Angina Pectoris: The symptom of paroxysmal pain consequent to MYOCARDIAL ISCHEMIA usually of distinctive character, location and radiation. It is thought to be provoked by a transient stressful situation during which the oxygen requirements of the MYOCARDIUM exceed that supplied by the CORONARY CIRCULATION.Angina, Unstable: Precordial pain at rest, which may precede a MYOCARDIAL INFARCTION.Angina Pectoris, Variant: A clinical syndrome characterized by the development of CHEST PAIN at rest with concomitant transient ST segment elevation in the ELECTROCARDIOGRAM, but with preserved exercise capacity.Angina, Stable: Persistent and reproducible chest discomfort usually precipitated by a physical exertion that dissipates upon cessation of such an activity. The symptoms are manifestations of MYOCARDIAL ISCHEMIA.Nitroglycerin: A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives.Counterpulsation: A technique for assisting the circulation by decreasing the afterload of the left ventricle and augmenting the diastolic pressure. It may be achieved by intra-aortic balloon, or by implanting a special pumping device in the chest, or externally by applying a negative pressure to the lower extremities during cardiac systole.Coronary Angiography: Radiography of the vascular system of the heart muscle after injection of a contrast medium.Microvascular Angina: ANGINA PECTORIS or angina-like chest pain with a normal coronary arteriogram and positive EXERCISE TEST. The cause of the syndrome is unknown. While its recognition is of clinical importance, its prognosis is excellent. (Braunwald, Heart Disease, 4th ed, p1346; Jablonski Dictionary of Syndromes & Eponymic Diseases, 2d ed). It is different from METABOLIC SYNDROME X, a syndrome characterized by INSULIN RESISTANCE and HYPERINSULINEMIA, that has increased risk for cardiovascular disease.Myocardial Infarction: NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).Exercise Test: Controlled physical activity which is performed in order to allow assessment of physiological functions, particularly cardiovascular and pulmonary, but also aerobic capacity. Maximal (most intense) exercise is usually required but submaximal exercise is also used.Coronary Disease: An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels.Electrocardiography: Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.Oxyfedrine: A drug used in the treatment of angina pectoris, heart failure, conduction defects, and myocardial infarction. It is a partial agonist at beta adrenergic receptors and acts as a coronary vasodilator and cardiotonic agent.Coronary Vasospasm: Spasm of the large- or medium-sized coronary arteries.Coronary Artery Disease: Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.Myocardial Ischemia: A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION).Isosorbide Dinitrate: A vasodilator used in the treatment of ANGINA PECTORIS. Its actions are similar to NITROGLYCERIN but with a slower onset of action.Ergonovine: An ergot alkaloid (ERGOT ALKALOIDS) with uterine and VASCULAR SMOOTH MUSCLE contractile properties.Coronary Vessels: The veins and arteries of the HEART.Amino Alcohols: Compounds possessing both a hydroxyl (-OH) and an amino group (-NH2).Adrenergic beta-Antagonists: Drugs that bind to but do not activate beta-adrenergic receptors thereby blocking the actions of beta-adrenergic agonists. Adrenergic beta-antagonists are used for treatment of hypertension, cardiac arrhythmias, angina pectoris, glaucoma, migraine headaches, and anxiety.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Angioplasty, Balloon, Coronary: Dilation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply.Chest Pain: Pressure, burning, or numbness in the chest.Nifedipine: A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure.Physical Exertion: Expenditure of energy during PHYSICAL ACTIVITY. Intensity of exertion may be measured by rate of OXYGEN CONSUMPTION; HEAT produced, or HEART RATE. Perceived exertion, a psychological measure of exertion, is included.Metoprolol: A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Atherectomy, Coronary: Percutaneous transluminal procedure for removing atheromatous plaque from the coronary arteries. Both directional (for removing focal atheromas) and rotational (for removing concentric atheromatous plaque) atherectomy devices have been used.Propranolol: A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs.Acetanilides: Compounds based on N-phenylacetamide, that are similar in structure to 2-PHENYLACETAMIDES. They are precursors of many other compounds. They were formerly used as ANALGESICS and ANTIPYRETICS, but often caused lethal METHEMOGLOBINEMIA.Myocardial Revascularization: The restoration of blood supply to the myocardium. (From Dorland, 28th ed)Double-Blind Method: A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.Cineangiography: Motion pictures of the passage of contrast medium through blood vessels.Practolol: A beta-1 adrenergic antagonist that has been used in the emergency treatment of CARDIAC ARRYTHMIAS.Acute Coronary Syndrome: An episode of MYOCARDIAL ISCHEMIA that generally lasts longer than a transient anginal episode that ultimately may lead to MYOCARDIAL INFARCTION.Heart Rate: The number of times the HEART VENTRICLES contract per unit of time, usually per minute.Angiocardiography: Radiography of the heart and great vessels after injection of a contrast medium.Oxprenolol: A beta-adrenergic antagonist used in the treatment of hypertension, angina pectoris, arrhythmias, and anxiety.Coronary Artery Bypass: Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.Phonocardiography: Graphic registration of the heart sounds picked up as vibrations and transformed by a piezoelectric crystal microphone into a varying electrical output according to the stresses imposed by the sound waves. The electrical output is amplified by a stethograph amplifier and recorded by a device incorporated into the electrocardiograph or by a multichannel recording machine.Coronary Circulation: The circulation of blood through the CORONARY VESSELS of the HEART.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Nicorandil: A derivative of the NIACINAMIDE that is structurally combined with an organic nitrate. It is a potassium-channel opener that causes vasodilatation of arterioles and large coronary arteries. Its nitrate-like properties produce venous vasodilation through stimulation of guanylate cyclase.Electrocardiography, Ambulatory: Method in which prolonged electrocardiographic recordings are made on a portable tape recorder (Holter-type system) or solid-state device ("real-time" system), while the patient undergoes normal daily activities. It is useful in the diagnosis and management of intermittent cardiac arrhythmias and transient myocardial ischemia.Biological Markers: Measurable and quantifiable biological parameters (e.g., specific enzyme concentration, specific hormone concentration, specific gene phenotype distribution in a population, presence of biological substances) which serve as indices for health- and physiology-related assessments, such as disease risk, psychiatric disorders, environmental exposure and its effects, disease diagnosis, metabolic processes, substance abuse, pregnancy, cell line development, epidemiologic studies, etc.Prognosis: A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.Clinical Trials as Topic: Works about pre-planned studies of the safety, efficacy, or optimum dosage schedule (if appropriate) of one or more diagnostic, therapeutic, or prophylactic drugs, devices, or techniques selected according to predetermined criteria of eligibility and observed for predefined evidence of favorable and unfavorable effects. This concept includes clinical trials conducted both in the U.S. and in other countries.Sympatholytics: Drugs that inhibit the actions of the sympathetic nervous system by any mechanism. The most common of these are the ADRENERGIC ANTAGONISTS and drugs that deplete norepinephrine or reduce the release of transmitters from adrenergic postganglionic terminals (see ADRENERGIC AGENTS). Drugs that act in the central nervous system to reduce sympathetic activity (e.g., centrally acting alpha-2 adrenergic agonists, see ADRENERGIC ALPHA-AGONISTS) are included here.Vasodilator Agents: Drugs used to cause dilation of the blood vessels.Plaque, Atherosclerotic: Lesions formed within the walls of ARTERIES.Ludwig's Angina: Severe cellulitis of the submaxillary space with secondary involvement of the sublingual and submental space. It usually results from infection in the lower molar area or from a penetrating injury to the mouth floor. (From Dorland, 27th ed)PropiophenonesAtenolol: A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect.Calcium Channel Blockers: A class of drugs that act by selective inhibition of calcium influx through cellular membranes.Verapamil: A calcium channel blocker that is a class IV anti-arrhythmia agent.Ultrasonography, Interventional: The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Blood Pressure: PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS.Coronary Stenosis: Narrowing or constriction of a coronary artery.C-Reactive Protein: A plasma protein that circulates in increased amounts during inflammation and after tissue damage.Spinal Cord Stimulation: Application of electric current to the spine for treatment of a variety of conditions involving innervation from the spinal cord.Placebos: Any dummy medication or treatment. Although placebos originally were medicinal preparations having no specific pharmacological activity against a targeted condition, the concept has been extended to include treatments or procedures, especially those administered to control groups in clinical trials in order to provide baseline measurements for the experimental protocol.Propanolamines: AMINO ALCOHOLS containing the propanolamine (NH2CH2CHOHCH2) group and its derivatives.Cardiovascular Agents: Agents that affect the rate or intensity of cardiac contraction, blood vessel diameter, or blood volume.Predictive Value of Tests: In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.Hemodynamics: The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.Laser Therapy: The use of photothermal effects of LASERS to coagulate, incise, vaporize, resect, dissect, or resurface tissue.Fibrinolysis: The natural enzymatic dissolution of FIBRIN.Troponin T: One of the three polypeptide chains that make up the TROPONIN complex. It is a cardiac-specific protein that binds to TROPOMYOSIN. It is released from damaged or injured heart muscle cells (MYOCYTES, CARDIAC). Defects in the gene encoding troponin T result in FAMILIAL HYPERTROPHIC CARDIOMYOPATHY.Recurrence: The return of a sign, symptom, or disease after a remission.