FAQ - Ludwig's Angina
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Are angina attacks a month after a mild heart attack a common occurence for a male in his mid 40s?

I know a guy who is 44 and had a heart attack (mild one) about a month ago. He was feeling great the first four weeks, but suddenly started having minor bouts of angina the last week or so. Nothing debilitating, just tweaks of heartburn and light-headedness, but would go away with a blast of nitro spay. Is this common? Should it be a major concern, or is it part of the healing process?

Angina is an indication that an ischemia occurs. Ischemia is a state wherein the heart does not get enough oxygen. I would say that this is not normal and is not part of the healing process. The nitro spray (nitrates) help relieve the pain because it produces an effect that increases blood flow and gives increased oxygen to the heart. Your friend better get to a doctor especially if the angina lasts more than 15 minutes - an indication that myocardial infarction has occured.  (+ info)

What precautions should be taken by a person suspected for Angina Pectoris?

After a maximal exercise test, and due to mild chest pain, I am suspected for Angina Pectoris, apparently difficulty in oxygen supply to the heart due to partial blockage of one or more of the arterial paths. I will be apparently proceeding to angiographical test, but I am using medications such as metoprolol, nitroglycerin tablets, and aspirin in light dose.
What are the most serious precautions that I may take in order to avoid a probable anginal attack? Professional advice appreciated.

Angina occurs when there is a mismatch between the supply of blood to the heart and the demand of the heart (how hard it is working). You have to listen to your body regarding the activities you can tolerate. If you get chest pain or shortness of breath, this is an indication that your activity is more than your heart can handle. It takes a different amount of activity to produce angina in different patients. So activity must be individualized. It sounds like you are getting an appropriate evaluation and are being treated with the most appropriate medications. While you are awaiting evaluation you should take it easy activity wise. Limit the amount of heavy exercise, lifting etc. Most importantly listen to your body and stop when you get chest pain or shortness of breath. Take your nitroglycerin every five and if you are still having pain after 2 doses call 911. Most importantly you should ask your doctor this, because he/she is most familiar with your case. I hope this helps.  (+ info)

Will angina improve if I completely stop drinking alcohol?

I have mild, unstable angina. I have been a binge-drinker for about 12 years. I have stopped drinking alcohol and I intend to take up a healthy diet, consume vitamins, pilates, mild cardio and meditation.

If I persist with these good habits will the angina improve on its own?

The human body is capable of repairing almost all damage assuming there are no mutations (as in Cancer) or widespread cell death.

Providing nutrient and oxygen rich blood to your heart is very likely to help it rebuild and reduce your risk of a heart attack.

Without knowing the true severity of your angina (seeing your charts) I cannot be certain, but I believe it is very likely that your angina will improve with positive lifestyle changes, and the proper medications.

Regards.  (+ info)

What are some poisonous metals that can cause angina or heart failure.?

I have an assignment to discover what could have caused a coronary patient to die. i am looking at angina being the cause by caused by harmful metals.

Heavy metals are chemical elements that have a specific gravity (a measure of density) at least five times that of water. The heavy metals most often implicated in accidental human poisoning are lead, mercury, arsenic, and cadmium. Some heavy metals, such as zinc, copper, chromium, iron, and manganese, are required by the body in small amounts, but these same elements can be toxic in larger quantities.  (+ info)

Should a person with angina avoid strenous exercises like jogging?

My doubt is for someone with angina problem but whose diagnosis is not yet complete, is it advisable to avoid strenous exercises like jogging? Normally such exercises are encouraged to build endurance and for a better cardiac health. But what if someone suffers angina after or during exercises?

angina is a clinical diagnosis, & investigations are usually not very helpful in reaching a diagnosis of angina.
angina is defined as a feeling of chest pain or discomfort, especially a squeezing or a constriciting type of pain over your chest or other parts of body , usually radiating to left arm & shoulder, aggravated on physical activity or mental stress, which may or may not e relieved by rest.

