Top
20
Doctor insights on: Angina And Heart Attack And Nitroglycerin

Share
1

1
How to determine if I am having a heart attack or it's just "angina" ?

How to determine if I am having a heart attack or it's just "angina" ?

Classically: Angina pectoris =substernal pressure, pain with radiation to the neck or left or right arm and shoulder. Some will have abdominal pain-and be confused with gallbladder or stomach symptoms. Ladies seem to have less classic// or tolerate pain better than men. Relief with Nitroglycerin is very suggestive. A feeling of impending doom, pallor, sweating suggest a bad day! ...Read more

See 1 more doctor answer
Dr. Creighton Wright
1,169 doctors shared insights

Myocardial Infarction (Definition)

Myocardial Infarction means some of the heart muscle dies because of insufficient oxygen supply. Most often this occurs because the coronary artery is blocked by plaque & clot. Other causes include tears in the artery wall, extremely high oxygen demand (eg, rapid arrhythmia, heart valve disorder, or severe systemic illness.) Prompt treatment can minimize heart damage & ...Read more


2

2
Is angina usual after a heart attack?

Is angina usual after a heart attack?

See doctor: Angina would mean there is heart muscle which is still getting poor blood flow. This maybe from an area which can not be treated with a stent or surgery. But it could also be an area which can be treated. Only your cardiologist can help you figure that out. Go see him/her. ...Read more

See 1 more doctor answer
3

3
How do a heart attack and angina differ?

How do a heart attack and angina  differ?

Continuum: Angina can be quite severe and respond to rest, oxygen, nitroglycerin. And fully recover with no muscle death. The pain fibers are the same source. Some myocardial infarction can be asymptomatic all the way to the worst, ominous, pain ever! there is heart muscle death as the defining entity may need surgery or intervention. ...Read more

See 1 more doctor answer
4

4
Does heart attack or angina always radiate to other parts?

Does heart attack or angina always radiate to other parts?

Absolutely not!: Hi. In fact, a sizable fraction of MI's are "silent" - no symptoms of any kind. Radiation of pain may or may not occur with MI or angina. ...Read more

5

5
How do you know if you are having a heart attack or it's "angina" ?

How do you know if you are having a heart attack or it's "angina" ?

EKG, Cardiac Markers: There is no foolproof way to tell the difference without er/hospital studies - generally if one has a history of angina and it isn't resolving with rest or nitrates or has a different character (more intense or with accomp. Pain elsewhere or nausea/sweating) -- it may be a heart attack and he/she should get to the er right away. New chest pain should always be eval'd right away. Time is tissue! ...Read more

6

6
How to know what is angina is it any different than a heart attack?

How to know what is angina is it any different than a heart attack?

Chest pain: "angina" is the medical term for pain that comes from a lack of blood flow to the heart. A "heart attack" is heart damage that results from said lack of blood flow. Frequently, the two go hand in hand, meaning angina can precede a heart attck. ...Read more

See 1 more doctor answer
7

7
How do you know if you are having a heart attack or it's just "angina" pain?

How do you know if you are having a heart attack or it's just "angina" pain?

Classically: Angina pectoris =substernal pressure, pain with radiation to the neck or left or right arm and shoulder. Some will have abdominal pain-and be confused with gallbladder or stomach symptoms. Ladies seem to have less classic// or tolerate pain better than men. Relief with Nitroglycerin is very suggestive. A feeling of impending doom, pallor, sweating suggest a bad day! ...Read more

See 1 more doctor answer
8

8
A heart attack or angina? What are the differences in symptoms between a heart attack and angina?

A heart attack or angina? What are the differences in symptoms between a heart attack and angina?

Angina : Angina and heart attack symptoms are both the result of reduced blood flow to heart muscle. Both can result in chest pain, pressure or squeezing that can radiate into the neck, jaw or arm and can be accompanied by other symptoms such as sweating, dizziness, or nausea. There are important differences though. Angina is brought on by exertion and relieved by rest or certain medications, such as nitroglycerin. It is the result of chronic cholesterol buildup in one or more of the coronary arteries, which restricts adequate blood flow to heart muscle during periods of increased activity. Angina usually resolves within 15 minutes of stopping activity or taking nitroglycerin. When someone experiences angina for the first time, or when their angina is provoked more easily this is called unstable angina and requires immediate medical attention. As opposed to angina, heart attacks happen suddenly and the symptoms can be more severe and persist much longer. Heart attacks are a result of a sudden blockage of the coronary blood vessel, typically by a ruptured cholesterol plaque. Heart attack symptoms persist until the blockage resolves, or if it does not resolve, until the heart muscle dies. Not all patients with heart attacks have angina prior. Heart attacks are a medical emergency and always require immediate medical attention. ...Read more

See 1 more doctor answer
9

9
Esophageal. Spasm, heart attack or angina?

Esophageal. Spasm, heart attack or angina?

May be hard to tell: If the chest pain is caused by swallowing, especially something very hot or very cold, then most likely esophageal spasm. If the chest pain is caused by exertion, then most likely angina or heart attack. ...Read more

See 1 more doctor answer
10

10
What does nitroglycerin do during a heart attack?

What does nitroglycerin do during a heart attack?

