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How is angina treated?

Medically reviewed by Vova Dev
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Medically reviewed by Vova Dev

One of the most common diseases is generally considered to be acute tonsillitis. It is usually called sore throat. This disease occurs in adults and children. Treatment focuses on relieving symptoms and improving quality of life. It also helps to prevent complications. The most common are heart attacks. The approach to treating sore throat varies. The approach depends on its severity and the patient’s overall health.

Let’s talk about how angina is treated. Lifestyle changes are the foundation. These include adopting a heart-healthy diet and quitting smoking. They also involve managing stress and engaging in regular physical activity. Medications are crucial in managing angina. The common drugs include nitrates to relieve chest pain. Beta-blockers reduce heart workload. Calcium channel blockers to improve blood flow. Antiplatelet agents to prevent blood clots.

For more severe cases, medical procedures may be necessary. Angioplasty opens narrowed arteries. Coronary artery bypass grafting (CABG) reroutes blood around blocked arteries. Regular follow-up with a healthcare provider is essential. It helps to monitor and adjust treatment as necessary.

What is angina, and how is it treated

What is angina, and how is it treated? This type of chest pain or discomfort results from reduced blood flow to the heart muscle. This insufficient blood supply is often due to coronary artery disease. The arteries supplying the heart are generally narrowed or blocked. Angina can present as pressure, squeezing, or a feeling of heaviness in the chest. It may radiate to the shoulders, arms, neck, or back. The pain often occurs during physical exertion or emotional stress. It typically resolves with rest or medication.

What are the signs of angina? Here are they:

  • Chest pain or discomfort: This is the most common symptom. It is often described as pressure, squeezing, burning, or tightness in the chest. The pain may be located behind the breastbone.
  • Pain radiating to other areas: The discomfort can spread to the shoulders and arms (especially the left). It also appears in the neck, jaw, or back.
  • Shortness of breath: Difficulty breathing or a feeling of breathlessness can go with the chest pain.
  • Nausea: Some people may feel nauseous or experience indigestion-like symptoms.
  • Fatigue: Unexplained tiredness or weakness, particularly in women.
  • Dizziness or lightheadedness: Feeling faint or dizzy can occur during an angina episode.
  • Sweating: Sudden sweating, often described as a cold sweat, may occur.

These symptoms often appear during physical exertion or emotional stress. They usually subside with rest or medication. If they occur unpredictably, it could indicate unstable angina. This requires immediate medical attention.

Causes and risk factors that contribute to the development of angina

Causes-and-risk-factors-that-contribute-to-the-development-of-angina

Understanding the causes and risk factors of angina is crucial. They help to understand how to prevent and manage this condition. Angina occurs when the heart muscle does not receive enough oxygen-rich blood. It happens typically due to narrowed or blocked coronary arteries. Here are the leading causes and risk factors:

  • Coronary Artery Disease (CAD): This is the primary cause of angina. The arteries supplying blood to the heart become narrowed or blocked. It is because of fatty deposits (atherosclerosis).
  • High Blood Pressure: Such a condition can damage artery walls. It leads to atherosclerosis and an increased risk of angina.
  • High Cholesterol Levels: Excessive cholesterol contributes to plaque formation. It restricts blood flow to the heart.
  • Smoking: Tobacco use accelerates the process of atherosclerosis. It increases the risk of angina.
  • Diabetes: High blood sugar levels from diabetes can damage blood vessels. It also increases the likelihood of coronary artery disease.
  • Obesity: Excess weight contributes to high blood pressure, high cholesterol, and diabetes. All of them are risk factors for angina.
  • Sedentary Lifestyle: Lack of physical activity can contribute to weight gain. It causes high blood pressure and other risk factors.
  • Family History: A genetic predisposition to heart disease can increase the risk of developing angina.
  • Age: The risk of angina increases with age. Arteries naturally become less flexible and more prone to blockages.
  • Stress: Chronic emotional or psychological stress can exacerbate heart conditions. It also increases the likelihood of angina.

What is angina, and how is it treated? Recognizing these signs can help seek timely treatment and manage the condition effectively.

Initial evaluation and diagnosis

Initial evaluation and diagnosis of angina are crucial for effective management and treatment. Proper diagnosis involves a combination of patient history and physical examination. Various diagnostic tests are also pivotal:

  • Patient History: The doctor will ask detailed questions about your symptoms. They include their onset, duration, and triggers. This helps in understanding the nature of the pain. It also allows patients to know its relation to physical activity or stress.
  • Physical Examination: A thorough exam is generally performed to check for signs of heart disease. These are abnormal heart sounds or blood pressure irregularities.

Now, let’s talk about diagnostic tests. Common ones include:

  • Electrocardiogram (ECG): Records the heart’s electrical activity. It can identify angina-related abnormalities.
  • Stress Test: Assesses how the heart performs under physical exertion. It helps to reveal exercise-induced angina.
  • Chest X-ray: Provides images of the heart and lungs to check for heart enlargement or other issues.
  • Echocardiogram: Uses ultrasound to visualize the heart’s structure and function.
  • Coronary Angiography: A specialized imaging test. It uses dye and X-rays to see the heart’s blood vessels.

What are the signs of angina? Common ones include chest pain or discomfort, often described as pressure or squeezing. It can radiate to the shoulders, arms, neck, or back. The pain may occur during physical exertion or stress. It typically resolves with rest or medication.