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Electric Stimulation Therapy: Application of electric current in treatment without the generation of perceptible heat. It includes electric stimulation of nerves or muscles, passage of current into the body, or use of interrupted current of low intensity to raise the threshold of the skin to pain.Cardiac Catheterization: Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.Labetalol: A salicylamide derivative that is a non-cardioselective blocker of BETA-ADRENERGIC RECEPTORS and ALPHA-1 ADRENERGIC RECEPTORS.Collateral Circulation: Maintenance of blood flow to an organ despite obstruction of a principal vessel. Blood flow is maintained through small vessels.Neopterin: A pteridine derivative present in body fluids; elevated levels result from immune system activation, malignant disease, allograft rejection, and viral infections. (From Stedman, 26th ed) Neopterin also serves as a precursor in the biosynthesis of biopterin.Exercise Tolerance: The exercise capacity of an individual as measured by endurance (maximal exercise duration and/or maximal attained work load) during an EXERCISE TEST.Coronary Thrombosis: Coagulation of blood in any of the CORONARY VESSELS. The presence of a blood clot (THROMBUS) often leads to MYOCARDIAL INFARCTION.Heart: The hollow, muscular organ that maintains the circulation of the blood.Pindolol: A moderately lipophilic beta blocker (ADRENERGIC BETA-ANTAGONISTS). It is non-cardioselective and has intrinsic sympathomimetic actions, but little membrane-stabilizing activity. (From Martindale, The Extra Pharmocopoeia, 30th ed, p638)Trimetazidine: A vasodilator used in angina of effort or ischemic heart disease.Chronic Disease: Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)Drug Therapy, Combination: Therapy with two or more separate preparations given for a combined effect.Diltiazem: A benzothiazepine derivative with vasodilating action due to its antagonism of the actions of CALCIUM ion on membrane functions.Eye Manifestations: Ocular disorders attendant upon non-ocular disease or injury.Delayed-Action Preparations: Dosage forms of a drug that act over a period of time by controlled-release processes or technology.Diagnostic Techniques, Cardiovascular: Methods and procedures for the diagnosis of diseases or dysfunction of the cardiovascular system or its organs or demonstration of their physiological processes.Prenylamine: A drug formerly used in the treatment of angina pectoris but superseded by less hazardous drugs. Prenylamine depletes myocardial catecholamine stores and has some calcium channel blocking activity. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1406)Indoramin: An alpha-1 adrenergic antagonist that is commonly used as an antihypertensive agent.Stents: Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.Death, Sudden: The abrupt cessation of all vital bodily functions, manifested by the permanent loss of total cerebral, respiratory, and cardiovascular functions.Stroke Volume: The amount of BLOOD pumped out of the HEART per beat, not to be confused with cardiac output (volume/time). It is calculated as the difference between the end-diastolic volume and the end-systolic volume.Colic: A clinical syndrome with intermittent abdominal pain characterized by sudden onset and cessation that is commonly seen in infants. It is usually associated with obstruction of the INTESTINES; of the CYSTIC DUCT; or of the URINARY TRACT.Fibrinogen: Plasma glycoprotein clotted by thrombin, composed of a dimer of three non-identical pairs of polypeptide chains (alpha, beta, gamma) held together by disulfide bonds. Fibrinogen clotting is a sol-gel change involving complex molecular arrangements: whereas fibrinogen is cleaved by thrombin to form polypeptides A and B, the proteolytic action of other enzymes yields different fibrinogen degradation products.Pentaerythritol Tetranitrate: A vasodilator with general properties similar to NITROGLYCERIN but with a more prolonged duration of action. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1025)Regression Analysis: Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.PropylaminesDipyridamole: A phosphodiesterase inhibitor that blocks uptake and metabolism of adenosine by erythrocytes and vascular endothelial cells. Dipyridamole also potentiates the antiaggregating action of prostacyclin. (From AMA Drug Evaluations Annual, 1994, p752)Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Vectorcardiography: Recording of the moment-to-moment electromotive forces of the heart on a plane of the body surface delineated as a vector function of time.Platelet Aggregation Inhibitors: Drugs or agents which antagonize or impair any mechanism leading to blood platelet aggregation, whether during the phases of activation and shape change or following the dense-granule release reaction and stimulation of the prostaglandin-thromboxane system.Case-Control Studies: Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Creatine Kinase: A transferase that catalyzes formation of PHOSPHOCREATINE from ATP + CREATINE. The reaction stores ATP energy as phosphocreatine. Three cytoplasmic ISOENZYMES have been identified in human tissues: the MM type from SKELETAL MUSCLE, the MB type from myocardial tissue and the BB type from nervous tissue as well as a mitochondrial isoenzyme. Macro-creatine kinase refers to creatine kinase complexed with other serum proteins.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Tomography, Emission-Computed, Single-Photon: A method of computed tomography that uses radionuclides which emit a single photon of a given energy. The camera is rotated 180 or 360 degrees around the patient to capture images at multiple positions along the arc. The computer is then used to reconstruct the transaxial, sagittal, and coronal images from the 3-dimensional distribution of radionuclides in the organ. The advantages of SPECT are that it can be used to observe biochemical and physiological processes as well as size and volume of the organ. The disadvantage is that, unlike positron-emission tomography where the positron-electron annihilation results in the emission of 2 photons at 180 degrees from each other, SPECT requires physical collimation to line up the photons, which results in the loss of many available photons and hence degrades the image.Multivariate Analysis: A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.Nitrates: Inorganic or organic salts and esters of nitric acid. These compounds contain the NO3- radical.Perhexiline: 2-(2,2-Dicyclohexylethyl)piperidine. Coronary vasodilator used especially for angina of effort. It may cause neuropathy and hepatitis.Tomography, Spiral Computed: Computed tomography where there is continuous X-ray exposure to the patient while being transported in a spiral or helical pattern through the beam of irradiation. This provides improved three-dimensional contrast and spatial resolution compared to conventional computed tomography, where data is obtained and computed from individual sequential exposures.Erythrocyte Aggregation: The formation of clumps of RED BLOOD CELLS under low or non-flow conditions, resulting from the attraction forces between the red blood cells. The cells adhere to each other in rouleaux aggregates. Slight mechanical force, such as occurs in the circulation, is enough to disperse these aggregates. Stronger or weaker than normal aggregation may result from a variety of effects in the ERYTHROCYTE MEMBRANE or in BLOOD PLASMA. The degree of aggregation is affected by ERYTHROCYTE DEFORMABILITY, erythrocyte membrane sialylation, masking of negative surface charge by plasma proteins, etc. BLOOD VISCOSITY and the ERYTHROCYTE SEDIMENTATION RATE are affected by the amount of erythrocyte aggregation and are parameters used to measure the aggregation.Heart Ventricles: The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation.Northern IrelandDrug Tolerance: Progressive diminution of the susceptibility of a human or animal to the effects of a drug, resulting from its continued administration. It should be differentiated from DRUG RESISTANCE wherein an organism, disease, or tissue fails to respond to the intended effectiveness of a chemical or drug. It should also be differentiated from MAXIMUM TOLERATED DOSE and NO-OBSERVED-ADVERSE-EFFECT LEVEL.Echocardiography: Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Hemostasis: The process which spontaneously arrests the flow of BLOOD from vessels carrying blood under pressure. It is accomplished by contraction of the vessels, adhesion and aggregation of formed blood elements (eg. ERYTHROCYTE AGGREGATION), and the process of BLOOD COAGULATION.Blood Viscosity: The internal resistance of the BLOOD to shear forces. The in vitro measure of whole blood viscosity is of limited clinical utility because it bears little relationship to the actual viscosity within the circulation, but an increase in the viscosity of circulating blood can contribute to morbidity in patients suffering from disorders such as SICKLE CELL ANEMIA and POLYCYTHEMIA.Postcholecystectomy Syndrome: Abdominal symptoms after removal of the GALLBLADDER. The common postoperative symptoms are often the same as those present before the operation, such as COLIC, bloating, NAUSEA, and VOMITING. There is pain on palpation of the right upper quadrant and sometimes JAUNDICE. The term is often used, inaccurately, to describe such postoperative symptoms not due to gallbladder removal.