Reduce pain: There is actually some debate about the use of nitroglycerine in the setting of all heart attacks. It is known that nitroglycerine dilates the veins and to a lesser extent the arteries and sort of "unloads" the heart. As such it will make it easier for the heart to pump under the stressful circumstances of a heart attack. However, when the blood pressure is low, it is not a good idea. ...Read more

See 1 more doctor answer
11

11
33 male no family history, normal cholestrol. Ekg and Echo stress fine. Chest pain under left nipple. Worried will have heart attack. Angina?

33 male no family history, normal cholestrol. Ekg and Echo stress fine. Chest pain under left nipple. Worried will have heart attack. Angina?

Not likely: So far nothing to suggest that your pain is heart related. Its relation with physical activities, duration, characteristics, radiation, etc will make it more or less likely to be related to your heart. Is there a chance that anxiety is playing a role here? You' ve had comprehensive work- up that essentially ruled it out. ...Read more

12

12
Is it safe and beneficial to give a heart attack victim nitrostat (nitroglycerin) before doing cpr?

Is it safe and beneficial to give a heart attack victim nitrostat (nitroglycerin) before doing cpr?

Heart attack: If someone needs CPR nitro is not given. CPR is usually given to someone who is experiencing cardiac or cardio-pulmonary arrest. ...Read more

See 1 more doctor answer
13

13
What the difference between my anxiety symptoms and angina? The left side of my body goes numb after eating. I've been examined in the ER and the doctors said I have no signs of heart attack, stroke, or cancer. I didn't notice I was depressed. Could I be

What the difference between my anxiety symptoms and angina? The left side of my body goes numb after eating. I've been examined in the ER and the doctors said I have no signs of heart attack, stroke, or cancer. I didn't notice I was depressed. Could I be

When it happens: Angina means heart pain which is much much more likely to occur in older people and during physical exertion while panic attacks are often random, or due to some specific trigger such as supermarket/closed space likely elevator etc...During a panic attack, the symptoms are quite like angina. Being 24 and had work-up without cardiac involvement, panic is likely. Consult doc for treatment. Good luck. ...Read more

14

14
What is the difference between a heart attack and angina?

What is the difference between a heart attack and angina?

Continuum: Angina can be quite severe and respond to rest, oxygen, nitroglycerin. And fully recover with no muscle death. The pain fibers are the same source. Some myocardial infarction can be asymptomatic all the way to the worst, ominous, pain ever! there is heart muscle death as the defining entity may need surgery or intervention. ...Read more

See 1 more doctor answer
15

15
What is the difference between a heart attack and angina pain?

What is the difference between a heart attack and angina pain?

Longer pain..: Insufficient blood flow to the heart usually during exertion or other forms of stress due to a partial blockage causes chest pain lasting 5 to 10 minutes and is referred to as angina. Persistent complete or near complete interruption of blood flow to the heart muscle results in permanent damage and is referred to as a heart attack. The pain usually lasts much longer than 5 to 10 minutes. ...Read more

See 1 more doctor answer
17

17
What is the significance of placing nitroglycerin under the tongue during heart attack?

What is the significance of placing nitroglycerin under the tongue during heart attack?

Sublingual: The blood vessels under the tongue are very close to the surface lining of the mouth. Placing Nitroglycerin there allows it to dissolve and quickly enter the blood stream. ...Read more

See 1 more doctor answer
18

18
Does or can anxiety mimic heart proplems like angina or heart attack?

Does or can anxiety mimic heart proplems like angina or heart attack?

Actually, yes: It's amazing what anxiety can do! Have medical tests and if results are negative for lung problems or heart issues - it leaves anxiety as a prime suspect. The good news will be that 1. you now know'll you are healthy in important ways and 2. CBT therapy works well for learning anxiety mgmt skills. It's a good thing! ...Read more

See 1 more doctor answer
20

20
Can anxiety cause a silent heart attack or angina?

Not by itself: Stress does contribute to heart attacks, but does not directly cause them. Family history, diabetes, high blood pressure, hyperlipidemia and smoking are the known risk factors. Occasionally, even people without CAD will feel tightness in their chest when anxious, hyperventilating, or tightening their musculature. Of course, if their is any question, one should seek care by their pcp or er. ...Read more

See 1 more doctor answer
Dr. Gutti Rao
1,660 doctors shared insights

Angina (Definition)

Angina is chest pain that is caused by poor blood flow to the heart muscle. Angina is not an actual disease, but rather a symptom of an existing heart problem. Most commonly, this underlying problem is due to an obstruction of the coronary blood vessels that surround the heart. There are different types of angina including stable angina, unstable ...Read more


Dr. Creighton Wright
3,950 doctors shared insights

Heart Attack (Definition)

A life-threatening condition in which the blood vessels that supply the heart becomes occluded and thus the heart itself is not longer receiving any blood flow. Without this blood flow, the heart muscle dies and cannot pump blood to the ...Read more