(I20) Angina pectoris
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Diagnosis angina pectoris is diagnosed Men are 17.84% more likely than Women
Men receive the diagnosis angina pectoris
85 428 (0.5 %)Died from this diagnosis.
Women receive the diagnosis angina pectoris
90 254 (0.7 %)Died from this diagnosis.
Risk Group for the Disease angina pectoris - Men aged 60-64 and Women aged 75-79
Disease Features angina pectoris
Angina pectoris - what does this mean
What happens during the disease - angina pectoris
В основе патогенеза стенокардии лежит нарушение коронарного кровотока вследствие сужения артерии (чем больше степень стеноза, тем, как правило, тяжелее течение стенокардии). Самая частая причина этого — наличие атеросклеротических бляшек (в 95%).
Чем больше степень стеноза коронарной артерии, тем тяжелее проявления Стенокардии. Последние также зависят от локализации, протяженности, количества стенозов и числа пораженных артерий.
С точки зрения влияния на тяжесть нарушений коронарного кровотока выделяют три степени сужения артерий:
• несущественная - просвет артерии уменьшается менее 50% (поле сечения диаметра менее 75%) В стабильном состоянии нет патологии, имеется соответствие доставка—потребность;
• существенная — просвет артерии снижен на 50-80% (поле сечения — на 75-90%). В покое коронарный кровоток не нарушен вследствие ауторегуляции в системе микроциркуляции, которой не достаточно в период ФН, когда рост потребления кислорода (П02) миокардом не компенсируется. Это приводит к ишемии миокарда, что клинически проявляется стенокардией;
• критическая — диаметр артерии снижен более 80% (поле сечения более 90%). В этих случаях коронарный кровоток неадекватен потребностям даже в покое. Каждое усилие вызывает приступ стенокардии.
Clinical Pattern
How does a doctor diagnose
- Physical examination
- Blood tests
- Electrocardiogram (ECG)
- Echocardiogram
- Stress test
- Cardiac catheterization
- Chest X-ray
- Cardiac MRI
- Cardiac CT scan
Treatment and Medical Assistance
- Prescribe medications to reduce chest pain and improve blood flow to the heart, such as nitroglycerin, beta blockers, calcium channel blockers, and ACE inhibitors.
- Perform lifestyle modifications such as quitting smoking, increasing physical activity, and reducing stress.
- Recommend a low-fat, low-cholesterol diet.
- Perform cardiac catheterization to diagnose the severity of the blockage.
- Perform angioplasty or coronary artery bypass grafting to improve blood flow to the heart.
- Refer the patient to a cardiologist for follow-up care.
Angina pectoris - Prevention
Main symptoms of the disease angina pectoris
Pale skin
Pale skin is a symptom of anemia or other blood-related issues. It is characterized by a lack of color in the skin, appearing wan and ashen. It may also be accompanied by fatigue, dizziness, and shortness of breath. Pale skin develops gradually due to a decrease in red blood cells or hemoglobin, whi...
Heart rhythm disorder
(Arrhythmia, Cardiac arrhythmia, Irregular heartbeat, Cardiac dysrhythmia, Cardiac rhythm disorder, Heart rhythm disturbance, Heart rhythm irregularity, Cardiac rhythm irregularity, Abnormal heartbeat, Heartbeat disorder)
Heart rhythm disorder is a condition where the heart beats irregularly or too quickly or too slowly. It can manifest as palpitations, lightheadedness, chest pain, fatigue, or shortness of breath. It can develop from a variety of causes, including lifestyle factors, medications, and underlying medica...
Chest pain
(Thoracic pain, Thorax pain, Rib cage pain, Rib pain, Breastbone pain, Sternum pain, Costal pain, Intercostal pain, Pectoral pain, Precordial pain)
Chest pain is a common symptom that can range from mild to severe. It may be described as pressure, squeezing, burning, or tightness in the chest. It can develop quickly or gradually, and can be accompanied by other symptoms such as nausea, sweating, or shortness of breath. Types of chest pain inclu...
Retrosternal pain
(Posterior chest pain, Back chest pain, Rear chest pain, Back-thoracic pain, Retro-thoracic pain, Retro-sternal pain, Retrosternal ache, Retro-thoracic ache, Back-thoracic ache, Rear chest ache)
Retrosternal pain is a burning or sharp pain that is felt behind the breastbone. It can be a sign of a heart attack, acid reflux, or other medical condition. It usually begins as a dull, burning sensation and can worsen with deep breathing or movement. It can be accompanied by other symptoms such as...
Pain in the left hypochondrium
(Ache in the left upper abdomen, Discomfort in the left upper abdomen, Soreness in the left upper abdomen, Aching in the left upper abdomen, Throbbing in the left upper abdomen, Tenderness in the left upper abdomen, Stinging in the left upper abdomen,...)
Pain in the left hypochondrium is a common symptom that can arise from a variety of causes. It is typically described as a sharp, stabbing pain in the upper left side of the abdomen. It can develop suddenly or gradually, and can range from mild to severe. It may be accompanied by other symptoms such...
Pain in the heart area
(Thoracic discomfort, Angina, Chest pang, Cardiac pain, Thoracic ache, Heartache, Chest pain, Cardiac ache, Thoracic pain, Heart pang, Cardiac discomfort)
Pain in the heart area is a symptom of a range of medical conditions. It can manifest as a sharp, stabbing, or burning sensation in the chest, usually in the center of the chest. It can also be felt in the left arm, neck, jaw, or back. It can come on suddenly or gradually, and can range from mild to...
Numbness of the limbs
(Tingling, Paralysis, Pins and needles, Weakness, Lack of sensation, Inability to move, Numbness, Loss of feeling, Loss of strength, Loss of motor control, Loss of coordination)
Numbness of the limbs is a common symptom that can be caused by a variety of medical conditions. It is characterized by a lack of sensation in the limbs, usually accompanied by tingling or burning sensations. The numbness may start out as a mild tingling or burning sensation and can progress to a co...
Shoulder pain
(Sore shoulder, Aching shoulder, Painful shoulder, Tender shoulder, Stiff shoulder, Stabbing shoulder, Burning shoulder, Sharp shoulder, Throbbing shoulder, Pulsating shoulder)
Shoulder pain can be a sharp, stabbing sensation or a dull ache. It can be localized to the shoulder or radiate down the arm. It can start suddenly or develop gradually over time. It can be caused by an injury, overuse, or a medical condition such as arthritis or bursitis. Symptoms can include tende...