The effect of race and sex on physicians' recommendations for cardiac catheterization. (1/2517)
BACKGROUND: Epidemiologic studies have reported differences in the use of cardiovascular procedures according to the race and sex of the patient. Whether the differences stem from differences in the recommendations of physicians remains uncertain. METHODS: We developed a computerized survey instrument to assess physicians' recommendations for managing chest pain. Actors portrayed patients with particular characteristics in scripted interviews about their symptoms. A total of 720 physicians at two national meetings of organizations of primary care physicians participated in the survey. Each physician viewed a recorded interview and was given other data about a hypothetical patient. He or she then made recommendations about that patient's care. We used multivariate logistic-regression analysis to assess the effects of the race and sex of the patients on treatment recommendations, while controlling for the physicians' assessment of the probability of coronary artery disease as well as for the age of the patient, the level of coronary risk, the type of chest pain, and the results of an exercise stress test. RESULTS: The physicians' mean (+/-SD) estimates of the probability of coronary artery disease were lower for women (probability, 64.1+/-19.3 percent, vs. 69.2+/-18.2 percent for men; P<0.001), younger patients (63.8+/-19.5 percent for patients who were 55 years old, vs. 69.5+/-17.9 percent for patients who were 70 years old; P<0.001), and patients with nonanginal pain (58.3+/-19.0 percent, vs. 64.4+/-18.3 percent for patients with possible angina and 77.1+/-14.0 percent for those with definite angina; P=0.001). Logistic-regression analysis indicated that women (odds ratio, 0.60; 95 percent confidence interval, 0.4 to 0.9; P=0.02) and blacks (odds ratio, 0.60; 95 percent confidence interval, 0.4 to 0.9; P=0.02) were less likely to be referred for cardiac catheterization than men and whites, respectively. Analysis of race-sex interactions showed that black women were significantly less likely to be referred for catheterization than white men (odds ratio, 0.4; 95 percent confidence interval, 0.2 to 0.7; P=0.004). CONCLUSIONS: Our findings suggest that the race and sex of a patient independently influence how physicians manage chest pain. (+info)Fibrinolytic activation markers predict myocardial infarction in the elderly. The Cardiovascular Health Study. (2/2517)
Coagulation factor levels predict arterial thrombosis in epidemiological studies, but studies of older persons are needed. We studied 3 plasma antigenic markers of fibrinolysis, viz, plasminogen activator inhibitor-1 (PAI-1), fibrin fragment D-dimer, and plasmin-antiplasmin complex (PAP) for the prediction of arterial thrombosis in healthy elderly persons over age 65. The study was a nested case-control study in the Cardiovascular Health Study cohort of 5201 men and women >/=65 years of age who were enrolled from 1989 to 1990. Cases were 146 participants without baseline clinical vascular disease who developed myocardial infarction, angina, or coronary death during a follow-up of 2.4 years. Controls remained free of cardiovascular events and were matched 1:1 to cases with respect to sex, duration of follow-up, and baseline subclinical vascular disease status. With increasing quartile of D-dimer and PAP levels but not of PAI-1, there was an independent increased risk of myocardial infarction or coronary death, but not of angina. The relative risk for D-dimer above versus below the median value (>/=120 microg/L) was 2.5 (95% confidence interval, 1.1 to 5.9) and for PAP above the median (>/=5.25 nmol/L), 3.1 (1.3 to 7.7). Risks were independent of C-reactive protein and fibrinogen concentrations. There were no differences in risk by sex or presence of baseline subclinical disease. D-dimer and PAP, but not PAI-1, predicted future myocardial infarction in men and women over age 65. Relationships were independent of other risk factors, including inflammation markers. Results indicate a major role for these markers in identifying a high risk of arterial disease in this age group. (+info)Randomised controlled trial of follow up care in general practice of patients with myocardial infarction and angina: final results of the Southampton heart integrated care project (SHIP). The SHIP Collaborative Group. (3/2517)
OBJECTIVE: To assess the effectiveness of a programme to coordinate and support follow up care in general practice after a hospital diagnosis of myocardial infarction or angina. DESIGN: Randomised controlled trial; stratified random allocation of practices to intervention and control groups. SETTING: All 67 practices in Southampton and south west Hampshire, England. SUBJECTS: 597 adult patients (422 with myocardial infarction and 175 with a new diagnosis of angina) who were recruited during hospital admission or attendance at a chest pain clinic between April 1995 and September 1996. INTERVENTION: Programme to coordinate preventive care led by specialist liaison nurses which sought to improve communication between hospital and general practice and to encourage general practice nurses to provide structured follow up. MAIN OUTCOME MEASURES: Serum total cholesterol concentration, blood pressure, distance walked in 6 minutes, confirmed smoking cessation, and body mass index measured at 1 year follow up. RESULTS: Of 559 surviving patients at 1 year, 502 (90%) were followed up. There was no significant difference between the intervention and control groups in smoking (cotinine validated quit rate 19% v 20%), lipid concentrations (serum total cholesterol 5.80 v 5.93 mmol/l), blood pressure (diastolic pressure 84 v 85 mm Hg), or fitness (distance walked in 6 minutes 443 v 433 m). Body mass index was slightly lower in the intervention group (27.4 v 28.2; P=0.08). CONCLUSIONS: Although the programme was effective in promoting follow up in general practice, it did not improve health outcome. Simply coordinating and supporting existing NHS care is insufficient. Ischaemic heart disease is a chronic condition which requires the same systematic approach to secondary prevention applied in other chronic conditions such as diabetes mellitus. (+info)The transmyocardial laser revascularization international registry report. (4/2517)
AIMS: This report aimed to provide an analysis of the data submitted from Europe and Asia on transmyocardial laser revascularization. METHODS AND RESULTS: Prospective data was recorded on 967 patients with intractable angina not amenable to conventional revascularization in 21 European and Asian centres performing transmyocardial laser revascularization using the PLC Medical Systems CO2 laser. Patient characteristics, operative details and early complications following transmyocardial laser revascularization were recorded. The in-hospital death rate was 9.7% (95% confidence interval 7.8% to 11.6%). Other early complications were consistent with similar cardiothoracic surgical procedures. There was a decrease of two or more Canadian Cardiovascular Score angina classes in 47.3%, 45.4% and 34.0% of survivors at 3, 6 and 12 months follow-up, respectively (P=0.001 for each). Treadmill exercise time increased by 42 s at 3 months (P=0.008), 1 min 43 s at 6 months (P<0.001) and 1 min 50 s at 12 months (P<0.001) against pre-operative times of 6 min. CONCLUSION: Uncontrolled registry data suggest that transmyocardial laser revascularization may lead to a decrease in angina and improved exercise tolerance. It does, however, have a risk of peri-operative morbidity and mortality. Definitive results from randomized controlled trials are awaited. (+info)Heart rate variability and ischaemia in patients with coronary heart disease and stable angina pectoris; influence of drug therapy and prognostic value. TIBBS Investigators Group. Total Ischemic Burden Bisoprolol Study. (5/2517)
AIMS: Determination of the influence of therapy with bisoprolol and nifedipine on the heart rate variability of patients from the Total Ischemic Burden Bisoprolol Study and examination of the prognostic value. METHODS AND RESULTS: Four hundred and twenty-two patients with stable angina were included. The heart rate variability was determined over a period of 24 h. Parameters determined: standard deviation of the mean of all corrected RR intervals, standard deviation of all 5 min mean cycle lengths, square root of the mean of the squared differences of successive corrected RR intervals. Nifedipine reduced the mean values of all heart rate variability parameters tested. Square root of the mean of the square differences of successive corrected RR intervals increased under bisoprolol. Standard deviation of the mean of all corrected RR intervals and standard deviation of all 5 min mean cycle lengths increased from low baseline values and declined from higher baseline values. The increase in heart rate variability under therapy was accompanied by a tendency towards a better prognosis. Patients with an increase in heart rate variability and simultaneous complete suppression of ischaemia under therapy displayed no serious events in the course of one year. CONCLUSIONS: The increase in the heart rate variability, which can be regarded as prognostically favourable, was predominantly observed under bisoprolol. The parameter constellation of an increase in heart rate variability and complete ischaemia suppression on the 48-h Holter ECG was associated with the greatest benefit. (+info)Evaluation of technician supervised treadmill exercise testing in a cardiac chest pain clinic. (6/2517)
OBJECTIVE: To determine the efficacy and safety of trained cardiac technicians independently performing treadmill exercise stress tests as part of the assessment of patients with suspected angina pectoris. DESIGN: Retrospective comparison of 250 exercise tests performed by cardiac technicians and 225 tests performed by experienced cardiology clinical assistants (general practitioners who perform regular NHS cardiology duties), and consultant cardiologists over the same time period. SETTING: Regional cardiac centre with a dedicated cardiac chest pain clinic. PATIENTS: All patients were referred by their general practitioners with a history of recent onset of chest pain, which was suspected to be angina pectoris. OUTCOME MEASURES: Peak workload achieved, symptoms, indications for termination, complications. RESULTS: The diagnostic yield of technician supervised tests (percentage positive or negative) was similar to that of medically supervised tests (76% v 69%, NS). The average peak workload achieved by patients was less by 1.2 mets (p < 0.005). This was probably due to more tests being terminated earlier due to chest pain and ST segment depression in the technician group compared with doctors (10% and 16% v 5% and 11% respectively, p = 0.06 and 0.07). One patient in the technician supervised group developed a supraventricular tachycardia during the recovery phase of the exercise test. CONCLUSIONS: Technician supervised stress testing is associated with a high diagnostic rate and low complication rate in patients with suspected ischaemic heart disease. Its efficacy is comparable to tests supervised by experienced doctors and its use should be encouraged. (+info)Follow-up care in general practice of patients with myocardial infarction or angina pectoris: initial results of the SHIP trial. Southampton Heart Integrated Care Project. (7/2517)
OBJECTIVE: We aimed to assess the effectiveness of a nurse-led programme to ensure that follow-up care is provided in general practice after hospital diagnosis of myocardial infarction (MI) or angina pectoris. METHODS: We conducted a randomized controlled trial with stratified random allocation of practices to intervention and control groups within all 67 practices in Southampton and South-West Hampshire, England. The subjects were 422 adult patients with a MI and 175 patients with a new diagnosis of angina recruited during hospital admission or chest pain clinic attendance between April 1995 and September 1996. Intervention involved a programme of secondary preventive care led by specialist liaison nurses in which we sought to improve communication between hospital and general practice and to encourage general practice nurses to provide structured follow-up. The main outcome measures were: extent of general practice follow-up; attendance for cardiac rehabilitation; medication prescribed at hospital discharge; self-reported smoking, diet and exercise; and symptoms of chest pain and shortness of breath. Follow-ups of 90.1 % of subjects at 1 month and 80.6% at 4 months were carried out. RESULTS: Median attendance for nurse follow-up in the 4 months following diagnosis was 3 (IQR 2-5) in intervention practices and 0 (IQR 0-1) in control practices; the median number of visits to a doctor was the same in both groups. At hospital discharge, levels of prescribing of preventive medication were low in both intervention and control groups: aspirin 77 versus 74% (P = 0.32), cholesterol lowering agents 9 versus 10% (P = 0.8). Conversely, 1 month after diagnosis, the vast majority of patients in both groups reported healthy lifestyles: 90 versus 84% reported eating healthy food (P = 0.53); 73 versus 67% taking regular exercise (P = 0.13); 89 versus 92% not smoking (P = 0.77). Take up of cardiac rehabilitation was 37% in the intervention group and 22% in the control group (P = 0.001); the median number of sessions attended was also higher (5 versus 3 out of 6). CONCLUSIONS: The intervention of a liaison nurse is effective in ensuring that general practice nurses follow-up patients after hospital discharge. It does not alter the number of follow-up visits made by the patient to the doctor. Levels of prescribing and reported changes in behaviour at hospital discharge indicate that the main tasks facing practice nurses during follow-up are to help patients to sustain changes in behaviour, to encourage doctors to prescribe appropriate medication and to encourage patients to adhere to medication while returning to an active life. These are very different tasks to those traditionally undertaken by practice nurses in relation to primary prevention, where the emphasis has been on identifying risk and motivating change. Assessment of the effectiveness of practice nurses in undertaking these new tasks requires a longer follow-up. (+info)The economic consequences of available diagnostic and prognostic strategies for the evaluation of stable angina patients: an observational assessment of the value of precatheterization ischemia. Economics of Noninvasive Diagnosis (END) Multicenter Study Group. (8/2517)
OBJECTIVES: The study aim was to determine observational differences in costs of care by the coronary disease diagnostic test modality. BACKGROUND: A number of diagnostic strategies are available with few data to compare the cost implications of the initial test choice. METHODS: We prospectively enrolled 11,372 consecutive stable angina patients who were referred for stress myocardial perfusion tomography or cardiac catheterization. Stress imaging patients were matched by their pretest clinical risk of coronary disease to a series of patients referred to cardiac catheterization. Composite 3-year costs of care were compared for two patients management strategies: 1) direct cardiac catheterization (aggressive) and 2) initial stress myocardial perfusion tomography and selective catheterization of high risk patients (conservative). Analysis of variance techniques were used to compare costs, adjusting for treatment propensity and pretest risk. RESULTS: Observational comparisons of aggressive as compared with conservative testing strategies reveal that costs of care were higher for direct cardiac catheterization in all clinical risk subsets (range: $2,878 to $4,579), as compared with stress myocardial perfusion imaging plus selective catheterization (range: $2,387 to $3,010, p < 0.0001). Coronary revascularization rates were higher for low, intermediate and high risk direct catheterization patients as compared with the initial stress perfusion imaging cohort (13% to 50%, p < 0.0001); cardiac death or myocardial infarction rates were similar (p > 0.20). CONCLUSIONS: Observational assessments reveal that stable chest pain patients who undergo a more aggressive diagnostic strategy have higher diagnostic costs and greater rates of intervention and follow-up costs. Cost differences may reflect a diminished necessity for resource consumption for patients with normal test results. (+info)Angina pectoris". Am. J. Pathol. 97 (3): 530. PMC 2042409 . PMID 389065. Prichard, R (December 1979). "Selected items from the ...
