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Doctor insights on: Over The Counter Treatment For Unstable Angina

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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?

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?

Sounds stable: Pain with activity. Relieved by rest. Stable pattern. See your doctor and should set up stress test to see if truly heart related. If you start getting similar discomfort at rest. If it doesn't go away with rest. See someone asap ...Read more

Dr. Gutti Rao
1,680 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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Does unstable angina require hospitalization?

Does unstable angina require hospitalization?

YES: And likely some sort of revascularization procedure unless one's anantomy is not amenable to stenting or bypass. ...Read more

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What are the symptoms associated with unstable angina?

What are the symptoms associated with unstable angina?

Chest pain: Chest pain not relieved by rest. Please note that there are many instances of atypical presentations and it may range from vague feeling of discomfort, pressure on chest, shortness of breath, anxiety, sweating, feeling of impending doom, nausea vomiting. If you suspect unstable angina, get to an er asap, call 911. ...Read more

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What is the difference between unstable angina and stemi / non-stemi?

What is the difference between unstable angina and stemi / non-stemi?

Several: Unstable angina is when chest pain coming from the heart increases in frequency, severity and/or intensity over the last couple of month.
If pain is severe and lasts for over 20-30 minutes and pt shows in ER, The EKG may show specific changes (ST segment elevation myocardial infarction = STEMI) or subtle or no changes and the heart attack is diagnosed with blood tests (NSTEMI= non-ST elevationMI ...Read more

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Can you have unstable angina and not have chest pain?

Can you have unstable angina and not have chest pain?

Yes;not=conventional: View because BOTH defined as "symptoms" perceived by person. Yet arterial disease typically present in 1/2 US population by later childhood; no symptoms for decades because arteries enlarge at plaque locations. Ischemia=result of plaque rupture, debris+clots & most ischemic events are asymptomatic despite progressive damage: heart, brain & body-wide leading to CHF, dementia, etc., into future. ...Read more

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Are all hospitals the same when treating unstable angina?

Are all hospitals the same when treating unstable angina?

No: Unstable angina (usa) is part of a spectrum of coronary disease known as acute coronary syndrome (acs), which ranges from usa to a st-elevation myocardial infarction (stemi). Usa can progress to stemi and the best treatment for that, and also utilized in the evaluation of usa, is a cardiac catheterization. Only hospitals with full time cath labs can perform emergency procedures to open arteries. ...Read more

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Why unstable angina is a contraindication for stress test?

Why unstable angina is a contraindication for stress test?

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 more

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Are beta blockers used to treat both stable and unstable angina?

Are beta blockers used to treat both stable and unstable angina?

Yes: Yes, beta-blockers are used to treat both stable and unstable angina as a role in reducing cardiac workload. ...Read more

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What's the difference between a hiatus hernia and an unstable angina?

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 more

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What is the difference between acute coronary syndrome, unstable angina, and mi?

What is the difference between acute coronary syndrome, unstable angina, and mi?

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 more

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What can be done for an unstable angina when the atherosclerotic plaque ruptures?

What can be done for an unstable angina when the atherosclerotic plaque ruptures?

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

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Are any special tests needed, or can a regular doctor see me for my unstable angina?

Are any special tests needed, or can a regular doctor see me for my unstable angina?

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 more

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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 doesn't 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

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Can unstable angina last for 24 hours?

Can unstable angina last for 24 hours?

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

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Is a nstemi the same thing as unstable angina?

No: Unstable angina and nstemi are now bundled in the term "acute coronary syndrome", they are really different problems. In simple terms a nstemi is a heart attack that has happened already, unstable angina is a heart attack about to happen. Nowadays, both groups of patients are thought to do better with an invasive strategy (angiography and possible angioplasty). ...Read more

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What are the top reasons for getting unstable angina?

What are the top reasons for getting unstable angina?

Heart disease.: Unstable angina is usually due to a plaque rupture which limits the blood flow to an area of the heart. This is caused by increase in the size of the plaque or, elevated blood pressure or increased heart rate which make the narrowing more likely to occlude the artery. This causes a change in the usual angina, or the onset of new angina or cardiac chest pain. ...Read more

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What is the definition or description of: Unstable angina?