in this explanation most important thing is feeling of squeezing or constriction type , & is considered as the defining part of angina in doubtful cases as pain referred to left arm as is usually described in public literature can be due to disease of the cervical spine & nerves of the upper limb.

so if the diagnosis of angina is in doubt, get ur doctor to conduct a treadmill test to confirm it.

regarding ur question on mild exercise,
a patient with angina can exercise upto an extent that it doesnt preciptate angina or its associated symptoms. some patients with sever disease may be having anginal symptoms at rest & in those patients even walking to the toilet can be life threatening, so exercise is totally out of the question. in the rest of the cases amount of exercise will depend upon the tolerance of the patient.

if the patient is able to tolerate a particular type of activity without precipitation of symptoms,there is no harm in carrying out that activity, & this holds true for everything including mild jogging.  (+ info)

Can angina be affected by high altitudes?

A person we know is in her late 70's and has mild angina. She is due to travel to the top of a mountain some 3000ft +. Will the thinner air and high altitudes affect her angina?

Angina occurs because of a lack of oxygen to the heart muscle, so I would say going to an area of lower oxygen concentration could definitely cause a flair up.

If she takes nitroglycerin for her angina, make sure she takes it with her!  (+ info)

Q 4 people with ANGINA. What are some of the things that you do to calm yourself during an attack?

Do you always have Nitroglycerine with you just in case you have an attack, or is there something else that you do for yourself that you would like to share with the world? I figure that since most Doctors don't seem to be able to help with alternative ideas, then perhaps someone in this forum would like to share some of the things that have worked for them in the management of ANGINA! Thanks.

Well, my angina comes from coronary artery disease. The best cure is getting the blockage stented so blood can flow again. The nitro is the only thing I'm aware of and I've been dealing with it for 20-25 years!  (+ info)

Is there anybody going for or have had eecp treatment. Eecp is enhanced external counterpulsation for angina?

This treatment is used for people that cannot or will not have heart bypass surgery or have micro vascular angina or any angina that cannot be treated. I would like to speak to anyone who has been NHS funded or has gone to India where the treatment is about 1/4 the price in England.

I've several years of cardiology experience under my belt. I've only seen about FOUR patients, out of thousands, who have had this. Two of these patients could not tolerate it. The other two patients didn't receive any tangible benefit that I'm aware of. If you're considering this option. I'd think twice. Do your homework on the Net, first. Good Luck.  (+ info)

Can angina be mistaken to a panic attack?

Just wondering because both have some similar symptoms right. I also think if you do have angina doctors will be able to know right away with some tests right. How or does anyone have angina and how did you find out.

Just wondering.

Yes it can but doctors usually air on the side of a cardiac cause first.

They usually will do a stress test to check out heart functions, may admit to do a series of three cardiac enzymes to see if it is heart related.

If the pain goes away with a nitro tablet ...it would indicate angina.
  (+ info)

Would a full heart check up, stress test, and and echo-cardiogram tell if you had Angina?

I have had what seems to be a full heart examination twice, as well as smaller tests several times.

I have been repeatedly told my heart is healthy and there are no problems.

Still, I sometimes have discomfort in my chest and I need to yawn to get air.

What could this be?

Maybe angina?

Echocardiogram, though capable of detecting several heart abnormality, is more of a structural detector than functional one. The stress test gives a better idea about coronary blood flow and can detect single or multiple vessel blocks. Yet, exercise tolerance testing has a sensitivity of 70 per cent and a specificity of 80 per cent.

A more efficient test for IHD is Stress Echocardiogram. In stress echocardiography, myocardial stress (induced by exercise or drugs) may reveal areas of ischaemia not demonstrable at rest. The sensitivity and specificity of stress echocardiography for IHD are 80 per cent and 90 per cent respectively.

Well, I am only telling you about the reliability of tests for IHD. For all we know, the tests you did can fairly map out your coronary status and you have been declared fit. I feel that your "discomfort in my chest and I need to yawn to get air" looks more like an anxiety symptom than anything else. But then people with anxiety need foolproof methods to reassure them.

So, how about a Coronary Angiogram to deliver the final verdict?  (+ info)

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