Doctor insights on:
Are Beta Blockers Used To Treat Both Stable And Unstable Angina
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 unstable angina controlled by just a beta blocker? Or does it need a combination of beta, ace-inhibitors, calcium blockers, or other?
Considering the heart need for oxygen, can exercise be helpful to both stable and unstable angina patient?
exercise is medicine: The heart extracts the same amount of oxygen at rest or exercise. What the heart needs is more flow which is why blocked up arteries cause chest pain/heart attacks. One way to increase flow is to exercise to build up the bodies ability to recruit blood flow when needed. You should not exercise while you have unstable angina until it is controlled though. In stable angina exercise it great. ...Read more
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 moreSee 1 more doctor answer
If it is getting: worse then it is unstable. With less effort, more area, lasting longer, having more shortness of breath etc. These are bad signs implying a need to seek immediate medical attention ...Read more
Is there a way to clinically differentiate unstable angina and stable angina without investigation? If so, how?
Do patients with untreated stable angina develop unstable angina leading to myocardial infarction?
Do patients with untreated stable angina end up developing unstable angina leading to myocardial infarction?
Very likely: The key is untreated. Medical treatment is effective. See your doctor and get treated. ...Read more
Male,57,diabetic, getting chest pain after 4-5 minutes of walk. pain diminishes on rest within one minute. its stable or unstable angina? treatment?
I m 50 years old and I have unstable angina for 6 month and now I have ectasia of coronary arteries and I have severe chest pain at rest plz treat?
Test stop with pain: I presume you are scheduled for an Exercise Stress Test or a Treadmill Test, where an EKG is performed while you walk on a treadmill. In this stress test, the test must be stopped as soon as you experience chest pain. Therefore, the test is not useful (and thus contraindicated) in patients with unstable angina. Less invasive tests such as a nuclear medicine scan may be used instead. ...Read moreSee 1 more doctor answer
Very different: Hiatal hernia is a weakness in the diaphragm muscle that may allow a portion of the stomach to go into the chest causing heartburn or esophageal reflux. Unstable angina is a very serious and potentially life threatening condition of impeding heart attack or heart damage from low blood flow to the heart. ...Read moreSee 1 more doctor answer
See below: Acute coronary syndrome or unstable angina usually means chest pain due interruption of blood flow to the heart muscle. Myocardial infarction ( mi) implies damage to the heart muscle due to prolonged interruption of the blood flow to the heart muscle. ...Read moreSee 1 more doctor answer
Limited, but this is: what the anticlotting agents (eg. aspirin, clopidogrel, LMW heparins, etc.), the clot destruction TPA agents (including alteplase, reteplase & tenecteplase) & emergency angioplasty are about. Slow clotting, destroy the clots &/or mechanically break up the clots which narrow the artery & block blood flow in an effort to reduce the damage/restore blood flow to the muscle downstream. Yet little&late. ...Read more
Rx: Unstable angina: Your regular doctor can help discern if your symptoms are due to unstable angina. If the clinical diagnosis is truly unstable angina, you should be hospitalized urgently to be stabilized and to receive additional evaluation and therapy, often with cardiology consultation. Many diseases mimic unstable angina, but ua if left untreated can progress to heart attack and death. ...Read moreSee 1 more doctor answer
Could one or more explain unstable angina as I lived a long time with it not suspecting heart decease?
Changing symptoms: Unstable angina usually refers to new chest pain, pain with less activity than before or pain that doesnt go away with rest or usual nitrates. It represents a change in the plaques in your heart and is usually very serious. I doubt you have unstable angina, more likely you have stable angina. Angina is a symptom reflective of atherosclerotic heart disease which means you have it. ...Read more