Doctor insights on:
Angina Life Expectancy
I am a cardiac patient known for coronary artery spasm and unstable anginas in the past. Now meds are controlling sympto. What is my life expectancy?
May be normal:
The seriousness can be diagnosed with cariac catheterization utilizing some chems that can precipitate coronary vasospasm.
2. Life expectancy in patient with this condition is similar to that of the general population, meaning that there is no increased mortality.
3. The only way to treat this condition is by eliminating stress, tobacco exposure, staying away form cold temps and taking meds. ...Read more
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
Is there such as a situation of a person having stable vs. Non-stable angina? What is stable angina and is it always life threatening?
Stable vs unstable: Unstable angina is defined as a change in the pattern, (frequency, severity, duration, or degree of activity that precipitates it or angina at rest) in the preceding 2 weeks. Unstable angina is potentially dangerous. Stable angina is angina that occurs predictably with certain activities and is not a high risk condition. ...Read more
If I have longstanding Prinzmetal Angina due to accidental OD on pseudoephedrine, will it be life long?
Prinzmetal angina: Prinzmetal angina, or variant angina (spasm of coronary arteries) is a rare but chronic condition. The long term survival for PA is good for those patients who tolerate calcium channel blockers (CCB) and do not smoke. Poor prognosis would include those patients who smoke, have coronary atherosclerosis (hardening of arteries), an intolerance to CCB, and spasms of coronary artery. ...Read more
Is it possible to take clopidogrel for the rest of my life if I am 62 old I have hypertention and stable angina?
Yes.: I know of many patients who have taken clopidogrel for more than 10 years, and they have done fine with it. I use long term clopidogrel in patients who have had many stents (say 4 or more), in patients who recieved the cypher type stent (higher tendency to clot), and also in patients who have a drug coated stent in a high risk location (left main artery or lad). ...Read more
Can you live a fully functional life with angina and artery disease and never have a heart attack? Or will you eventually succumb?
I'm 21, had angina-like pains when running all my life. Since a flu 3 months ago been experiencing breathlessness and palps; I'm almost immobile. Ekgs, echo, blood tests normal. Could it still be heart?
If you have angina, one or more of your heart (coronary) arteries is narrowed. This causes a reduced blood supply to your heart muscle.
When your heart works harder (when you walk fast or climb stairs and your heart rate increases) your heart muscle needs more blood and oxygen. If the extra blood that your heart needs cannot get past the narrowed coronary arteries, the heart responds with pain ...Read more
Unlikely: Yes, it is possible but very rare and generally the result of a structural problem, like an abnormal origin of one of the coronary arteries or coronary artery changes after an earlier episode of kawasaki dz. Angina from cholesterol plaques is very rare in adolescence, except in homozygous familial hypercholesterolemia, where the cholesterol may be several times nl levels (e.g., 700 or 800 ng/dl). ...Read more
Yes it is: Especially if it is new, or changing (unstable). Many people deny 'pain' with angina. It is described as a 'twinge', pressure, more rarely as a sharp knife like pain. Regardless, angina suggests that circulation is not adequate to portions of the heart, and is a warning that heart attack may occur. Have it checked, control your risk factors, consider treatments recommended.. ...Read more
Angina: Having good coronary artery flows is a marvelous preventive for angina pectoris. There is abundant literature out there on prevention of coronary artery disease. Not having anemia, not being diabetic and not having hypertension are also very useful things. Once you have angina, we have lots of medications and procedures to try and make up for not having normal coronary blood flow. ...Read more
To a degree: Angina is a manifestation of coronary artery disease whose primary cause is the formation of cholesterol plaques that narrow the vessel. Cholesterol plaque formation is directly linked to the degree of cholesterol concentration which, in turn, is partly dependent on the exogenous cholesterol supply. So, foods high in cholesterol will contribute to plaque formation and eventually to angina. ...Read more
Rx unstable angina: Immediate aggressive treatment to prevent final heart attack = angina is the precursor to mi. Angina is when heart oxygenation not able to provide support to the degree of daily activities for the person. A lot of mi heart attack) without even a warning sign of angina. 50% of mi result in immediate death. No time to waste. Sx vary a lot from person to person. Sudden stomach pain sx can be angina. ...Read more
Yes: In unstable angina the biochemical markers of myocardial damage and necrosis (cell death) are not present. One cause is a sudden rupture or crack in a silent atherosclerotic plaque causing blood clots (thrombi) to form which can enlarge to block the artery or can break off and embolize. Patients with 24 hours of chest pain require emergency cardiac catheterization and angioplasty or surgery. ...Read more
By Exclusion: It's generally a diagnosis of exclusion, when one can't find another reason for symptoms of angina. It would require a catheterization with coronary angiogram to exclude blockages in the larger coronary arteries on the surface of the heart. Also an echocardiogram might be done to exclude valvular heart disease. It's more common in women and treated usually with beta blockers such as metoprolol. ...Read more
Possibly: If you are experiencing chest discomfort/pain/pressure, you should see your physician right away! Depending on your risk factors, you may or may not need angioplasty as angina can sometimes treated medically. Angina is a serious condition, and medical evaluation should not be delayed. ...Read more
Serious: This is small vessel disease. It is usually best treated with Ranexa (ranolazine) - but since each patient is different, and may have other comorbidities, a comprehensive evaluation by a cardiologist is essential. ...Read more