Angina Pectoris

Angina Pectoris

Angina Pectoris is the name given to a clinical syndrome used to describe discomfort due to transient myocardial ischaemia. The underlying cause may be Coronary atheroma. Spasm of coronary artery may also be underlying cause.

Factors that worsen Angina

  • Exercise
  • Anaemia
  • Hypertension
  • Hyperthyroidism
  • Tachycardia (increased heart rate)
  • Aortic valve disease

Features of of Angina
It is usually experienced as a sense of oppression or tightness in the middle of the chest ‘like a band round the chest’. It is induced by exertion and relieved by rest and lastsfor a few minutes.
The pain may be accompanied by discomfort in the arms more commonly in the left arm or even wrist or hands. The pain may radiate to neck or jaw or it may be present in the upper abdomen (epigastric region) or even back (interscapular region).
Situations precipitating Angina
Physical exertion like walking, or walking against wind, or while having a bath.
Cold exposure
Intense emotions
Heavy meals
Violent dreams
Lying flat

Relief of pain with Glyceryl trinitrate helps in diagnosis of Angina Pectoris.

Conditions that may mimic Angina Pectoris
Musculoskeleton pains: of the chest and back may at times confuse and create difficulty in the diagnosis of Angina. The pain of muscular origin is not totally relieved by rest and may persist even after rest. Local tenderness is present in case of pain of musculoskeletal in nature.
Pericardial pain: Pain of acute pericarditis is typically in the retrosternal region and often radiates to the neck and shoulders. It may be made worse by deep breath, movement or change of posture. A friction rub known as Pericardial Rub is diagnostic, and is best heard by a stethoscope at the left of lower sternum.
Oesophageal pain: Pain due to oesophagitis has a burning quality and is relieved by taking Antaacids. Oesophagial spasm pain may at times be indistinguishable from angina.

Risk Factors for Coronary Heart Disease

  • Smoking
  • Hyperlipidaemia
  • Hypertension
  • Diabetes Mellitus
  • Sedentary Lifestyle
  • Obesity
  • Diet defficient in Polyunsaturated fatty acids
  • Low Vitamin E & C
  • Blood Coagulation Factors Fibrinogen & Factor VII
  • High levels of lipoprotein (a), homocysteine, ApoB
Smoking has a definite dose related relationship with Ischaemic heart disease. The risk of death for smokers is highest in younger population.
Hereditary Hypercholesterolaemia ( Raised blood level of Cholesterol) : Patients with hereditary hypercholesterolaemia have high incidence of Coronary disease. Reduction of blood cholesterol has a definite effect in the reduction of morbidity and death from coronary heart disease.
It is estimated that the development of Ischaemic heart disease is controlled by both Genetic and Environmental factors, could be in the ratio of 40:60.
Major manifestations of Coronary Heart disease are Angina Pectoris & Myocardial Infarction

Normal Electrocardiogram

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This entry was posted in Diseases & Conditions and tagged by Manbir & Gurpreet. Bookmark the permalink.

About Manbir & Gurpreet

Gurpreet Kaur’s journey in this world .... Gurpreet Kaur was a Musician. She was a singer and a composer of music. Her interest was composing and singing Gurbani Shabads in Indian Classical style. She sang Shabads in All the Raags mentioned in Sri Guru Granth Sahib Ji. She also taught Gurmat Sangeet at Gurmat Gian Missionary College, Jawadi, Ludhiana. Elder child to Pushpinder Kaur and Dr. Brig. Harminder Singh, was born in Amritsar on 13th Jan 1962. She attended various convent schools as a child because her father would get frequent Army postings as a dental surgeon. She graduated with Music Honors from Govt. College for Women, Chandigarh. Music was her hobby and she composed and sang Raag based Gurbani Shabads. Doing Kirtan was part of growing up nurtured by her parents. She learned music from her father Dr. Brigadier Harminder Singh who was a dental surgeon in Indian Army and a very good singer himself. Gurpreet’s Bhua (father’s sister), Ajit Kaur retied as a Head of Department of Music from Govt. College for Women Ludhiana, and was a renounced Punjabi singer of her time. Gurpreet Kaur also learned nuances of Indian Classical Music from Pandita Sharma. She was a mother of three children, and a grandmother. Her daughter Keerat Kaur is a Computer Engineer. Her two sons Gurkeerat Singh and Jaskeerat Singh are doctors in USA. Her daughter Keerat Kaur too was part of her group ~ Gurmat Gian Group. Gurpreet Kaur left this world at the age of 54yrs on 12th Sept 2016 in Baltimore USA. She had recorded around 25 cds of Gurbani Keertan. 'Raag Ratan' Album (6 CDs) is a Compilation of Shabads in All the 31 Sudh Raags of Sri Guru Granth Sahib Ji. 'Gauri Sagar' Album (3 CDs) is a Compilation of All forms of Raag Gauri in Sri Guru Granth Sahib Ji. 'Nanak Ki Malhaar' ~ ((3 CDs) is an album of Raag Malhar Shabads in various forms of Malhar. 'Gur Parsaad Basant Bana' ~ (3 CDs) is an album of Shabads in Raag Basant sung in various forms of Raag Basant. Har Ki Vadeyai Sarni Aayea Sewa Priya Kee Preet Piyaree Mohan Ghar Aavho Karo Jodariya Mo Kao Taar Le Raama Taar Le Tere Kavan Kavan Gun Keh Keh Gawan Mera Baid Guru Govinda Saajanrraa Mera Saajanrraa

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