Chest pain or Angina

Angina Pectoris

Angina happens when the heart muscle does not get the right amount of oxygen-rich blood, most often due to blood vessels in your heart being blocked. Angina is a sign of heart disease. It most often does not cause long lasting damage to your heart muscle. Some types of angina are more severe and need more treatment than other types. There are a few types of angina: Stable angina: Most common type and often happens when your heart is working harder, like during exercise May be triggered by stress, heavy meals, smoking, or being in a very hot or very cold place Follows a pattern and events are similar. The signs most often happen again when you repeat the same activity. May last only a short time and is eased by rest or drugs Unstable angina: Can happen at rest, during sleep, or when your heart is working a little harder Comes at any time and does not follow a pattern Lasts longer and is not often eased by rest or drugs May get worse over time Is very dangerous and needs emergency treatment May be the first sign of a heart attack Variant (Prinzmetal) angina: Rare kind of angina and tends to happen in younger people Caused by spasms of the muscles in the arteries. A spasm is a sudden flexing of the muscle. May be triggered by cold weather, stress, smoking, illegal drug use, or some drugs Often happens at night or in the early morning while resting Often has very bad pain that can be eased with drugs Can still be very dangerous and in some cases can lead to a heart attack Microvascular angina: May have very bad pain that lasts a longer time Often feel short of breath, tired, and have problems sleeping with this kind of angina Very small blood vessels are affected. Stents and angioplasty are not able to help this type of pain. Drugs may help ease this type of pain