2. Definition
Generally described as retrosternal
heavy or gripping sensation with
radiation to left arm or neck,
provoked by exertion and eased
with rest or nitrates
3. Angina can be:
Stable
Unstable caused by
unstable plaque, occurs at
rest, unpredictable, pain
can increase for no obvious
reason
Prinzmetal’s occurs
without provocation,
usually at rest, as a result of
coronary artery spasm
4. Stable angina pectoris
Provoked by physical exertion,
especially in cold weather, after
meals and commonly
aggravated by anger or
excitement
The pain fades quickly with
rest
In some patients pain occurs
predictably at a certain level of
exertion
5. Etiology and pathogenesis
Symptoms are results of myocardial
ischemia due to insufficient blood
flow through atherosclerotically
changed coronary vessels
6. Clinical symptoms
Patient history is a˝golden standard˝
Retrosternal pain
Dyspnea
Nausea
Arrhythmia
Restlessness
Levine sign
Pain eased after taking nitrates
10. Literature :
P.Kumar and M.Clark: Kumar & Clark’s Clinical Medicine
Božidar Vrhovac and associates: Interna Medicina
Damjanov, Jukić, Nola : Patologija