Non-surgical treatment options

Angina is a type of chest pain caused by reduced blood flow to the heart muscle. It is often a symptom of coronary artery disease. This condition typically occurs during physical exertion or stress. This is usually described as squeezing, pressure, heaviness, or pain in the chest. Angina is a warning sign that your heart isn’t getting enough oxygen-rich blood. It can be due to blockages in the coronary arteries.

How is angina treated? Angina can be treated with several non-surgical methods to manage and reduce angina symptoms. They focus on improving blood flow and reducing the workload on the heart. These treatments also prevent further heart disease. Key options include:

  • Lifestyle Modifications: Smoking is a significant risk factor for angina. Quitting smoking can improve heart health and reduce symptoms. A heart-healthy diet is low in saturated fats, trans fats, cholesterol, and sodium. It can help reduce plaque buildup in the arteries. Moderate physical activity can strengthen the heart and improve blood circulation. Maintaining a healthy weight reduces the burden on the heart. It decreases the risk of angina.
  • Medications: Nitrate drugs help dilate blood vessels. They improve blood flow to the heart and relieve angina symptoms. Beta-blockers reduce the heart rate and the force of contraction. They lower oxygen demand and prevent angina. Calcium channel blockers relax blood vessels. They reduce the workload on the heart, easing chest pain. Antiplatelet agents help prevent blood clots from forming. It reduces the risk of a heart attack. Statins lower cholesterol levels, slowing the progression of coronary artery disease.
  • Cardiac Rehabilitation: A structured program includes exercise, education, and counseling. They improve heart health and reduce angina symptoms.
  • Psychological Counseling: Stress management techniques and therapy can help reduce stress-induced angina.
  • Diabetes Management: Proper control of diabetes can prevent complications that worsen angina.

So, we explore what angina is and how it is usually treated. Non-surgical treatments for angina are effective for many patients. Still, it’s crucial to consult with a healthcare provider. It helps to determine the most appropriate approach. This is generally based on individual health conditions and the severity of symptoms.

Surgical and procedural interventions

Sometimes, non-surgical treatments are not sufficient to manage angina. Various surgical and procedural interventions may be necessary. These options aim to restore adequate blood flow to the heart. They also reduce symptoms and prevent complications like heart attacks. Critical interventions of how angina is typically treated include:

  • Transmyocardial Laser Revascularization (TMR): A laser creates tiny channels in the heart muscle. It promotes the growth of new blood vessels. Laser improves blood flow to areas of the heart that are not receiving enough oxygen.
  • Enhanced External Counterpulsation (EECP): Cuffs are generally placed around the legs. They are rhythmically inflated and deflated to increase blood flow to the heart. They help to reduce angina symptoms.
  • Hybrid Procedures: In some cases, a mix of angioplasty and bypass surgery is pivotal. It helps to achieve better outcomes, especially in complex cases with multiple blockages.
  • Coronary Artery Endarterectomy: This procedure involves removing the plaque from it. Such a method helps to improve blood flow. It is often performed during CABG.
  • Atherectomy: A rotating blade or laser catheter shaves plaque away from the artery walls. It improves blood flow and reduces angina.

These interventions show what angina is and how it is generally treated. They have specific indications, risks, and benefits. The procedure choice depends on the angina’s severity. The location and extent of artery blockages and the patient’s health. Consultation with a cardiologist is essential. It helps to determine the most appropriate course of action.

Percutaneous coronary intervention (PCI)

PCI is commonly known as angioplasty. This is a non-surgical procedure used to treat narrowed or blocked coronary arteries. It involves the insertion of a catheter with a balloon at its tip into the affected artery. The balloon is directly inflated to widen the artery. It improves blood flow to the heart. A stent, a small mesh tube, is typically placed to keep the artery open. PCI is generally recommended for patients with stable angina. It also suits individuals with acute coronary syndromes or certain types of heart attacks. While it’s less invasive than surgery, PCI carries risks such as restenosis or blood clots.

Coronary artery bypass grafting (CABG)

CABG is a surgical procedure used to bypass blocked or narrowed coronary arteries. It improves blood flow to the heart. A healthy blood vessel is generally grafted onto the coronary artery during the operation. This is often from the leg or chest. It creates a new path for blood to reach the heart muscle. CABG is typically recommended for patients with severe coronary artery disease. It also suits individuals with multiple blocked arteries or those who do not respond to other treatments like PCI. The procedure is highly effective at relieving angina. It reduces the risk of heart attack. This involves significant recovery time and surgical risks.

Treatment of unstable angina

Treatment-of-unstable-angina

Unstable angina is a medical emergency requiring prompt treatment. It helps to prevent heart attacks or other serious complications. The treatment approach typically involves:

  • Hospitalization: Immediate admission to a hospital for close monitoring and management.
  • Medications: Antiplatelet drugs (aspirin or clopidogrel) help to prevent blood clots. Anticoagulants like heparin to reduce the risk of clot formation. Nitrates relieve chest pain by dilating blood vessels. Beta-blockers lower heart rate and blood pressure. They reduce the heart’s demand for oxygen. Statins lower cholesterol levels and stabilize plaque in the arteries.
  • Oxygen therapy: Administered if blood oxygen levels are low.
  • Percutaneous Coronary Intervention (PCI): This may be generally performed to open blocked arteries. It also restores blood flow.
  • Coronary Artery Bypass Grafting (CABG): Considered if multiple arteries are severely blocked. This is also pivotal if PCI is not suitable.
  • Lifestyle modifications: Post-discharge, patients should quit smoking. They should adopt a heart-healthy diet, exercise regularly, and manage stress.

Now, you know what are the signs of unstable angina and treatment options. Consult a healthcare professional for personalized advice.

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Lone Star Neurology
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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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