FAQ - Ludwigs angina
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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)

How many types of angina are there?

I know about Stable, Printzmetal's (also know as Variant), Unstable, Vincent's. I've just watched a TV programme which referred to Ludwig's angina (which I had never heard of ) and I wondered if there were any more.

Angina Pectoris is the name given to the heart condition associated with decreased coronary blood flow.
Its various presentation has given rise to various names eg. Stable, Printzmetal, unstable, etc.. There is also another type in this group which describes chest pain on lying down i.e. Angina decubitus.
The name Angina has also been used to describe non-cardiac condition eg Ludwig's angina for a throat infection
Angina Cruris is pain in the buttocks regions on walking and is a manifestation of Le Riche syndrome.
I hope this answers your question.  (+ 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)

should making my heart work hard (beat fast) every day with history of angina be worrying?

My family has a history of angina on both parents sides. I work out daily with weights 99.9% of the time. When I do workout my heart is pounding and beating strong. Am I damaging my heart by doing this or is it a good thing like excercising my heart to be healthier?

Exercising and elevating your heart rate is a good and will help prevent heart disease, particularly ischaemic heart disease. Best activities are regular walking, cycling, swimming, or dancing. Aerobic exercise is thought to be more beneficial and less risky than anaerobic exercise.

But people with existing coronary heart disease should avoid exertion that causes straining or raised intra-abdominal/intra-thoracic pressure such as weightlifting etc.  (+ info)

does the cold air affect someone with angina?

My mum is in hospital with angina and an infection in her chest. Her husband has breathing problems and has the windows wide open and I have been informed that the cold air could affect her angina. I believe she needs to keep warm. Is this true?

It certainly can, but how is slightly unclear, exposure to cold causes your blood vessels and capillaries to constrict(shrink) to prevent heat loss which in turn increases the blood volume in rest of body and possibly making heart work harder and thereby triggering angina.  (+ info)

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