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Describe Stable angina and unstable angina.

Describe Stable angina and unstable angina.

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Answer #1

Angina refers to insufficient blood supply to the muscles of the heart

Stable angina Unstable angina
It is a gradual pain ,where patient can predict and identify the type of pain.It is also called as angina pectoris. It is not life threatening and settles on rest.

It is a sudden onset of pain radiating to neck,jaw,shoulder and needs immediate treatment or can lead to heart attack, arrhythmia .This indicates a complete block in the blood vessels .It so often life threatening .It does not settle on own needs medical help.

It may occurs if the individuals have any chronic illness,during exercise, activity,tension or stress,people with less activity,male ,aged population   The people with chronic condition like diabetes,hypertension, obesity, abnormal lipid ,family history,smoking are at high risk
The pain starts gradually as the blood supply is deprived it is present in left arm.Nause ,vomiting, dizziness occurs. Generally experiencing a severe crushing pain and increases in intensity duration.Patient may have dizziness, nausea,perspiration
  • ECG to rule out rhythm and rate
  • Stress test to assess at what level chest pain occurs
  • Lipid profile to rile out abnormal values
  • Diagnosed by blood tests (creatinine kinases ,cardiac markers like Trop T ,Trop I,Myoglobin)
  • ECG to read rate ,rhythm and block
  • Echo to assess the cardiac output
  • coronary angiography to rule out block
  • Nitroglycerine to relieve pain
  • Stent placement
  • Life style changes
  • No strenuous exercise
  • Anticoagulant to prevent block
  • Lipid lowering drugs to treat hyperlipdemia
  • Angioplasty to clear or remove any block and a stent placement as per requirement
  • No smoking, no alcohol ,no tobacco
  • Regular follow up
  • Health educate about the disease condition and management
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