Dr VIVEK KUMAR is the best Angina Specialist in South Delhi and Provide the best treatment for Angina in Delhi

Angina Pectoris

• Unstable angina does not follow a predictable pattern and usually occurs at rest. It is mostly caused by atherosclerosis, which is a blockage that prevents blood from reaching the heart.
• Angina is a symptom, not a disease. It usually occurs as a result of ischemia, which occurs when one or more of the coronary arteries narrows or becomes blocked. It is frequently a sign of coronary heart disease (CHD).
• Angina is not life threatening on its own, but it can mimic the symptoms of a heart attack and is a sign of heart disease.
• If angina strikes unexpectedly, does not go away, or does not respond to rest or medication, seek medical attention.
• The discomfort lasts more than 5 minutes and may worsen over time.. Rest and medication may not be enough to alleviate symptoms.
• Unstable angina can indicate the possibility of a heart attack. Anyone experiencing unexpected angina should seek emergency medical attention.

Microvascular Angina

• Microvascular angina can occur as a result of coronary microvascular disease (MVD). This affects the smallest coronary arteries.
• Aside from chest pain, a person may also experience: fatigue and low energy sleep issues shortness of breath
• Microvascular Angina is more persistent than stable angina. It frequently lasts longer than ten minutes. Trusted source, and sometimes longer than 30 minutes.

Variant angina

• Doctors sometimes refer to it as Prinzmetal angina, and it can occur when the body is at rest, usually around midnight or the next day.

Symptoms

Angina is characterised by any of the following chest sensations: tightening, squeezing, burning, or aching across the chest, usually beginning behind the breastbone Pain in the neck, jaw, arms, shoulders, throat, back, or teeth is common.

Other symptoms that could occur include:

• Indigestion
• Heartburn \sweakness
• Nausea cramping shortness of breath sweating
• The duration of these symptoms varies according to the type of angina.

Symptoms in Women

• Angina can occur in anyone due to CHD or MVD.
• Females are more likely than males to be affected by MVD, and as a result, females may experience different symptoms that accompany angina
• A female with angina may experience the following symptoms in addition to sharp chest pain:
• Nausea and vomiting, abdominal pain, exhaustion, and shortness of breath
• Treatments are designed to alleviate pain, prevent symptoms, and prevent or reduce the risk of a heart attack. A doctor may advise medication, lifestyle changes, surgery, or a combination of these.

Changes in lifestyle

The following strategies can be beneficial:

Quitting smoking

• Regular weight management checking cholesterol levels, taking rest when necessary, getting regular exercise, and learning how to deal with or avoid stress
• Consuming a diet high in fruits, vegetables, whole grains, low-fat or no-fat dairy products, and lean protein sources

Medications

• For angina, doctors frequently prescribe nitrates such as nitroglycerin. Nitrates alleviate or prevent angina by relaxing and widening the blood vessels.

Other medication options include:

• Beta-blockers
• Calcium channel inhibitors
• Inhibitors of the angiotensin-converting enzyme
• Antiplatelet medications taken orally
• Statins, which are cholesterol-lowering medications, are anticoagulants.
• Medications for high blood pressure may help with angina. These are intended to lower blood pressure and cholesterol levels, slow the heart rate, relax blood vessels, relieve heart strain, and prevent blood clots from forming.

Causes

• Typically, angina is caused by underlying coronary artery disease.
• The coronary arteries deliver oxygen-rich blood to the heart.. When cholesterol accumulates on the artery wall and hardens into plaques, it effectively narrows the arteries.
• Other factors, such as artery damage and smoking, increase the risk of plaque buildup.
• When the arteries narrow, oxygen-rich blood has a more difficult time reaching the heart. Plaques can also break off and form clots that block arteries.
• The heart muscle cannot function properly if blood cannot carry oxygen to it. This results in angina.

Risk elements

Angina can develop as a result of the following factors:

• Emphasise excessive alcohol or recreational drug use
• Smoking, for example, at work, exposure to particle pollution, a lack of physical activity, and an unhealthy diet
• High levels of cholesterol.
• Obesity or being overweight.
• Heart disease, diabetes, low blood pressure, metabolic syndrome, and anaemia are all caused by genetic factors.
• Certain medical treatments and procedures are only available to people over the age of 45 for men and 55 for women.
• Diagnosis An accurate diagnosis is critical because it predicts the likelihood of a heart attack.

The physician will:

• Conduct a physical examination
• Inquire about symptoms
• Discuss any potential risks.
• Examine the person's personal and family medical histories

If the doctor suspects angina, he or she may order one or more of the following tests:

• EKGs are used to record electrical activity in the heart and detect any lack of oxygen. Blood tests are used to check fat, cholesterol, sugar, and protein levels.
• A nuclear stress test, which involves physical activity, blood pressure readings, and an EKG, to detect abnormalities in blood flow to the heart during physical activity.

Risk elements

Angina can develop as a result of the following factors:

• Emphasise excessive alcohol or recreational drug use Smoking, for example, at work, exposure to particle pollution, a lack of physical activity, and an unhealthy diet.
• High levels of cholesterol.
• Obesity or being overweight.
• Heart disease, diabetes, low blood pressure, metabolic syndrome, and anaemia are all caused by genetic factors.
• Certain medical treatments and procedures are only available to people over the age of 45 for men and 55 for women.
• Diagnosis An accurate diagnosis is critical because it predicts the likelihood of a heart attack.

The physician will:

• Conduct a physical examination
• Inquire about symptoms
• Discuss any potential risks.
• Examine the person's personal and family medical histories

If the doctor suspects angina, he or she may order one or more of the following tests:

• EKGs are used to record electrical activity in the heart and detect any lack of oxygen. Blood tests are used to check fat, cholesterol, sugar, and protein levels
• A nuclear stress test, which involves physical activity, blood pressure readings, and an EKG, to detect abnormalities in blood flow to the heart during physical activity.

Prevention

The following strategies can aid in the prevention of angina:

• Consuming a varied, nutritious, "heart-healthy" diet and refraining from or quitting smoking
• Getting regular exercise and practicing stress-management techniques
• People should be treated for cardiovascular disease and other aspects of metabolic syndrome, such as high blood cholesterol, high blood pressure, diabetes, and obesity, in a consistent and effective manner.

Takeaway

• Angina is characterized by chest pain, squeezing, or pressure as a result of insufficient oxygen reaching the heart muscle. It is not always dangerous, but it can be an indication of heart disease.
• Angina can be managed or prevented with effective medical treatments and lifestyle changes.
• Anyone who has sudden, unexplained, or worsening chest pain should seek medical attention immediately.