Angina: What It Is

Angina is a serious cardiovascular disease characterized by episodes of chest pain or discomfort. These attacks occur due to insufficient oxygen supply to the heart muscle.

Causes of angina:

  • Coronary artery disease: This is the primary cause. Atherosclerotic plaques narrow the arteries, restricting blood flow.
  • Coronary artery spasm: Less common, but can trigger attacks.

Risk factors:

  • High blood pressure
  • High cholesterol
  • Diabetes
  • Smoking
  • Obesity
  • Sedentary lifestyle
  • Stress
  • Age
  • Family history of heart disease

Symptoms of angina:

  • Chest pain or discomfort: May feel like pressure, squeezing, burning, or tightness.
  • Pain radiating to: Left arm, shoulder, neck, or jaw.
  • Shortness of breath
  • Heart palpitations
  • Weakness
  • Dizziness
  • Nausea
  • Sweating

Types of angina:

  • Stable angina: Attacks occur with physical exertion or stress.
  • Unstable angina: Attacks occur spontaneously, even at rest. Signals a high risk of heart attack.
  • Vasospastic angina (Prinzmetal's angina): Caused by spasms of the coronary arteries.

Diagnosis of angina:

  • Electrocardiogram (ECG): Detects changes in heart function.
  • Stress test: Evaluates the heart's response to physical exertion.
  • Echocardiography: Assesses the structure and function of the heart.
  • Coronary angiography: Visualizes the coronary arteries to detect narrowings or blockages.

Treatment of angina:

  • Medication: Nitrates, beta-blockers, statins, anticoagulants.
  • Invasive procedures:
    • Angioplasty: Widening narrowed arteries.
    • Bypass surgery: Creating new blood flow pathways.
  • Lifestyle changes: Diet, exercise, quitting smoking.

Prevention of angina:

  • Control risk factors: Blood pressure, cholesterol, blood sugar.
  • Healthy lifestyle: Balanced diet, regular exercise, no smoking.
  • Regular medical check-ups.

Important: Angina is a serious condition that requires timely diagnosis and treatment. If you experience any symptoms, consult a cardiologist.