Causes of chest pain ?? angina pectoris

Health limaopreto July 26, 2016 0 33
Chest pain can have many causes, ranging from an impending heart attack to creeping vertebral abnormalities that ultimately lead to chest pain. Angina pectoris is a pain syndrome. Typically, the pressing, squeezing, wrenching pain sensation behind the sternum, often radiating to the throat, jaw, left shoulder, left arm or both arms. Patients suffering from this heart disease, the pain is often described as a heavy weight on the chest press. All kinds of circumstances and factors can aggravate the pain, such as tachycardia and stress. The underlying cause of angina is usually, but certainly not always, a progressive narrowing of the coronary arteries by atherosclerosis.


  • Chest pain has many causes
  • Angina pectoris, a pain syndrome
  • Oppressive, cord pain
  • Causes and triggers of angina pectoris
  • Imminent Heart Attacks
  • Thrombosis
  • Diagnosis, treatment and lifestyle

Chest pain has many causes

GPs see their clinic regularly people who complain of vague chest pains. Not unjustly is immediately considered an insidious heart disease. In any case, must be ruled out heart disease as quickly as possible. Chest pain, or angina symptoms', but has many other causes, such as lung problems, a trapped nerve caused by vertebral anomalies, esophageal disorders and even a gallstone may belong to the culprits, with pain sometimes to the right shoulder felt. Nevertheless causes angina typical symptoms that often require the doctor ?? often after he first made himself an ECG ?? to send the patient rushed to the hospital on suspicion of an impending heart attack or other heart disease.

Angina pectoris, a pain syndrome

A syndrome composed of a number of related complaints, symptoms or clinical signs. The pain syndrome angina pectoris is based on lack of oxygen supply to the heart muscle, or a local lack of oxygen because the coronary arteries are narrowed, usually by arteriosclerosis. Characteristic is that the typical angina symptoms worsen during physical exertion. That's not surprising, because the heart muscle needs more oxygen during exertion, and the coronary arteries that can deliver insufficient. This is called "angine d'effort '. However, an underlying cause may be anemic. The effect is the same, after all, the heart muscle does not get enough oxygen available.

Oppressive, cord pain

Angina is more common in men than in women, especially middle-aged and older. The symptoms usually come insidious, as with exertion, anger, but also other stress have a negative impact. It describes the pain as oppressive, insnoerend, as if the 'chest in a vice' is. The pain usually occurs behind the breastbone. While walking, climbing stairs and sports is stopped at a certain moment the only option. Cycling is perceived as increasingly precarious in the wind. Standing still or move away, something else is not in place. Only then reduces pain, which at rest normally after a few minutes is gone. Even after a large meal can cause these symptoms. Or when entering a warm room after having just walked in the cold outside, and vice versa. In summary, are the symptoms of angina pectoris among other things:
  • Chest pain radiating down the left arm into the fingers. Cramping or a heavy feeling in the throat and jaw.
  • Dizziness.
  • Sweating, clammy skin.
  • Stuffiness.
  • Fear often because the patient fears the worst.

Causes and triggers of angina pectoris

Anginal symptoms due to a relative lack of oxygen can occur in anemia, of course, that in itself has a variety of causes. Also cardiac arrhythmias such as atrial fibrillation with an irregular pulse and / or extrasystoles, are notorious because it asks more of the heart and circulatory system is not optimal. A common cause is a narrowing of the coronary arteries due to arteriosclerosis. Causes of angina pectoris include:
  • Aortic regurgitation.
  • Aortic stenosis.
  • Heart valve defects.
  • Rapid pulse; increased heart action requires more oxygen to the heart muscle.
  • Cardiac arrhythmias.
  • Anemia.
  • Stay in mountain countries.

Imminent Heart Attacks

Anginal symptoms usually respond well to coronary vasodilators such as nitro benefit under the tongue. The symptoms disappear totally or partially, even though they are in principle always progressive in nature in that the coronary arteries tend to constrict in an increasing extent. Also other heart defects cause, in many cases, more and more complaints. If there is angina pectoris due to a heart attack a vasodilator will not help and medical policy must be fully geared differently. The symptoms include:
  • Chest pain with emissions.
  • Rapid pulse.
  • Dizziness.
  • Nausea.
  • Sweating.
  • Low blood pressure.
  • Shortness of breath.


In that case, the risk is great that life angina pectoris is due to the fact that one of the coronary arteries is by now completely closed, and a portion of the heart muscle is at the necrotiseren. This is called a myocardial infarction, mostly due to thrombosis. Incidentally getting a heart attack still hangs like a sword of Damocles over those with angina pectoris. Typically, they are also aware of it. Patients are still treated medically, you also need to know that they should immediately warn the GP as the puffs or tablets under the tongue ?? such as nitro benefit ?? not more help. Or if the attacks recur more frequently, even at rest.

Diagnosis, treatment and lifestyle

An electrocardiogram during an angina attack or with exercise, of course combined with targeted blood tests, usually offers or inconclusive when it comes to angina caused by heart disease. The treatment of the symptoms depends on many factors, such as the progression and risk factors, including diabetes mellitus, high blood pressure and high cholesterol. Usually, therefore more research. Often prescribed a beta blocker, a vasodilator and a blood thinner in the beginning. Furthermore, the lifestyle is important, such as quitting smoking, losing weight, a low cholesterol diet, supplemented with cholesterol, and exercise. If the drug therapy no longer helps, such as coronary narrowings are progressive in nature, the specialist will proceed in this case to a surgical procedure, such as angioplasty or bypass.