By 1907 Mackenzie experienced frequent episodes of angina pectoris which he mentioned to Sir Thomas Lewis and in 1908 he had a ... Mackenzie, James (1923). Angina pectoris. London: Henry Frowde, Hodder & Stoughton. Mackenzie, James (1908). Diseases of the ... His angina continued after 1908 and became progressively worse until in January 1925 he had a prolonged and severe attack of ... angina and died at around 4am in the morning of 26 January 1925. Before his death Mackenzie has asked that his friend John ...
Kounis syndrome (allergic angina and allergic myocardial infarction). Angina Pectoris. Etiology, Pathogenesis and Treatment. ... "Kounis syndrome (allergic angina and allergic myocardial infarction): A natural paradigm?" Kounis NG. International Journal of ... Kounis syndrome (allergic angina and allergic myocardial infarction): A natural paradigm? International Journal of Cardiology ... It was during this period when he treated two patients who developed angina progressing to acute myocardial infarction ...
Early Detection: Arrhythmia; Ischemia; Angina pectoris; Cardiac microvascular diseases Direct diagnosis of heart function after ...
Frederick Fillmore French, 52, Manhattan builder (Tudor City, Knickerbocker Village); of angina pectoris; in Pawling, N. Y. An ...
This may lead to angina pectoris (chest pain or tightness on exertion) or heart attacks. Less commonly, arteries of the brain ... Müller C (1938). "Xanthoma, hypercholesterolemia, angina pectoris". Acta Med Scandinav. 95 Suppl (89): 75-84. doi:10.1111/j. ...
He died of angina pectoris. He is known today for the "Arndt-Schulz rule", a pharmacologic principle of homeopathy that is ...
Class III/IV angina pectoris. Left main or multi vessel coronary artery disease. Need for open heart surgery within 30 days. ...
Hickie JB (August 1970). "Alprenolol ("aptin") in angina pectoris. A double-blind multicentre trial". Med. J. Aust. 2 (6): 268- ... used in the treatment of angina pectoris. It is no longer marketed by AstraZeneca, but may still be available from other ...
Unstable angina pectoris benefits from counterpulsation. Post cardiothoracic surgery-most common and useful is counterpulsation ... Preoperative use is suggested for high-risk patients such as those with unstable angina with stenosis greater than 70% of main ...
A variant form of angina pectoris. Preliminary report. Am Heart J 1959; 27:375. Grattan-Guinness, Ivor (1997): The Rainbow of ... Prinzmetal angina: also known as variant angina, referring to angina (chest pain) caused by vasospasm of the coronary arteries ... Electrocardiographic study during a paroxysm of angina pectoris. Am Heart J 1933; 9:259. Prinzmetal, M, Kennamer, R, Merliss, R ... Electrocardiographic changes during brief attacks of angina pectoris. Lancet 1931; 1:15. Brow, GR, Holman, DV. ...
Sandler, G. (1961). "Clinical Evaluation of Propatylnitrate in Angina Pectoris". British Medical Journal. 2 (5269): 1741-1744. ...
Thomas Jones died in 1803; the cause of death was angina pectoris. He was buried at the family chapel at Caebach, Llandrindod ...
It was also used in the treatment of angina pectoris and schizophrenia. Pheniprazine has been largely discontinued due to ... Sandler, G (1961). "Clinical evaluation of pheniprazine in angina pectoris". British medical journal. 1 (5228): 792-4. doi: ...
Cardiac chest pain is called angina pectoris. Some causes of noncardiac chest pain include gastrointestinal, musculoskeletal, ... Prinzmetal's angina - Chest pain is caused by coronary vasospasm. More common in women younger than 50 years. Patient usually ... Acute coronary syndrome Stable or unstable angina Myocardial infarction ("heart attack") - People usually complained of a ...
... has been used to relieve the pain associated with angina pectoris by acting as a selective coronary vasodilator. This ... Osher, Harold; Katz, Kermit; Wagner, Donald (1951). "Khellin in the treatment of angina pectoris". The New England Journal of ... Conn, James J. (1952). "The treatment of angina pectoris with khellin". Annals of Internal Medicine. 36 (5): 1173-1178. doi: ...
He died of angina pectoris in 1885. "Death of Ex-Mayor Socrates Tuttle". Paterson Daily Press. February 13, 1885. Retrieved ...
"Description of Angina Pectoris by William Heberden". Retrieved 29 July 2016. Bright, Richard (1831). Reports of Medical Cases, ...
"Enhanced external counterpulsation for chronic angina pectoris". The Cochrane Database of Systematic Reviews (2): CD007219. doi ... Other reviews found tentative benefit in those with angina that does not improve with medications. For stroke due to lack of ... External counterpulsation therapy (ECP) is a procedure that may be performed on individuals with angina, heart failure, or ... Some reviews did not find sufficient evidence that it was useful for either angina or heart failure. ...
Duff died in May 1922 from angina pectoris. 1882 Michigan Wolverines football team 1884 Michigan Wolverines football team "1882 ...
The official cause of death was Angina pectoris. "J. A Maynard for Surveyor". The Boston Daily Globe. October 19, 1913. " ...
Leighton died the next day of angina pectoris. Leighton remained a bachelor and rumours of his having an illegitimate child ...
1966). "The prophylactic value of propranolol in angina pectoris". Am J Cardiol. 18 (3): 370-83. doi:10.1016/0002-9149(66)90056 ... propranalol's effectiveness in headache treatment was a chance finding in patients receiving the drug for angina (chest pain ...
Murrell, William (1879). "Nitro-glycerine as a remedy for angina pectoris". The Lancet: 80-81, 113-115, 151-152, 225-227. doi: ... GTN is useful in decreasing angina attacks, perhaps more so than reversing angina once started, by supplementing blood ... William Murrell experimented with the use of nitroglycerin to alleviate angina pectoris and reduce blood pressure, and showed ... GTN is also used in the treatment of anal fissures, though usually at a much lower concentration than that used for angina ...
Murrell's administration of nitroglycerin to patients with angina pectoris was documented in the article "Nitro-glycerine as a ... Murrell, W. (1879). "NITRO-GLYCERINE AS A REMEDY FOR ANGINA PECTORIS" (PDF). The Lancet. 113 (2894): 225-227. doi:10.1016/S0140 ... for the management of patients with angina pectoris. Murrell was born in London in 1853, the son of a lawyer. He was educated ... remedy for angina pectoris," published in 1879. The article describes a case series of patients which benefited from the ...
This may lead to angina pectoris (chest pain or tightness on exertion) or heart attacks. Less commonly, arteries of the brain ... Müller C (1938). "Xanthoma, hypercholesterolemia, angina pectoris". Acta Med Scandinav. 95 Suppl (89): 75-84. doi:10.1111/j. ...
ANGINA PECTORIS. Br Med J 1906; 1 doi: https://doi.org/10.1136/bmj.1.2357.535-a (Published 03 March 1906) Cite this as: Br Med ...
... angina pectoris (nl); angina (pt); Angina pectoris (de); Angina pectoris (sk); Angina pectoris (hu); Stenokardija (lt); angina ... Angina (sl); Krūtinės angina (lt); Angina pectoris (la); Angina pectoris (ml); Angina pectoris (th); hjartekrampe, angina (nn ... Angina pectoris (af); ангина пекторис (sr); 心绞痛 (zh-sg); angina pectoris (nn); angina pectoris (nb); Stenokardiya (az); angina ... Angina pectoris (fi); மார்பு நெரிப்பு (ta); Angina pectoris (it); angina (sco); 心绞痛 (zh-hans); angina de pit (ca); 心絞痛 (zh-tw ...
Treatment of angina pectoris.. Br Med J 1969; 2 doi: https://doi.org/10.1136/bmj.2.5657.634-a (Published 07 June 1969) Cite ...
Angina is a common presenting symptom (typically, chest pain) among patients with coronary artery disease. ... Angina pectoris is the result of myocardial ischemia caused by an imbalance between myocardial blood supply and oxygen demand. ... encoded search term (Angina%20Pectoris) and Angina Pectoris What to Read Next on Medscape. Medscape Consult. ... Angina Pectoris Differential Diagnoses. Updated: Dec 14, 2017 * Author: Jamshid Alaeddini, MD, FACC, FHRS; Chief Editor: Eric H ...
... , Angina, Myocardial Ischemia, Ischemic Heart Disease, Stable Angina. ... angina pectoris, Angina syndrome, Angina of effort, Angina NOS, Angina Pectoris [Disease/Finding], pectoris angina, Pain;angina ... Stable Angina Pectori, Stable Anginas, Angina Pectoris, Stable, Angina Pectori, Stable, Pectoris, Stable Angina, Angina, ... stabiele angina pectoris German. stabile Angina pectoris, Chronische stabile Angina, Angina, stabile, Angina pectoris, stabile ...