What is the definition or description of: Unstable angina?

Unstable angina: Unstable angina (acute coronary syndrome) " causes unexpected chest pain, and usually occurs while resting. The most common cause is reduced blood flow to the heart muscle." REF: http://www. Heart. Org/HEARTORG/Conditions/HeartAttack/DiagnosingaHeartAttack/Unstable-Angina_UCM_437513_Article. Jsp#.WT2aBfnyuM8 ...Read more

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What are the symptoms are characteristic of unstable angina?

Chest pain: Chest pain not relieved by rest. Please note that there are many instances of atypical presentations and it may range from vague feeling of discomfort, pressure on chest, shortness of breath, anxiety, sweating, feeling of impending doom, nausea vomiting. If you suspect unstable angina, get to an er asap, call 911. ...Read more

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I want to know what is the difference between stable and unstable angina?

I want to know what is the difference between stable and unstable angina?

Angina: Stable angina is reproduce able by the same amount of exercise. Unstable angina is when the amount of exercise to produce angina progressively decreases or it happens at rest. ...Read more

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Do people with unstable angina have a lot of pain?

No, but.: 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

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Amlodipine are okay for unstable angina?

It may help, but...: Unstable angina is a serious problem that generally should be evaluated for possible surgical intervention. Unless symptom resolves, unstable angina, at this time and age, is inappropriate to stay on medication without stress test or coronary angiogram. Coronary angioplasty/stent maybe done or coronary bypass. Please see a cardiologist for diagnosis and treatment recommendations. ...Read more

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Do changes in weather affect unstable angina?

Do changes in weather affect unstable angina?

In my experience: Cold wind does cause angina in some patients. ...Read more

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What is the risk associated with patient diagnosed of unstable angina involve in regular exercise?

What is the risk associated with patient diagnosed of unstable angina involve in regular exercise?

Unstable angina: Is by definition unstable ; intervention not exercise is recommended...Are you sure you mean unstable? ...Read more

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Is there a way to clinically differentiate unstable angina and stable angina without investigation? If so, how?

Angina: Stable angina is reproduce able by the same amount of exercise. Unstable angina is when the amount of exercise to produce angina progressively decreases or it happens at rest. ...Read more

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Why unstable angina is a contra indicator for stress test?

Why unstable angina is a contra indicator for stress test?

Heart attack: With unstable angina the cardiologists do not like to do a stress test because the stress on the heart could precipitate a heart attack. If they need to examine the heart in someone with unstable angina they are more likely to do a coronary angiogram so they can look directly at the vessels without stressing the heart. Also with the do the angiogram they may be able to place a stent for treatment. ...Read more

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Can unstable angina display symptoms not involving pain, as in light-headedness, weakness, and slight nausea?

Can unstable angina display symptoms not involving pain, as in light-headedness, weakness, and slight nausea?

Atypical symptoms: It is possible but not common for this type of atypical symptoms to herald unstable angina. Usually shortness of breath or chest pressure are part of the symptoms. Also if you have had these before, it is more meaningful, than atypical symptoms out of the blue. ...Read more

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Have unstable angina angiogram showed 100% blocked right coro artery, 20% left - dr said only adjust meds, no procedure, no surg - now what?

Severe heart disease: It sounds like they are saying you have inoperable heart disease. The best results that I have seen for such patients have been with a nutritional based approach described by dr. Caldwell essylstyn at the cleveland clinic. Consider his book: prevent and reverse heart disease: the revolutionary, scientifically proven, nutrition-based cure [paperback]
at amazon. Com for $10.98. ...Read more

Dr. Mary Callahan
118 Doctors shared insights

Unstable Angina (Definition)

Unstable angina (acute coronary syndrome) " causes unexpected chest pain, and usually occurs while resting. The most common cause is reduced blood flow to the heart muscle." REF: ...Read more