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  • Heart and mind: hormones
  • Coronary procedures
  • Cardio-vascular diagnostic workshop: what complaints and symptoms may indicate
  • Systolic and diastolic pressure
  • How to recognize angina and heart attack: the precipitating factors & anginal pain
  • Echocardiography: what information can the doctor get from an echo?
  • Heart and mind: medication
  • Angina
  • Can heart attacks and re-infarctions be prevented?
  • Echocardiography: what is a dobutamine stress echo?



    Q. What are the precipitating factors ?

    A. There is usually no pain when the person is at rest. An exercise like brisk walking, running, going uphill, climbing the stairs or doing physical work precipitates the pain. Even a lesser amount of exertion will precipitate the pain if such exertion is undertaken soon after meals. Emotional outbursts, anger, fright, hurry or sexual activity may induce such pain.

    Q. How can this pain be relieved ?

    A. It can be relieved by stopping the exertion and by resting. It can be immediately relieved by nitroglycerine (Angesid).

    Q. How long does this pain last ?

    A. It does not last more than a few minutes. However, if it lasts more than 20 minutes, some other cause such as myocardial infarction should be considered. After the pain has been relieved, the patient feels well enough to resume his normal activity. The important point to be noted is that the pain is produced by physical or emotional activity, and is relieved by rest or nitroglycerine, and is short-lived.

    Q. Is every anginal pain related to exercise or exertion ?

    A. No, there is a more severe form of angina which is called 'unstable angina', in which the character and the location of pain are the same as described above, but it may appear during rest, may last longer than 20 minutes and may be relieved by nitroglycerine. Usually, these cases end up in myocardial infarction.


    Cardio & Blood


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