Show references Bonow RO, et al. Stable ischemic heart disease. Saunders Elsevier; Accessed Feb. Goldman L, et al. Angina pectoris and stable ischemic heart disease.
In: Goldman-Cecil Medicine. Elsevier; National Heart, Lung, and Blood Institute. Angina in women can be different than men. American Heart Association. Warning signs of a heart attack. Mayo Clinic; Simons M, et al. New therapies for angina. Mankad R expert opinion. Mayo Clinic. Related Coronary artery spasm: Cause for concern? Angina Chest Pain. Diagnosing a Heart Attack. Treatment of a Heart Attack. Life After a Heart Attack. Heart Attack Tools and Resources.
Our online community of survivors and caregivers is here to keep you going no matter the obstacles. Types of Angina Knowing the types of angina and how they differ is important. The major risk factors for heart disease and coronary artery disease include: Unhealthy cholesterol levels High blood pressure Smoking Diabetes Overweight or obesity Metabolic syndrome Physical inactivity Unhealthy diet Older age The risk increases for men after 45 years of age and for women after 55 years of age.
Family history of early heart disease Diagnosis All chest pain should be checked out by a health care professional. Here are some questions you might be asked: How long have you had this condition?
On a scale of 1 mild to 10 critical , what is your level of discomfort? What behavior s provoke the pain? One of the most important things you'll need to do is to make healthy lifestyle changes, such as:. Angina is usually caused by the arteries supplying blood to the heart muscles becoming narrowed by a build-up of fatty substances.
This is called atherosclerosis. Page last reviewed: 22 April Next review due: 22 April Symptoms of angina The main symptom of angina is chest pain. Chest pain caused by angina usually: feels tight, dull or heavy — it may spread to your arms, neck, jaw or back is triggered by physical exertion or stress stops within a few minutes of resting Sometimes there might be other symptoms, like feeling sick or breathless.
When to get medical help If you have not been diagnosed with angina, get an urgent GP appointment if you have an attack of chest pain that stops within a few minutes of resting. You could be experiencing the emergency signs of a heart attack. The two most common types of angina are stable and unstable. Stable angina angina pectoris can be managed with medication and lifestyle changes. Unstable angina may not respond to rest or nitroglycerin.
It needs urgent attention. Cardiac syndrome X is not the same as syndrome X also known as metabolic syndrome. Syndrome X is a group of risk factors that can lead to diabetes or heart disease. This triggers the chest pain. Blocked arteries from coronary artery disease are the most common cause of angina. Uncontrolled high blood pressure. Narrowing of the valves in the heart aortic stenosis. Enlarged heart hypertrophic cardiomyopathy.
Angina symptoms can vary from person to person, between men and women see below , and by the type of angina you have. The main symptoms of angina are:. Be aware Women may describe their angina symptoms differently than men. They are more likely to experience:. When to call your doctor If you have chest pain that is new, worsening or constant, seek medical care immediately.
You are at greater risk of:. Your healthcare provider will review your medical history and give you a complete physical exam. They may also run tests:. Angina is often controlled with a combination of medication and lifestyle changes. In some cases, surgery may be necessary. Medication may help prevent or relieve the symptoms of angina. If medication is prescribed for you, take it exactly as directed. Angina caused by blocked arteries can be treated surgically. By widening or bypassing the affected arteries, more blood can flow to your heart.
Procedures might include:. Cardiac rehabilitation is a medically supervised program designed to help you recover after a heart attack or from other heart conditions. Rehab has two parts:. You can lower your risk of developing other heart diseases and stroke by knowing and controlling your blood pressure, diabetes and blood cholesterol.
Find someone you can turn to for emotional support like a family member, friend, doctor, mental health worker or support group. Talking about your challenges and feelings could be an important part of your journey to recovery.
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