily and feel less tired. It can also help reduce your angina symptoms (like chest pain and shortness of breath) by encouraging your body to use a network of tiny blood vessels that supply your heart.
A health care provider threads a thin tube (catheter) through a blood vessel in the arm or groin to an artery in the heart and injects dye through the catheter. The dye makes the heart arteries show up more clearly on an X-ray. Your health care provider might call this type of X-ray an angiogram.
Angina pectoris tends to be accompanied by thrombosis [18]. Therefore, drinking an adequate amount of water may help reduce blood coagulation and result in a lower OR for angina pectoris.
Ingestion of either 1 or 2 cups of caffeinated coffee increased the exercise duration until onset of angina (8 and 12%, respectively, p less than 0.05), whereas decaffeinated coffee had no effect.