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Doctor insights on: Angina And Heart Attack And Nitroglycerin

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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

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Dr. Gutti Rao
1,646 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


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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

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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

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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

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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

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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

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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

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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

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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

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What does nitroglycerin do during a heart attack?

What does nitroglycerin do during a heart attack?

Dilation: Nitrates like Nitroglycerin cause the arteries to dilate so more blood flows (higher rate). This is to try to mitigate the lack of blood flow to the affected part of the heart through increased flow in the affected arteries and in collateral circulation. ...Read more

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Dr. Creighton Wright
3,916 doctors shared insights

Heart Attack (Definition)

Heart attack is 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


Dr. Joshua Buckler
381 doctors shared insights

Nitroglycerin (Definition)

Nitroglycerin dilates the blood vessels around the heart to relieve heart pain or "angina". It comes in both a pump spray and tablet form. There are several cautions when using this medication so always discuss with ...Read more