Angina is a common presenting symptom (typically, chest pain) among patients with coronary artery disease. ... Angina pectoris is the result of myocardial ischemia caused by an imbalance between myocardial blood supply and oxygen demand. ... Angina Pectoris) and Angina Pectoris What to Read Next on Medscape. Related Conditions and Diseases. * Angina Pectoris ... Angina decubitus. Angina decubitus is a variant of angina pectoris that occurs at night while the patient is recumbent. Some ...
angina pectoris synonyms, angina pectoris pronunciation, angina pectoris translation, English dictionary definition of angina ... pectoris. n. Severe paroxysmal pain in the chest associated with an insufficient supply of blood to the heart. n. a sensation ... Angina pectoris - definition of angina pectoris by The Free Dictionary https://www.thefreedictionary.com/angina+pectoris ... New Latin : Latin angina, quinsy + pectoris, genitive of pectus, chest.]. angi′na pec′to•ris. (ˈpɛk tə rɪs) n. a sensation of ...
Make research projects and school reports about angina pectoris easy with credible articles from our FREE, online encyclopedia ... and pictures about angina pectoris at Encyclopedia.com. ... angina of effort and variant angina.. Angina of effort Angina ... angina †quinsy XVI; short for angina pectoris XVIII. - L. angina quinsy - Gr. agkhónē strangling, with assim. to angere (see ... angina of effort and variant angina.. Angina of effort. Angina of effort is a common disorder caused by the narrowing of the ...
Angina Pectoris. Angina, Stable. Chest Pain. Pain. Neurologic Manifestations. Nervous System Diseases. Myocardial Ischemia. ... Capadenoson in Angina Pectoris. This study has been withdrawn prior to enrollment. ... Stable angina of mild-moderate intensity (Canadian class II-III) with anti-anginal medication not changed for the last 5 weeks ... Chronic Stable Angina Drug: Capadenoson (BAY 68-4986) Drug: Placebo Phase 2 ...
Overview of Angina Pectoris. Related Tests: CK-MB, AST, Troponin. Chest pain; usually a symptom of myocardial ischemia. Types: ... Angina Pectoris is a term for chest pain caused by the heart not getting enough oxygen. This lack of oxygen is also called ... Variant angina (Prinzmetals angina) almost always occurs during periods of rest - usually at night. The cause is a spasm of a ... There are three main types of angina:. *Stable angina is characterised by predictable periods of discomfort that occur during ...
Stable angina Unstable angina (acute coronary syndrome) Cardiac syndrome X (microvascular angina) Decubitus angina Vasospastic ... 1. ANGINA PECTORIS Episodes of chest pain caused by myocardial ischaemia secondary to CAD Severity and prognosis : degree of ... INDEX 1. Angina Pectoris 2. Myocardial Infarction 3. Congestive Heart Failure 4. Hypertensive 5. Rheumatic Fever 6. Infective ... angina at rest or sudden onset with rapid increase in severity : clinical features of angina but normal coronary arteries on ...
Reversible Cardiac Failure During Angina Pectoris. Hemodynamic Effects of Atrial Pacing in Coronary Artery Disease. JOHN O. ... The normal subjects and the patients with coronary artery disease who did not experience angina during pacing reacted similarly ... The average left ventricular end-diastolic pressure during pacing in the 21 patients who developed angina was similar to ...
Reviews and ratings for adalat when used in the treatment of angina pectoris prophylaxis. Share your experience with this ... Angina Pectoris Prophylaxis aspirin, metoprolol, diltiazem, atenolol, nitroglycerin, Nitrostat, isosorbide mononitrate, ... Reviews for Adalat to treat Angina Pectoris Prophylaxis. No reviews have yet been submitted. Be the first to review this drug. ...
The Dangers of Angina Pectoris 3 Introduction 4 The Human Heart 5 Symptoms of Coronary Heart Disease 5 Heart Attack 5 Sudden ... More about Essay on The Dangers of Angina Pectoris. *. The Continuing Dilemma Of Angina Pectoris. 1657 Words , 7 Pages ... The Continuing Dilemma Of Angina Pectoris. 1657 Words , 7 Pages. The continuing dilemma of angina pectoris. Look beyond the ... The doctor used the term "angina pectoris"" (4). Angina pectoris originates from a lack of blood entering the blood vessels ...
Angina.html?id=ZwL2JXsXSH4C&utm_source=gb-gplus-shareBeta-Blockers in Hypertension and Angina Pectoris. ... acute hospitalization adrenergic alpha alpha-blocker alpha-receptors anesthesia angina pectoris Angiology atenolol beta-1- ... Beta-Blockers in Hypertension and Angina Pectoris: Different Compounds .... Ton J eophas. No preview available - 1995. ... Beta-Blockers in Hypertension and Angina Pectoris: Different Compounds .... Ton J eophas. No preview available - 2011. ...
Angina pectoris. The clinical manifestations of angina pectoris are typically provoked through exercise and abate during rest. ... CHARACTERISTICS OF PATIENTS WITH (CHRONIC REFRACTORY) ANGINA PECTORIS. Patients with chronic refractory angina lead severely ... Rosen SD, Paulescu E, Frith CD, et al. Central nervous pathways mediating angina pectoris. Lancet1994;344:147-50.. ▸ The first ... Angina pectoris is not a very specific indicator for occlusive coronary disease, since it is a relatively late, inconsistent, ...
A 60-year-old female presented with a two-year history of exertional chest pain and progressive dyspnea. Resection of a cardiac hemangioma arising from the area of the bifurcation of the left anterior descending and circumflex coronary arteries resul
Learn more about Understanding Angina Pectoris at St. Davids HealthCare movietranscript function replaceEmbed(anmationName... ... When your heart isnt getting enough oxygen you may experience chest pain or discomfort called angina pectoris. Angina (an-gin- ... A sudden change in the pattern of your angina or angina which occurs without any cause or trigger could signal unstable angina ... When you have angina, you may notice that certain activities trigger your angina symptoms. Recognizing triggers and symptoms is ...
1994) Efficacy of spinal cord stimulation as adjuvant therapy for intractable angina pectoris. J Am Coll Cardiol 23:1592-1597, ... 1993) Effects of spinal cord stimulation in angina pectoris induced by pacing and possible mechanisms of action. BMJ 307:477- ... 1998) Spinal cord stimulation in intractable angina pectoris: A randomized, controlled efficacy study. Am Heart J 136:1114-1120 ... 1985) The effects of transcutaneous electrical nerve stimulation in patients with severe angina pectoris. Circulation 71:308- ...
Reviews and ratings for taztia xt when used in the treatment of angina pectoris prophylaxis. Share your experience with this ... Reviews for Taztia XT to treat Angina Pectoris Prophylaxis. No reviews have yet been submitted. Be the first to review this ...
The Canadian Cardiovascular Society grading of angina pectoris (sometimes referred to as the CCS Angina Grading Scale or the ... The CCS grading system for angina is a clinical tool used by doctors to assess the degree of severity of a patients angina. ... Whilst there are no defined therapy guidelines specific for each class, once the severity of the angina has been assessed, ... CCS Functional Classification of Angina) is a classification system used to grade the severity of exertional angina. ...
The diagnosis of angina is largely based on symptoms, but a substantial minority of patients diagnosed with non-cardiac chest ... Performing stable angina pectoris: an ethnographic study Soc Sci Med. 2008 Apr;66(7):1497-508. doi: 10.1016/j.socscimed.2007.12 ... The diagnosis of angina is largely based on symptoms, but a substantial minority of patients diagnosed with "non-cardiac" chest ...
... Conditions We Treat. Angina pectoris (or simply angina) is recurring chest pain or discomfort that happens ... Treatment of angina pectoris. Specific treatment for angina pectoris will be determined by the doctor based on:. * Your age, ... What are the symptoms of angina pectoris?. Angina pectoris occurs when the heart muscle (myocardium) does not receive an ... Angina pectoris and heart attack risk. An episode of angina does not indicate that a heart attack is occurring, or that a heart ...
Neurostimulation to Treat Refractory Angina Pectoris Pain (STARTSTIM). The safety and scientific validity of this study is the ... Angina Pectoris. Chest Pain. Pain. Neurologic Manifestations. Nervous System Diseases. Myocardial Ischemia. Heart Diseases. ... stable angina pectoris associated with reversible myocardial ischemia and significant coronary artery disease (CAD) ... The therapy under investigation involves an implanted Medtronic neurostimulation system to relieve symptoms of angina pectoris ...
Angina Pectoris, Hypercholesterolemia, Familial Hypercholesterolemia Cancer trial. Review trial description, criteria and ...
