Angina pectoris is a phrase that comes from Latin and translates as 'tight chest'.People with angina experience pain in the centre of the chest. The chest can feel constricted and tight, but the pain can also be oppressive, as if something is crushing your chest. Angina pectoris is the medical term for chest pain or discomfort due to coronary heart disease. Angina is a symptom of a condition called myocardial ischemia. It occurs when the heart muscle (myocardium) doesn't get as much blood (hence as much oxygen) as it needs. This usually happens because one or more of the heart's arteries (blood vessels that supply blood to the heart muscle) is narrowed or blocked. Insufficient blood supply is called ischemia.
Causes
Decrease in myocardial blood supply due to increased coronary resistance in large and small coronary arteries
Significant coronary atherosclerotic lesion in the large epicardial coronary arteries (ie, conductive vessels) with at least a 50% reduction in arterial diameter
Coronary spasm (ie, Prinzmetal angina)
Symptoms of Angina Pectoris
Classic or typical angina occurs predictably with physical exertion or strong emotional reactions, and goes away just as predictably with rest. Starting immediately behind the sternum (breast bone), the pain may radiate to the left arm and shoulder or up to the jaw. Most people describe the pain as a kind of squeezing pressure, tightness or heaviness.
Angina Pectoris Treatment
The treatment for angina depends on the severity of the symptoms and the results of tests that are done to find the underlying cause. Self-Care at Home
Stop doing whatever it is that causes your symptoms and call 911. Immediate help and intervention is your best chance for survival if you are having a heart attack or other serious problem.
* Lie down in a comfortable position with the head up.
* Chew a regular adult aspirin or its equivalent (as long as the patient is not allergic to aspirin). Chewing more than one will not do any good and may cause unwanted side effects.
* The bromide is sometimes of service in severe breast-pang. Thus, Papillaud relieved severe paroxysmal attacks by the use of 1/2 to 2 dr. doses continued "at intervals" for two or three months. In nervous palpitation it is often a very good remedy, and I have known it especially relieve gouty patients. Berger found bromide of camphor to answer well.
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