FAQ - Angina Pectoris, Variant
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Medical Question : Relationship between Left Ventricular Hypertrophy and angina pectoris?


i'm a first year medical i'm wondering if left sided hypertrophy may cause angina pectoris (i think that left vent. hypertrophy cause compression on the coronary vascular system resulting in cardiac myocyte ischaemic pain ) but left vent. hypertrophy is not mentioned as a predisposing factor to angina in my textbook
i'm a medical student and this is academic question
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Yes it can. Angina pectoris occurs if there is a mismatch between the blood supply of the heart and the demand for nutrients by the heart muscle. When someone has left ventricular hypertrophy the heart muscle requires more blood supply to supply it's demands. Angina can occur if the blood supply is unable to meet the needs. For example, Aortic stenosis leads to left ventricular hypertrophy and angina is a classic symptom of it. I hope that answers your question, but if not let me know. Good luck with your studies.  (+ info)

How is possible to live with angina pectoris.?


It all depends on whether it's "stable" angina or "unstable" -the latter coming on randomly and unable to be controlled by regular medication. Stable angina can be treated fairly easily and living with it is a bore, but bearable.
If it's the latter, (unstable), life becomes pretty unbearable, and quite literally, your survival is just a lottery, because it's simply a question of when you (inevitably) get your first (and subsequent) heart attack(s). If it's in a field, miles from anywhere, then that's where you'll probably be found later. If it's near Casualty /ER then you have a great chance of surviving.
But really, if you have it bad, why suffer, when as the previous Answerer says, a relatively simple operation will cure you and give you a new life? It isn't worth the pain and hassle trying to deal with it.
Mine was unstable, and in my day (1992) the op. was painful, bloody, and somewhat dangerous. Now the risks are minimal, techniques vastly improved, and you are up and about in days, not weeks.
Good wishes and good luck.  (+ info)

Why is angina pectoris so severe with sudden exposure to cold air?


  (+ info)

After having Angina pectoris (chest pain) how long does the doctor usually monitor you for?


This was my father's 4th visit to the hospital for chest pain, and I want to see if how long the doctor said he should stay was appropriate.
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first, we are to assume it was his heart. often when people come to the ER for recurring problems, we 'rule out' a heart attack by doing enzymes the heart releases when it's had lack of blood supply. we do them at 6 hr intervals, other places might have different times. sometimes we let them go after the first test comes back negative, sometimes we wait for the 6 hr test. if your father's disease is so bad, and there is nothing surgically or interventional that can be done for him, he most likely would be sent home if his pain was gone. many cardiac patients take nitro at home for chronic angina, and hail an ambulance when taking the 3rd one. you really need to understand what HIS disease level is, go with him to his next visit to the doc or cardiologist, and make sure his disease is being managed correctly, and that you both understand what's to be expected. other test ER's use are EKG's (and compare to old ones) and monitering the heart with the moniter, and patients pain or lack of, along with other vital signs.  (+ info)

What are my chances of having a heart attack if i have angina pectoris (squeezing sensation of heart)?


I am really worried... i am only 18.. and i've been having this for quite a while now, but have been ignoring this.. this tightening sensation occurs in the mornings..and also my blood pressure is kind of high for my age, this might be a symtom too. Wondering if i could get a answer from any expert. PLEASE!!
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Angina pectoris is the medical term for chest pain or discomfort due to coronary heart disease. Angina is a symptom of a condition called myocardial ischemia. It occurs when the heart muscle (myocardium) doesn't get as much blood (hence as much oxygen) as it needs. This usually happens because one or more of the heart's arteries (coronary blood vessels that supply blood to the heart muscle) is narrowed or blocked. Insufficient blood supply is called ischemia.

Angina also can occur in people with valvular heart disease, hypertrophic cardiomyopathy (this is an enlarged heart due to disease) or uncontrolled high blood pressure. These cases are rare, though.

Typical angina is uncomfortable pressure, fullness, squeezing or pain in the center of the chest. The discomfort also may be felt in the neck, jaw, shoulder, back or arm. Many types of chest discomfort aren't related to angina. Acid reflux (heartburn) and lung infection or inflammation are examples.

When does angina pectoris occur?

Angina often occurs when the heart needs more blood. For example, running to catch a bus could trigger an attack of angina while walking might not. Angina may happen during exercise, strong emotions or extreme temperatures. Some people, such as those who experience coronary artery spasm, may have angina when they're resting. (See below, unstable angina, Prinzmetal's or variant angina pectoris.)

Angina is a sign that someone is at increased risk of heart attack, cardiac arrest and sudden cardiac death.   (+ info)

what is the pathophysiology of Angina pectoris?


a brief answer would be helpful or just a web-link. thanks
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Decreased blood/oxygen reaching the cardiac muscle. Pain is due to the muscle going "omg, my oxygen needs aren't being met, help!!"  (+ info)

Describe the site of action for angina pectoris& how nitroglycerin beta blockers & calcium work@ cellular leve?


Beta blockers reduce the workload on the heart, which reduces the force of the heart muscle contraction. This reduces the amount of oxygen that is required by the heart muscle and this reduces ischemia.

Ca channel blockers relax the coronary arteries and blood vessels and also lessen the force of the contraction of the heart.

Nitrates relax and dilate blood vessels which allows more blood to flow to the heart and reduces it's workload.  (+ info)

There are differences between angina pectoris and angina?


None, healthcare workers prefer to use Angina over Angina pectoris, saves time and breath. The complete word though is Angina pectoris caused by Myocardial Ischaemia.

Angina = chest pain
Pectoris = radiating from the chest.

Nitrates or rest relieve it. and they usually last >15mins. If nitrates don't relieve it, call 911.  (+ info)

what is the normal procedure to deal with angina pectoris?


Call 911..  (+ info)

I need to know a couple of things about the psychical impact of angina pectoris on a paitient.?


Character type A, if I’m not mistaking.. a link, or some details would really be nice
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The article cited below states that there are three psychological MMPI) associations with the diagnosis of angina.

Practically, people with angina sometimes (not always) can develop a fear of having an attack, can deny their symptoms and diagnosis and can develop anxiety around the possible implications of the diagnosis (eg future heart disease, vascular disease).  (+ info)

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