UnstableChestIschemicHeart failureMyocardialSymptoms of angina pectorisDiscomfortPrinzmetal'sCardiacMicrovascularCaused by coronaryIschemic Heart DCoronary arteryExertionPatients with chronic stable angina pectoris2018ClinicalTreat anginaSevereSeverityStable angina pectoris scheduledAcute coronaryRisk of developing angiOccurNitroglycerinIschemiaKnown as angina pectorisCases of angina pectorisPain from angina pectorisPrognosis for angina pectorisTreatment for angina pectorisManagement of angina pectorisHypertension and Angina PectorisNormal coronary angiogramsAtherosclerosisEpisode of anginaPrevalenceExertionalCauses angina pectoris
- Since then, additional ECP devices have been cleared by the FDA for use in treating stable or unstable angina pectoris, acute myocardial infarction, cardiogenic shock, and congestive heart failure. (wikipedia.org)
- It is used in combination with other drugs for the symptomatic treatment of stable angina pectoris, chest pain caused by decreased oxygen supply due to reduced blood flow to the heart. (shreejiexports.net)
- It is a vasodilator used in angina of effort or ischemic heart disease. (shreejiexports.net)
- External counterpulsation therapy ( ECP ) is a procedure that may be performed on individuals with angina , heart failure , or cardiomyopathy . (wikipedia.org)
- Some reviews did not find sufficient evidence that it was useful for either angina or heart failure. (wikipedia.org)
- While generally asymptomatic, coronary artery disease may ultimately manifest in ischemic cardiac attacks, such as angina pectoris or myocardial infarction. (thefreedictionary.com)
- Patients with angina of effort have an increased risk of heart attack (myocardial infarction). (encyclopedia.com)
- If you suffer from angina you are at increased risk of experiencing a heart attack (acute myocardial infarction or AMI) and should see a doctor right away. (labtestsonline.org.uk)
- Subsequently, myocardial ischaemia, angina pectoris signalling pathways, and neurohumoral and inflammatory responses are considered to be key players in atherosclerotic heart disease. (bmj.com)
- Usefulness and safety of percutaneous myocardial laser revascularization for refractory angina pectoris. (nih.gov)
- Angina pectoris is a term that describes chest pain caused by myocardial ischemia. (researchandmarkets.com)
- In addition to these studies, we review the evidence suggesting that angina or myocardial infarction may occur in patients with normal coronary arteries. (annals.org)
- Interpretation Coronary microvascular spasm and resultant myocardial ischaemia may be the cause of chest pain in a subgroup of patients with microvascular angina. (ovid.com)
- Angina must be controlled to prevent myocardial infarction (heart attack). (groupeproxim.ca)
- β-Adrenoceptor antagonists (β-blockers) are recommended for the first-line treatment of heart failure, coronary artery disease, and atrial fibrillation as well as of hypertension complicated with heart failure, angina pectoris, or prior myocardial infarction. (marketresearch.com)
- According tThe British journal of Cardiology, chronic stable angina pectoris affects around 2 - 4% of the population in western countries and it is associated with an estimated annual risk of death and non-fatal myocardial infarction (MI) of 1-2% and 3% respectively. (marketresearch.com)
- Patient: Male, 69 Final Diagnosis: Coronary artery disease Symptoms: Angina pectoris Medication: Aspirin Clinical Procedure: Coronary artery bypass surgery Specialty: Cardiology Objective: Unusual clinical course Background: A preponderance of evidence supports short-term aspirin usage to reduce transiently increased cardiovascular risk in clinical conditions that promote acute myocardial ischemia. (harvard.edu)
- Their excellent record of efficacy and safety has led nonselective beta-blockers to become one of the commonly prescribed class of drugs for the treatment of hypertension and angina pectoris and for the prevention of myocardial infarction. (valorebooks.com)
- CardioGenesis - Surgical laser therapies for treatment of severe angina, chest pain and advanced cardiovascular disease through TMR Transmyocardial Revascularization and PMR Percutaneous Myocardial Revascularization. (searchbeat.com)
- Angina pectoris is defined as cardiac-induced pain arising from a lack of myocardial oxygen. (jaoa.org)
- at the cellular level, angina pectoris is a result of increased myocardial oxygen demand or decreased myocardial oxygen supply. (jaoa.org)
- in a patient with a stable hemoglobin level and oxygen saturation, the loss of compensatory dilatory autoregulation, vasoconstriction, or acute coronary artery thrombosis can reduce myocardial oxygen supply and thus induce angina. (jaoa.org)
- To evaluate the natural innate and adaptive immunity through gene expression and cytology levels in peripheral blood mononuclear cells in patients with acute myocardial infarction (AMI), stable angina pectoris (SAP) and controls. (medsci.org)
- Effect of gender on long-term outcome of angina pectoris and myocardial infarction/sudden unexpected death. (acpjc.org)
- Women with an initial diagnosis of angina pectoris had longer survival and lower risk for subsequent myocardial infarction and cardiac death than did men with the same presentation and of a similar age. (acpjc.org)
- Several studies have investigated gender differences with respect to outcome after myocardial infarction but relatively few have examined outcomes after diagnosis of angina. (acpjc.org)
- Double-blind trial of aspirin in primary prevention of myocardial infarction in patients with stable chronic angina pectoris. (acpjc.org)
- To study whether low-dose aspirin given to patients with chronic stable angina pectoris reduces the rate of first myocardial infarction (MI) and sudden death. (acpjc.org)
- Low-dose aspirin taken by patients with stable angina pectoris on sotalol reduced the incidence of first non-fatal myocardial infarction and vascular events. (acpjc.org)
- This refers to the more common understanding of angina related to myocardial ischemia. (thefullwiki.org)
- What are the symptoms of angina pectoris? (lakelandhealth.org)
- The symptoms of angina pectoris may resemble other medical conditions or problems. (lakelandhealth.org)
- The therapy under investigation involves an implanted Medtronic neurostimulation system to relieve symptoms of angina pectoris pain. (clinicaltrials.gov)
- That's why it is difficult to identify the symptoms of angina pectoris in elderly patients, if they suffer from back or shoulder pain or abdominal pain after eating. (healthwatchcenter.com)
- Follow these effective ways and consult your doctor regularly and follow his advice to reduce symptoms of angina pectoris. (healthwatchcenter.com)
- Most patients with angina pectoris report of retrosternal chest discomfort rather than frank pain. (medscape.com)
- A positive Levine sign (characterized by the patient's fist clenched over the sternum when describing the discomfort) is suggestive of angina pectoris. (medscape.com)
- Angina is pain , discomfort, or pressure in the chest that is caused by ischemia , an insufficient supply of oxygen-rich blood to the heart muscle. (encyclopedia.com)
- Stable angina is characterised by predictable periods of discomfort that occur during exercise or periods of stress. (labtestsonline.org.uk)
- However when the subject heart requires more oxygen example during physical exercise or emotional episodes, that inadequate blood supply will demonstrate early symptoms known as angina pectoris(chest discomfort) (4) Atherosclerosis is demonstrated by the accumulation of lipid properties, macrophages and fibrous components in the intimal region beneath the endothelial-cell monolayer. (bartleby.com)
- When your heart isn't getting enough oxygen you may experience chest pain or discomfort called angina pectoris. (stdavids.com)
- Men and women may experience angina symptoms differently, but for both it often starts as an aching, tightening or squeezing discomfort in the chest that may spread to the neck, jaw, arms or back. (stdavids.com)
- Without enough oxygen-rich blood angina symptoms, like chest discomfort and chest pressure or tightness, can occur. (stdavids.com)
- Angina pectoris (or simply angina) is recurring chest pain or discomfort that happens when some part of the heart does not receive enough blood and oxygen. (lakelandhealth.org)
- Angina pectoris is a chest pain or discomfort often described as squeezing, pressure, heaviness, or tightness in the chest and is caused by reduced blood flow to the heart (Mayo Clinic, 2020). (researchandmarkets.com)
- Angina pectoris is chest pain or discomfort that occurs when a part of your heart doesn't get enough blood and oxygen. (ahealthyme.com)
- Angina pectoris is pain or discomfort within the chest, typically provoked by exertion or anxiety. (cochrane.org)
- Angina pectoris is the medical term for chest pain or discomfort that occurs when blood supply is insufficient to meet the needs of the heart muscle. (oregonstate.edu)
- Diagnosis of angina is a clinical diagnosis based on a characteristic complaint of chest discomfort or chest pain brought on by exertion and relieved by rest. (rxmed.com)
- Angina is chest pain or discomfort you feel when there is not enough blood flow to your heart muscle. (patientsville.com)
- Angina is chest pain or discomfort you get when your heart muscle does not get enough blood. (icd9data.com)
- It is a sign that you could have a heart attack soon.not all chest pain or discomfort is angina. (icd9data.com)
- The American Heart Association describes angina pectoris as a medical term for the chest pain or discomfort you feel as a result of coronary heart disease . (marijuanadoctors.com)
- Angina pectoris , referred to temporary discomfort in your chest, is caused by insufficient blood flow to your heart. (healthwatchcenter.com)
- Angina is characterized by chest pains that may range in severity from moderate feelings of tightness and discomfort to more sharp feelings of burning, choking, and squeezing. (patientsmedical.com)
- Most patients with angina complain of chest discomfort rather than actual pain: the discomfort is usually described as a pressure, heaviness, tightness, squeezing, burning, or choking sensation. (thefullwiki.org)
- Typical presentations of stable angina is that of chest discomfort and associated symptoms precipitated by some activity (running, walking, etc) with minimal or non-existent symptoms at rest. (thefullwiki.org)
- In addition to chest discomfort, pain from angina pectoris may also be felt in the upper abdomen, neck, jaw, back, or shoulders. (schmidtandclark.com)
- Because of fixed coronary artery disease, chronic stable angina is manifested as a pattern of predictable chest discomfort. (cancertherapyadvisor.com)
- Angina is often described as "chest pressure", "discomfort", "tightness" or "heaviness. (cancertherapyadvisor.com)
- This is also called Prinzmetal's angina. (ahealthyme.com)
- How to treat variant and Prinzmetal's angina and important changes to look for. (searchbeat.com)
- The ischemia in some forms of angina (like Prinzmetal's angina) results from reduction in oxygen supply. (healthhype.com)
- Variant angina pectoris, also called Prinzmetal's angina, is a rare condition only occuring when you are resting. (marijuanadoctors.com)
- Cardiac hemangioma presenting with angina pectoris. (biomedsearch.com)
- The diagnosis of angina is largely based on symptoms, but a substantial minority of patients diagnosed with "non-cardiac" chest pain go on to have a heart attack. (nih.gov)
- Angina chest pain is usually relieved within a few minutes by resting or by taking prescribed cardiac medications, such as nitroglycerin. (lakelandhealth.org)
