Angina: Difference between revisions
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# | In [[medicine]], '''angina''' is the "symptom of paroxysmal [[pain]] consequent to myocardial ischemia usually of distinctive character, location and radiation. It is thought to be provoked by a transient stressful situation during which the oxygen requirements of the myocardium exceed that supplied by the [[coronary artery|coronary circulation]]."<ref>{{MeSH</ref> | ||
Angina may be a symptom of [[coronary heart disease]]. | |||
Angina has three characteristics:<ref name="pmid10362225">{{cite journal |author=Gibbons RJ, Chatterjee K, Daley J, ''et al'' |title=ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients With Chronic Stable Angina) |journal=J. Am. Coll. Cardiol. |volume=33 |issue=7 |pages=2092–197 |year=1999 |month=June |pmid=10362225 |doi= |url=http://linkinghub.elsevier.com/retrieve/pii/S0735-1097(99)00150-3 |issn=}}</ref> | |||
# "Substernal chest discomfort with a characteristic quality and duration that is" | |||
# "provoked by exertion or emotional stress" | |||
# "relieved by rest or [[nitroglycerin]]" | |||
Based on the number of these characteristics that a patient's chest pain has, the angina is further categorized as:<ref name="pmid10362225">{{cite journal |author=Gibbons RJ, Chatterjee K, Daley J, ''et al'' |title=ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients With Chronic Stable Angina) |journal=J. Am. Coll. Cardiol. |volume=33 |issue=7 |pages=2092–197 |year=1999 |month=June |pmid=10362225 |doi= |url=http://linkinghub.elsevier.com/retrieve/pii/S0735-1097(99)00150-3 |issn=}}</ref> | |||
* Typical angina has all three characteristics | |||
* Atypical angina has two of the three | |||
* Nonangina chest pain has only one of the three | |||
The probability of underlying coronary heart disease can then be estimated (see [http://www.acc.org/qualityandscience/clinical/guidelines/stable/table9.htm table]).<ref name="urlStable Angina Guideline Update - Figures and Tables">{{cite web |url=http://www.acc.org/qualityandscience/clinical/guidelines/stable/table9.htm |title=Stable Angina Guideline Update - Figures and Tables |author=Gibbons et al |authorlink= |coauthors= |date=2002 |format= |work= |publisher=American College of Cardiology/American Heart Association |pages= |language= |archiveurl= |archivedate= |quote= |accessdate=}}</ref><ref name="pmid440357">{{cite journal |author=Diamond GA, Forrester JS |title=Analysis of probability as an aid in the clinical diagnosis of coronary-artery disease |journal=N. Engl. J. Med. |volume=300 |issue=24 |pages=1350–8 |year=1979 |month=June |pmid=440357 |doi= |url= |issn=}}</ref><ref name="pmid449990">{{cite journal |author=Weiner DA, Ryan TJ, McCabe CH, ''et al'' |title=Exercise stress testing. Correlations among history of angina, ST-segment response and prevalence of coronary-artery disease in the Coronary Artery Surgery Study (CASS) |journal=N. Engl. J. Med. |volume=301 |issue=5 |pages=230–5 |year=1979 |month=August |pmid=449990 |doi= |url= |issn=}}</ref> | |||
==References== | |||
<references/> | |||
Revision as of 10:23, 13 January 2009
In medicine, angina is the "symptom of paroxysmal pain consequent to myocardial ischemia usually of distinctive character, location and radiation. It is thought to be provoked by a transient stressful situation during which the oxygen requirements of the myocardium exceed that supplied by the coronary circulation."[1]
Angina may be a symptom of coronary heart disease.
Angina has three characteristics:[2]
- "Substernal chest discomfort with a characteristic quality and duration that is"
- "provoked by exertion or emotional stress"
- "relieved by rest or nitroglycerin"
Based on the number of these characteristics that a patient's chest pain has, the angina is further categorized as:[2]
- Typical angina has all three characteristics
- Atypical angina has two of the three
- Nonangina chest pain has only one of the three
The probability of underlying coronary heart disease can then be estimated (see table).[3][4][5]
References
- ↑ {{MeSH
- ↑ 2.0 2.1 Gibbons RJ, Chatterjee K, Daley J, et al (June 1999). "ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients With Chronic Stable Angina)". J. Am. Coll. Cardiol. 33 (7): 2092–197. PMID 10362225. [e]
- ↑ Gibbons et al (2002). Stable Angina Guideline Update - Figures and Tables. American College of Cardiology/American Heart Association.
- ↑ Diamond GA, Forrester JS (June 1979). "Analysis of probability as an aid in the clinical diagnosis of coronary-artery disease". N. Engl. J. Med. 300 (24): 1350–8. PMID 440357. [e]
- ↑ Weiner DA, Ryan TJ, McCabe CH, et al (August 1979). "Exercise stress testing. Correlations among history of angina, ST-segment response and prevalence of coronary-artery disease in the Coronary Artery Surgery Study (CASS)". N. Engl. J. Med. 301 (5): 230–5. PMID 449990. [e]