ANGINA PECTORIS: Causes, Signs and Treatment
A sudden pain activated by the disturbance in the chest that spreads into the arm and this is known as Angina Pectoris. It is a typical symptom of coronary heart disease. In rest, the pain, for the most part, vanishes inside minutes. But Angina Pectoris can be very severe and can be a medicinal crisis, which must be dealt by a specialist doctor.
WHAT IS ANGINA PECTORIS?
Angina Pectoris Definition: Angina Pectoris is a pain in the chest that is activated by a temporary low blood stream to the heart muscle and the subsequent oxygen supply to the muscle. A continuous reason for this purported ischemia (deficiency of oxygen supply) is the choking (stenosis) of a coronary supply route in coronary heart disease.
WHAT ARE THE TYPES OF ANGINA PECTORIS?
Types of Angina Pectoris:
Stable Angina Pectoris: Specialists recognize stable angina pectoris and temperamental angina. On account of stable Angina Pectoris, the torment can be activated by a physical or mental strain and can be lessened by counter-measures, for example, rest. The reason is generally an over 70% narrowing of a necessary blood supply route. Stable angina pectoris is not intensely dangerous.
Unstable angina pectoris: The reason for a temperamental angina is typically the total closure of a coronary vein. With it, the pain can likewise happen very still, more often than not increments quickly in power and looks like the signs of a heart attack. A temperamental angina is dependably a therapeutic crisis; Affected people must concern with the specialist doctor. This is also referred to as an acute coronary syndrome.
Coronary heart disease as a trigger: Coronary illness is the most widely recognized infection worldwide as the reason for angina pectoris. Their occurrence increments with age and men are more frequently influenced than ladies. For example, in the age group 55 to 64 years, 13.1 per cent of men and 8.4 per cent of women are affected by CHD. For the over 75-year-olds, it is 18.6 percent of men and 16.1 percent of women.
WHAT CAUSES ANGINA PECTORIS?
Angina Pectoris Causes:
Angina Pectoris is mostly caused by of the shortage of oxygen supply to heart muscles. Typically all organs of the human body are provided with oxygen and different nutrients by means of the blood. In any case, if veins, such as the coronary vessels, are limited or even failed in supplying an adequate amount of oxygen then the sufficient supply is never again guaranteed.
The most widely recognized reason for tightening or impediment of veins is arteriosclerosis, which is likewise referred to as blood vessel calcification. For this situation, deposits are formed by harm to the vein walls. The reason for this harm can be mechanical wounds, bacterial poisons, infections or even responses of the body’s insusceptible framework (immunity).
WHAT CAN BE THE RISK FACTORS OF ANGINA PECTORIS?
Risk factors for anginapectoris
There are some risk factors that increase the risk of coronary heart disease along with angina pectoris. These include:
- high blood pressure
- high cholesterol levels in the blood
- fat diet
- Diabetes disease (diabetes mellitus)
- genetic predisposition
WHAT ARE THE SIGNS AND SYMPTOMS OF ANGINA PECTORIS?
SIGNS OF ANGINA PECTORIS: In the case of angina pectoris, a strong, stinging pain occurs behind the sternum as a manifestation. In most cases, the pain is followed by a very severe pressure and tightness in the chest and a dyspnoea – often also a death anxiety. Very often the pain spreads into the shoulder, the left arm, unusually also the right arm, the neck, the lower jaw, the upper abdomen, and very rarely in the back. In a few minutes, the symptoms will disappear.
Signs with Unstable Angina Pectoris: The pain in an unstable angina is rather sharp, sharp and piercing. It can be found in one place slightly to the left of the sternum. In contrast to normal angina pectoris pain, it does not spread. To the patient, it can come by movements such as bending, stretching, turning or coughing, but it can also emerge in the state of rest. Its duration is very different – from a few seconds to several hours. The pain does not disappear.
WHAT IS THE TREATMENT FOR ANGINA PECTORIS?
Angina Pectoris Treatment: In the case of stable angina, the first step of the treatment should be to lie down or sit down quietly so as that the symptoms can go away. Later the reduction in attacks is the goal and for this, risk factors are to be monitored properly. This includes healthy eating, avoid smoking, keeping blood fats, blood glucose and blood pressure at a normal level.
In order to treat angina pectoris medically, so-called beta receptor blockers (abbreviated as beta blockers) are used. They reduce the oxygen requirement of the heart muscles by decreasing heart rate and blood pressure. It is not possible to completely prevent angina pectoris but they can reduce the number and duration of the incidents. Anyone who does not tolerate beta blockers can be prescribed to use so-called ion channel modulators such as, for example, the active substance ivabradine. Blood thinning agents from the class of thrombocyte aggregation inhibitors can also be helpful in treating angina.