- An adrenergic-beta-2 antagonist that has been used for cardiac arrhythmia, angina pectoris, hypertension, glaucoma, and as an antithrombotic. (bioportfolio.com)
- Nicore Inc - Information about the ECP external counterpulsation unit which is a cardiac care therapy that provides relief from angina pectoris without surgery or medication. (searchbeat.com)
- Calcium channel blockers are also useful in other cardiac conditions like vasospastic angina, hypertension, cardiac arrhythmias, and hypertrophic cardiomyopathy. (healthhype.com)
- Modulation of intrinsic cardiac neurons by spinal cord stimulation: implications for its therapeutic use in angina pectoris. (semanticscholar.org)
- Worsening of angina in the few weeks before and ejection fraction evaluation at the initial angiography were both strongly related to the risk of cardiac events. (ahajournals.org)
- 1033 patients (mean age 64 y, 53% women) with a first episode of angina pectoris based only on the history obtained from the patient (objective evidence of cardiac disease or abnormalities in resting or exercise electrocardiogram were not required for diagnosis). (acpjc.org)
- Coronary artery disease , the main cause of angina, is due to atherosclerosis of the cardiac arteries. (thefullwiki.org)
- It is not common to equate severity of angina with risk of fatal cardiac events. (thefullwiki.org)
- Background Microvascular angina can occur during exercise and at rest.Reduced vasodilator capacity of the coronary microvessels is implicated as a cause of angina during exercise, but the mechanism of angina at rest is not known. (ovid.com)
- The 29 patients with microvascular spasm developed angina-like chest pain, ischaemic electrocardiogram (ECG) changes, or both spontaneously (two patients) or after administration of acetylcholine (27 patients) without spasm of the large epicardial coronary arteries. (ovid.com)
- Testing of paired samples of arterial and coronary sinus venous blood showed that lactate was produced during angina attack in nine of 11 patients with microvascular spasm. (ovid.com)
- β-Blocker therapy should alsbe considered in asymptomatic patients with large areas of ischemia (level IIa C evidence) and in microvascular angina timprove effort-related angina symptoms. (marketresearch.com)
- Once called Syndrome X, microvascular angina is a recently discovered form of angina. (marijuanadoctors.com)
- Research indicates that variant angina is caused by coronary artery muscle spasm that does not last long enough or is not intense enough to cause an actual heart attack. (encyclopedia.com)
- Accurate assessment of the effects and mechanisms of action of any intervention altering exercise performance of patients with angina pectoris caused by coronary artery disease requires use of a carefully designed exercise protocol. (annals.org)
- A ngina pectoris, or simply angina, is a coronary syndrome characterized by an oppressive substernal pain (pain under breastbone) or pressure brought on by exertion and relieved by rest that results from failure of coronary arteries to deliver adequate oxygen to heart tissue due to ischemic heart disease. (glutenfreeworks.com)
- The most frequent cause of angina is Ischemic heart disease. (smashwords.com)
- Angina Pectoris is an early warning symptom of an ischemic heart disease (IHD). (smashwords.com)
- not only do 10.2 million americans have this condition and approximately 500,000 new cases of angina occur each year, but ischemic heart disease is the leading cause of death in the united states. (jaoa.org)
- Angina pectoris is the most common type of ischemic heart disease. (healthhype.com)
- In women, elderly persons, and diabetic patients, coronary artery disease may manifest with atypical presentations other than angina pectoris, such as silent ischemia or infarction. (medscape.com)
- at hospitals, physicians' clinics and at independent centers that treat coronary artery disease, acute angina pectoris , congestive heart failure, effects of heart attack and stroke, diabetes, and a variety of additional vascular diseases. (thefreedictionary.com)
- Angina is usually caused by an underlying obstruction to the coronary artery due to atherosclerosis. (encyclopedia.com)
- The normal subjects and the patients with coronary artery disease who did not experience angina during pacing reacted similarly with a fall in left ventricular end-diastolic pressure from 8 to 2 mm Hg returning to control values on cessation of pacing. (ahajournals.org)
- The main cause of angina is coronary artery disease. (stdavids.com)
- Angina does indicate, however, that coronary artery disease is present and that some part of the heart is not receiving an adequate blood supply. (lakelandhealth.org)
- The underlying coronary artery disease that causes angina should be treated by controlling existing risk factors: high blood pressure, cigarette smoking, high blood cholesterol levels, high saturated fat diet, lack of exercise and excess weight. (lakelandhealth.org)
- Angina can be a symptom of coronary artery disease (CAD). (ahealthyme.com)
- Angina generally is a symptom of coronary artery disease. (researchandmarkets.com)
- Case Report: This case report describes an exertional angina misdiagnosis due to a severe coronary artery disease in a 50-year-old male athlete initially examined by both a general practitioner and a cardiologist. (scirp.org)
- The athlete subsequently underwent physical examination in a sports cardiology medicine center where diagnosis of angina pectoris caused by severe mono-vessel coronary artery disease was made, requiring an angioplasty with stenting. (scirp.org)
- Other causes of angina include: abnormal heart rhythms (usually ones that cause the heart to beat quickly), anemia, coronary artery spasm, heart failure, heart valve disease, and hyperthyroidism (overactive thyroid). (glutenfreeworks.com)
- Methods Acetylcholine induces coronary artery spasm in patients with variant angina.We tested the effects of intracoronary acetylcholine at graded doses in 117 consecutive patients with chest pain (at rest, during exertion, or both) and no flow-limiting (>50%) organic stenosis in the large epicardial coronary arteries. (ovid.com)
- Angina is a symptom of coronary artery disease (CAD), the most common heart disease. (patientsville.com)
- She also had angina and coronary angiography revealed a 70% ostial stenosis of the left main coronary artery. (ad-astra.ro)
- Variant angina is caused by a spasm in a coronary artery, causing it to temporarily narrow. (study.com)
- eMedicine - Angina Pectoris - Cardiologist offers a clinical overview of this condition that often leads to chest pain in patients with coronary artery disease. (searchbeat.com)
- Diagnosis and treatment for which the device is required:Patients with advanced obstructive coronary artery disease and severe disabling refractory angina despite optimal medical therapy. (centerwatch.com)
- Micro-vascular angina is a form of angina where patients feel chest pain but do not appear to have an obstruction in a coronary artery. (smashwords.com)
- Angina is a significant symptom of the coronary artery disease and is described as squeezing, tightness, and heaviness of the chest. (medgadget.com)
- The aim of this study was the investigation of association between nonalcoholic fatty liver disease (NAFLD) and coronary artery disease (CAD) in patients with angina pectoris. (scirp.org)
- Angina Pectoris - Epidemiology Forecast Report to 2028,' notes that the major drivers for the upward trend in the diagnosed prevalent cases of angina pectoris in both sexes in the 7MM over the next decade may be attributable to advancing age, family history of premature coronary artery diseases, cigarette smoking, diabetes mellitus, hypercholesterolemia, or systemic hypertension, and changing population demographics in the respective markets. (globaldata.com)
- All patients, however, were presumed to have coronary artery disease for an average of 4.7 years, based on "symptoms of chronic stable angina pectoris. (acpjc.org)
- Conclusions Sixteen-row MSCT coronary angiography permits reliable detection of significant obstructive coronary artery disease in patients with stable angina in sinus rhythm. (onlinejacc.org)
- Most episodes of angina are brought on by physical exertion, when the heart needs more oxygen than is available from the blood nourishing the heart. (encyclopedia.com)
- The chest pain associated with angina usually begins with physical exertion. (lakelandhealth.org)
- Usually angina is worse when exertion follows a meal. (rxmed.com)
- Arteries can narrow due to plaque deposits, and angina may be especially prevalent during physical exertion due to the heart's increased demand for oxygen. (study.com)
- Chronic angina pectoris patients experience severe pain upon even mild exertion as a consequence of their nerve endings having become hypersensitized due to restricted blood flow (ischemia). (newswise.com)
- If you consistently notice chest pains in response to stress or physical exertion, however, it may be angina. (patientsmedical.com)
- Angina is typically precipitated by exertion or emotional stress. (thefullwiki.org)
- The purpose of this study is to determine the anti-angina effect and dose response of T89, a 2-herb botanical drug product, in patients with chronic stable angina pectoris in the United St. (bioportfolio.com)
- In 2018, there were 1,128,150 diagnosed incident cases of angina pectoris in men and women combined, age 18 years and older, in the 7MM. (researchandmarkets.com)
- The diagnosed prevalent cases of angina pectoris is expected to increase from 19.58 million cases in 2018 to 22.79 million cases in 2028, at an annual growth rate (AGR) of 1.64% across the seven major markets 7MM*, according to GlobalData, a leading data and analytics company. (globaldata.com)
- In 1991, Kounis and Zavras described "the coincidental occurrence of chest pain and allergic reactions accompanied by clinical and laboratory findings of classical angina pectoris caused by inflammatory mediators released during the allergic insult" (1). (thefreedictionary.com)
- The Company recently initiated the Phase 3 AWARE clinical study (Angiogenesis in Women with Angina pectoris who are not candidates for Revascularization). (thefreedictionary.com)
- The CCS grading system for angina is a clinical tool used by doctors to assess the degree of severity of a patient's angina. (wikipedia.org)
- Although systematic reviews of acupuncture for stable angina pectoris have been conducted previously, this study will update the evidence base by including many clinical trials that have been published in the past 5 years. (bmj.com)
- While William Heberden gave us an excellent clinical description of angina pectoris more than 200 years ago, the understanding and management of this disorder have undergone major development since then, and especially so in recent years. (springer.com)
- Newswise - MONTREAL June 9, 2015 - Results of the world's first publicly funded randomized controlled clinical trial of spinal cord stimulation, being presented today at the 12th World Congress of the International Neuromodulation Society, conclude that a fully powered clinical trial is feasible in refractory chronic angina pectoris, a disabling and persistent chronic pain condition. (newswise.com)
- Stable Angina Pectoris: What Does the Current Clinical Evidence Tell Us? (jaoa.org)
- The diagnosis of angina is primarily clinical. (healthhype.com)
- Various nitrates are available for clinical use in angina. (healthhype.com)
- According to MD News , a clinical news magazine for physicians, there are approximately 500,000 new cases of angina pectoris diagnosed each year . (marijuanadoctors.com)
