All about Angina in India: Symptoms and Cause
Medical tourism offers treatment for Angina in India at best hospitals
of Goa, Delhi, Kerala, and Jaipur. They have best specialist doctors,
with most top end being educated in USA and UK. As health care
costs skyrocket, patients in the developed world are looking overseas
for medical treatment. India is capitalizing on its low costs and highly
trained doctors to appeal to these "medical tourists”. Many countries
have developed links for speedy treatments in India for their nationals
on account of the fact that in these countries one has to wait for
extended periods of time to undergo operations. Medical tourism
guarantee that patients will receive the finest Angina treatment in
India with most advanced medical facilities in the world and specific
programs carefully designed to attract international travelers.
Angina manifest as chest pain, heaviness, pressure or discomfort,
and is triggered by deficiency in oxygen that is carried to the heart by
the blood, mainly due to thickening and hence narrowing of coronary
arteries. Exercise, cold or emotional stress can provoke an angina
attack. It is not common to equate severity of angina with risk of fatal
cardiac events. There is a weak relationship between severity of pain
and degree of oxygen deprivation in the heart muscle (i.e., there can
be severe pain with little or no risk of a heart attack, and a heart
attack can occur without pain).
Symptoms of Angina:
You may be having angina if you experience the following symptoms
as suggested by surgeons in India:
1. Episodes of pain, pressure, burning or squeezing in the chest,
jaw, shoulders, back, or arms, lasting upto 5 - 10 minutes.
2. Unexplained episodes of shortness of breath lasting up to 5 – 10
minutes.
3. Episodes of palpitations with lightheadedness or dizziness.
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. Apart
from chest discomfort, angina pains may also be experienced in
the epigastrium(upper central abdomen), back, neck area, jaw, or

shoulders. This is explained by the concept of referred pain, and is
due to the spinal level that receives visceral sensation from the heart
simultaneously receiving cutaneous sensation from parts of the skin
specified by that spinal nerve's dermatome, without an ability to
discriminate the two. Typical locations for referred pain are arms
(often inner left arm), shoulders, and neck into the jaw. Angina in
India is typically precipitated by exertion or emotional stress. It is
exacerbated by having a full stomach and by cold temperatures. Pain
may be accompanied by breathlessness, sweating and nausea in
some cases. It usually lasts for about 3 to 5 minutes, and is relieved
by rest or specific anti-angina medication. Chest pain lasting only a
few seconds is normally not angina.
Some experience "autonomic symptoms" (related to
increased activity of the autonomic nervous system) such
as nausea, vomiting and pallor. Major risk factors for angina in India
include cigarette smoking, diabetes, high cholesterol, high blood
pressure, sedentary lifestyle and family history of premature heart
disease.
Types of Angina:
1. Stable Angina
2. Unstable Angina
3. Variant Angina
Stable Angina:
Stable angina is the most common type in India. It occurs when the
heart is working harder than usual. Stable angina has a regular
pattern. If you know you have stable angina, you can learn to
recognize the pattern and predict when the pain will occur. The pain
usually goes away in a few minutes after you rest or take your angina
medicine. Stable angina isn't a heart attack, but it makes a heart
attack more likely in the future.
Unstable Angina:
Unstable angina (UA) is defined as angina pectoris that changes or
worsens. It has at least one of these three features:
1. It occurs at rest (or with minimal exertion), usually lasting >10 min;

2. It is severe and of new onset (i.e., within the prior 4-6 weeks);
and/or
3. It occurs with a crescendo pattern (i.e., distinctly more severe,
prolonged, or frequent then previously).
In people with unstable angina in India, the chest pain is unexpected
and usually occurs while at rest. The discomfort may be more severe
and prolonged than typical angina or be the first time a person has
angina. The most common cause is reduced blood flow to the heart
muscle because the coronary arteries are narrowed by fatty buildups
(atherosclerosis). An artery may be abnormally constricted or
partially blocked by a blood clot. Inflammation, infection and
secondary causes also can lead to unstable angina. In a form of
unstable angina called variant or Prinzmetal's angina, the cause is
coronary artery spasm.
Variant Angina (Prinzmetal's angina):
Variant angina is rare. It usually occurs while you're at rest. The pain
can be severe. It usually happens between midnight and early
morning. This type of angina is relieved by medicine. Variant angina
pectoris is also called Prinzmetal's angina. It doesn't follow physical
exertion or emotional stress, either. Attacks can be very painful and
usually occur between midnight and 8 a.m. Variant angina is due to
transient coronary artery spasm. About two-thirds of people with it
have severe coronary atherosclerosis in at least one major vessel.
The spasm usually occurs very close to the blockage.
Treatment available for angina in India:
The main goals of treatment in angina pectoris are relief of
symptoms, slowing progression of the disease, and reduction of
future events, especially heart attacks and, of course, death. Low-
dose aspirin decreases the risk of heart attack in patients with chronic
stable angina that have no contraindications to aspirin therapy. Beta
blockers (e.g., carvedilol, propranolol, atenolol) have a large body of
evidence in morbidity and mortality benefits (fewer symptoms, less
disability and longer life) and short-acting nitroglycerin medications
are used for symptomatic relief of angina.

Medical tourism provides best of surgeons available for Angina
Treatment in India. People are now aware of the health facilities
being provided in Jaipur, Delhi and knowledge of English language is
another major advantage, along with a zero waiting period. India now
becoming the hottest medical destination, more and more people are
coming to our state and we have been able to break the monopoly to
a great extent. Surgeons in India have established themselves as
highly skilled and conscientious caregivers worldwide. Many doctors
who have trained or worked abroad have returned to India to work
here. Their reputation has led to the growth of the Medical Tourism
industry in India. For more information about Angina in India, please
log on to: www.indiacardiacsurgerysite.com or mail your queries at
info@indiacardiacsurgerysite.com, +91-9579119451
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