Many people also search how to Angina Pectoris Pronunciation So first off all we see it then after we discuss all about Angina pectoris

Ann-gi-na. the word “an,” pronounced like the name Ann or Anne and pectoris pronounced as a pec-toris.

Angina pectoris is the chest pain due to inappropriate blood flow to the heart muscles and due to the lack of oxygen, the heart muscle becomes weak and leads to a heart attack without pain.

Angina pectoris can lead to discomfort-into the Neck, Jaw, shoulder, and arm. It is called as myocardial ischemia.

Need to improve the ratio or Cardiac O2 Supply / Cardiac O2 Requirement otherwise it can lead to medical attention as heart attack.

Angina pectoris occurs when

Some of the reasons include:

Patient age above 60 years
Cigarette smoking
Diabetes mellitus
Family history
Hypertension
Kidney disease
Chronic or acute blockage of a coronary artery or by the coronary artery spasm.
Chronic obstruction is associated with fixed calcified.
Severe blockage of a coronary artery results from rupture or disruption of vulnerable atherosclerosis plaque that causes platelet aggregation and thrombus formation.

If you have all of these causes, then angina pectoris is more likely to occur.

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Risk and factors of angina pectoris

Physical Exertion

Increase heart rate, the isometric exercise of the arms can cause exertion angina.
Intense Emotions:-Stimulate the sympathetic nervous system.
Consumption of heavy meal:-
Increase the workload of the heart.

Tobacco Use

Diminishes available oxygen
By increasing the level of
Carbon-monoxide

Sexual Activity

Increases the cardiac
workload and
Sympathetic
Stimulation. Drugs and emotions

Classification

Stable Angina

Chest discomfort due to some activities like running, jumping, walking, etc.

Unstable Angina

It is the condition in which there is not enough oxygenated blood flow that can lead to a heart attack.
It is a worsening condition, and that relived by the rest.
Unstable Angina is the fatal condition immediate attention required to treat the unstable Angina.

Variant angina pectoris (Prinzmetal’s Angina)

Variant angina pectoris occurs due to blockage of the artery or coronary artery spasm.
It does not exaggerate emotional stress and physical Exertion.
It is harrowing and occurs between midnight to early morning.

Microvascular Angina

Microvascular Angina characterized by angina-like chest pain but has different causes.
It occurs due to arterial blockage and weakens muscle of the heart, leg, and arm.

Syndrome X

Typical, exertional Angina with positive exercise stress test
Anatomically normal coronary arteries
Reduced capacity of vasodilation in the microvasculature
Long term prognosis very good
Calcium channel blockers and beta-blockers effective

Angina pectoris symptoms

People who injure the muscles in the chest wall may experience:
Pain that increases with movement of the chest or upper spine
Pain that results from deep breathing, sneezing, or coughing
Back pain occurs
Angina increases your risk of a heart attack. But it is treatable. Consider its warning sign and choose a healthy life.
People who injure the muscles in the chest wall may experience
Pain that increases with movement of the chest or upper spine
Pain that results from deep breathing, sneezing, or coughing
Back pain occurs
Dull, diffuse.
discomfort or unpleasant sensation with heaviness or tightness or constricting rather than painful.
Radiation: Inner aspect of arm, neck or Jaw, epigastrium or back.
Aggravating factor (on demand).
Physical Exertion.
Emotion (anger or excitement) .
Exposure to a cold or hot humid environment .
After heavy meals.

Diagnosis

Full blood count: anemia aggravates Angina: lipid profile, plasma glucose.
Resting ECG: to detect left ventricular hypertrophy or past myocardial infarction.
Chest radiography: to check heart size and pulmonary vasculature.
Exercise stress test: to precipitate symptoms, to document workload at the onset, and to record any associated EGG abnormality (planar ST-segment depression or arrhythmia.

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Non – pharmacological treatment

Non – pharmacological Treatment :

Diet: Low fat low caloric diet (adjusted to BMI).
3F: Low fat.
Eat more fiber fruits.
Fish
Isotonic exercise. 30 – 45 minute ( Maximum 1 hr) Most of the days in a week.
Fat burning exercise: Jogging, Cycling, swimming, skipping.

Advice to patients with angina

Diet: No food without fruits
Diet Meditarrenlans, Exercise Americans
Do not smoke
Aim at an ideal body weight
Take regular exercise: Isotonic (exercise up to. but not beyond, the point of chest pain is beneficial and helps to promote collateral vessels)
Avoid severe unaccustomed Exertion, vigorous exercise after a heavy meal, or in freezing weather
Take sublingual nitrate before undertaking Exertion that may induce Angina
Meditation/ prayer

Difference between stable and unstable angina

Stable angina	Unstable angina
1.Demand ischaemia.	1. Supply ischaemia.
2. Fixed plaque.	2. Plaque fissure with dynamic plaque.
3. No circadian periodicity.	3. Circadian periodicity.
4. Management. No Antithrombotic drug.	4. Antithrambotic drug. Heparin/ LMWH in selected cases.

Treatment of angina pectoris

Lifestyle changes and medications are often used to treat stable angina. Can also medical procedures such as angioplasty, stent, and coronary artery bypass surgery to treat angina.

Angioplasty and stenting

Also called percutaneous coronary intervention – a small balloon is inserted into your narrow artery. A small wire mesh coil (stent) is usually inserted to keep the artery open.

Coronary artery bypass surgery

During coronary artery bypass surgery, veins or arteries anywhere in your body are used to bypass blocked or narrowed coronary arteries. Best surgery for angina pectoris.

External Counter plantation

Also, blood pressure-type cuffs are placed around the calf, thighs, and pelvis to increase blood flow to the heart. The ECP requires multiple treatment sessions. It can help reduce symptoms in people with refractory angina.

Related: Aortic Regurgitation Murmur

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Angina Pectoris Occurs When….

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