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Doctor insights on: Unstable Angina Vs Nstemi

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Is a nstemi the same thing as unstable angina?

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

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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What is unstable angina?

What is unstable angina?

Ischemic chest pain: Angina is chest discomfort caused by a coronary artery blockage. Unstable angina is angina that: 1) occurs at rest, 2) is increasing in severity or frequency, or 3) is new or recent in onset. ...Read more

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What is unstable Angina?

What is unstable Angina?

Unstable angina: Unstable angina is sudden persistent unprovoked chest pain related to coronary artery disease that is not relieved with rest or nitro glycerine. It may also be associated with shortness of breath and low blood pressure. ...Read more

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How should I address unstable angina?

How should I address unstable angina?

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

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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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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 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 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 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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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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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?

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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Sometimes it happens with less effort some other with more. Is this stable or unstable angina?

Sometimes it happens with less effort some other with more. Is this stable or unstable angina?

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

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I've been having a dull type of pain in the center of my chest. Also, what is unstable angina?

It could be from: Your esophagus, lungs, thymus, sternum, and heart, discuss it with your doctor asap. Unstable angina is a provisional impression a physician makes to place a patient to more tests to see if the patient has acute ischemia of the heart muscle! Good luck! ...Read more

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How can unstable angina be detected and/or diagnosed, particularly if the patient is not experiencing the event at the time of appointment or has not experienced it in the past month or so?

How can unstable angina be detected and/or diagnosed, particularly if the patient is not experiencing the event at the time of appointment or has not experienced it in the past month or so?

Clinical diagnosis: Unstable angina is defined as new or worsening chest pain at rest or with exertion/emotional stress. There is no test to detect unstable angina. If a blockage in the heart is more than 50% then a stress test may detect it. But if less it will not. Unstable angina can occur with any size blockage. 10% or 99% and all in between. Majority of heart attacks occur with a blockage less than 50% ...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?

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

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

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