- The purpose of the present study was to investigate the long-term prognostic importance of selected hemostatic variables, including markers of coagulation activation, in patients with angina pectoris following initial clinical assessment and coronary angiography. (ahajournals.org)
- To determine the effect of female gender on long-term survival and subsequent coronary heart disease events in patients with the first clinical manifestations of angina pectoris. (acpjc.org)
- SCS was first used by Murphy and Giles to treat angina in 1987, 7 after Mannheimer's work with TENS. (bmj.com)
- Other medicines can be used to treat angina. (ahealthyme.com)
- American Heart Association - A look at the drugs and procedures used to treat angina pectoris. (searchbeat.com)
- Nitrates are the medicines most often given to treat angina. (smashwords.com)
- Percutaneous transmyocardial laser revascularisation for severe angina: the PACIFIC randomised trial. (medscape.com)
- The pain may be more severe than with typical angina. (labtestsonline.org.uk)
- Conclusions: Although most of the severe symptoms in a heart attack are hard to miss, sometimes in athletes angina pectoris is not readily recognized. (scirp.org)
- It is more severe than stable angina and less responsive to medication. (glutenfreeworks.com)
- The coronary sinus (CS) Reducer is a novel device designed for the management of patients with severe angina symptoms refractory to optimal medical therapy and not amenable to further revascularization. (onmedica.com)
- Angina pectoris , commonly known as angina , is severe chest pain due to ischemia (a lack of blood and hence oxygen supply) of the heart muscle , generally due to obstruction or spasm of the coronary arteries (the heart's blood vessels). (thefullwiki.org)
- Ask patients about the frequency of angina, severity of pain, and number of nitroglycerin pills used during angina episodes. (medscape.com)
- Whilst there are no defined therapy guidelines specific for each class, once the severity of the angina has been assessed, clinicians can use the framework to aid them in the development of an individual treatment plan. (wikipedia.org)
- Frequency and severity of angina pectoris. (zanran.com)
- Resting heart rate and angina pectoris Frequency and severity of angina pectoris are summarised in figure 1. (zanran.com)
- Benefits: Reduce angina severity. (centerwatch.com)
- OBJECTIVES: To examine by spiral CT the association between the presence and severity of CC and thoracic aorta calcification in patients with stable angina pectoris. (druglib.com)
- CONCLUSIONS: Our study demonstrates a strong association between the presence and severity of CC and the presence and severity of calcification of thoracic aorta in patients with stable angina pectoris as detected by spiral CT. (druglib.com)
- Methods Sixteen-row MSCT coronary angiography was performed in 128 patients (89% men, mean age 58.9 ± 11.7 years) in sinus rhythm with stable angina pectoris scheduled for conventional coronary angiography. (onlinejacc.org)
- Platelet-surface expression of stromal-cell-derived factor-1 is elevated in patients with acute coronary syndrome (ACS) compared with patients with stable angina pectoris (SAP). (zanran.com)
- The authors concluded that patients with HF-REF and ongoing angina are at an increased risk of acute coronary syndrome and HF hospitalization. (acc.org)
- While you can't avoid all physical activities for the rest of your life in hopes of preventing these types of attacks, you can take precautions, especially if you're at an elevated risk of developing angina pectoris. (marijuanadoctors.com)
- Reports suggest that sympathetic re-innervation of the transplanted heart can occur (2-6) and therefore angina pectoris should be considered in the differential diagnosis of chest pain which develops some years after heart transplantation. (thefreedictionary.com)
- Because the symptoms of angina occur during stress, the heart's function may need to be evaluated under the physical stress of exercise. (encyclopedia.com)
- An episode of angina does not indicate that a heart attack is occurring, or that a heart attack is about to occur. (lakelandhealth.org)
- In addition to a complete medical history and medical exam, a doctor can often diagnose angina pectoris by noting the patient's symptoms and how/when they occur. (lakelandhealth.org)
- A healthcare provider can often diagnose angina from symptoms and how and when they occur. (ahealthyme.com)
- Blood clots may form, partially dissolve, and later form again and angina can occur each time a clot blocks blood flow in an artery. (glutenfreeworks.com)
- This information will help you understand how side effects, such as Angina Pectoris, can occur, and what you can do about them. (patientsville.com)
- Torrance Memorial Medical Center - Explanation of what angina pectoris is, the symptoms and what a person should do when they occur. (searchbeat.com)
- You may take a long-acting form of nitroglycerin daily to prevent angina. (ahealthyme.com)
- However, unlike the chest pain associated with a heart attack, the pain from angina usually goes away within a few minutes with rest or with the use of nitroglycerin. (nyhq.org)
- Stable angina refers to predictable chest pain during exertional activity that resolves with rest or sublingual administration of nitroglycerin. (jaoa.org)
- Silent ischemia during daily life is an independent predictor of mortality in stable angina. (medscape.com)
- L-carnitine and coenzyme Q 10 have important roles in energy utilization inside our cells, and supplementation with these nutrients (under medical supervision) might improve exercise tolerance and reduce signs of ischemia in patients with stable angina . (oregonstate.edu)
- The addition of oral L-carnitine or propionyl-L-carnitine to pharmacologic therapy for chronic stable angina has been found to modestly improve exercise tolerance and decrease signs of ischemia during exercise testing in studies with a small number of angina patients. (oregonstate.edu)
- Coenzyme Q 10 supplementation in conjunction with standard medical therapy has been shown to improve exercise tolerance and reduce symptoms of ischemia in patients with chronic, stable angina. (oregonstate.edu)
- Not all people with ischemia will present with angina. (rxmed.com)
- Ischemia without angina is called silent ischemia. (rxmed.com)
- intestinal angina generalized cramping abdominal pain occurring shortly after a meal and persisting for one to three hours, due to ischemia of the smooth muscle of the bowel. (thefreedictionary.com)
- The purpose of this study is to implant the Reducer in patients with the symptoms of refractory angina, that suffer from refractory angina who demonstrate reversible ischemia. (centerwatch.com)
- Increase in the demand for oxygen is usually the cause for ischemia in stable (exertional) angina. (healthhype.com)
- This is critical in reducing the pain of angina resulting from the ischemia of the heart muscles. (healthhype.com)
- The diagnosis of angina was based on symptoms alone and did not require objective evidence of ischemia. (acpjc.org)
- This condition is known as angina pectoris. (sciencephoto.com)
- The publisher's epidemiologists forecast an increase in the diagnosed incident cases of angina pectoris to 1,292,695 cases in 2028 in the 7MM at an Annual Growth Rate (AGR) of 1.46% during the forecast period. (researchandmarkets.com)
- The diagnosed prevalent cases of angina pectoris will increase to 22,797,390 cases in 2028 at an AGR of 1.64% during the forecast period. (researchandmarkets.com)
- The comorbidities-diabetes, hypertension, chronic obstructive pulmonary disease (COPD), and chronic renal disease-among the diagnosed incident cases and diagnosed prevalent cases of angina pectoris are also provided. (researchandmarkets.com)
- Lastly, the report includes diagnosed prevalent cases of refractory angina among diagnosed prevalent cases of angina pectoris. (researchandmarkets.com)
- Some people indicate the pain from angina pectoris is difficult to locate or specifically identify. (marijuanadoctors.com)
- Coronary arteriography and ventriculography are valuable in determining the prognosis for angina pectoris. (thefreedictionary.com)
- Ginkgo Leaf Extract and Dipyridamole Injection as Adjuvant Treatment for Angina Pectoris: A Meta-Analysis of 41 Randomized Controlled Trials. (bioportfolio.com)
- Despite the wealth of treatments available for the management of angina pectoris, a significant proportion of patients remain refractory. (bmj.com)
- Further major advances in the medical management of angina pectoris now depend on our ability to improve prognosis and retard the development of the atherosclerotic process. (springer.com)
- It is effective in the management of hypertension and angina pectoris. (bioportfolio.com)
- Hitherto, different classes of beta-blockers have been considered to be equally effective in the treatment of such conditions, but Beta-Blockers in Hypertension and Angina Pectoris provides evidence that this is not the case. (valorebooks.com)
- Of particular interest to general practitioners.Cleophas, Ton M. is the author of 'Beta-Blockers in Hypertension and Angina Pectoris Different Compounds, Different Strategies' with ISBN 9780792335160 and ISBN 0792335163. (valorebooks.com)
- Concentration of circulating plasma endothelin in patients with angina and normal coronary angiograms. (medscape.com)
- 323-329) on the relation between oesophageal abnormalities and chest pain in patients with normal coronary angiograms and with angina pectoris. (bmj.com)
- Angina of effort is a common disorder caused by the narrowing of the arteries (a condition called atherosclerosis ) that supply oxygen-rich blood to the heart muscle. (encyclopedia.com)
- In rare cases, angina is caused by a coronary embolism or by a disease other than atherosclerosis that places demands on the heart. (encyclopedia.com)
- Angina is most often caused by the presence of fatty deposits in arteries (atherosclerosis). (groupeproxim.ca)
- Hardening and narrowing of the heart blood vessels due to atherosclerosis is the most common cause of stable angina. (ada.com)
- An episode of angina is not an actual heart attack , but rather pain that results when the heart muscle temporarily receives too little blood. (encyclopedia.com)
- Emotional stress, extreme temperatures, heavy meals, cigarette smoking , and alcohol can also cause or contribute to an episode of angina. (encyclopedia.com)
- How long does an episode of angina last? (stdavids.com)
- Hemingway H, Langenberg C, Damant J, Frost C, Pyorala K, Barrett-Connor E. Prevalence of angina in women versus men: a systematic review and meta-analysis of international variations across 31 countries. (medscape.com)
- Asia Pacific is estimated tgrow at significantly due trising prevalence of angina pectoris, high awareness related tcardiovascular diseases and developing healthcare infrastructure. (marketresearch.com)
- The increasing prevalence of angina and the growing healthcare expenditure are the major drivers for the market growth. (medgadget.com)
- According to the report of the American Heart Association of 2016, the prevalence of angina in West Virginia was estimated to be around 6.2% and around 2.3% in Hawaii. (medgadget.com)
- Results: Findings gathered from the patients with angina pectoris showed that the prevalence of NAFLD in CAD patients was higher than the control group. (scirp.org)
- 2035 patients (mean age 67 y, 52% men) with chronic stable angina pectoris (exertional chest pain for at least 1 month) were studied. (acpjc.org)
- What causes angina pectoris? (ahealthyme.com)
- It is this blockage of the coronary arteries that reduces the blood supply and causes angina pectoris. (sciencephoto.com)