Angina Pectoris/Chest Pain

What is angina pectoris (angina)?

Angina pectoris (angina) is chest pain commonly related to coronary heart disease. You may have this symptom if there is not enough blood flowing to your heart muscle. This may happen when plaque builds up in the arteries, causing blockages and narrowing (ischemia).

The "pain" may feel like fullness, pressure, squeezing, or heaviness, and in women may feel more like nausea, shortness of breath, abdominal pain, or extreme fatigue.

Types of angina pectoris

The two main forms of angina are stable angina and unstable angina. With stable angina, the most common form of this symptom, there is a regular pattern of pain with exertion, such as physical activity, and the pain comes and goes quickly, generally within five minutes. Stable angina may also be triggered by emotional stress as well as by extreme temperatures. With unstable angina, the pain occurs even with rest, and often signals that a heart attack is coming.

There is also variant, or Prinzmetal's angina, a much more rare form caused by spasming in the coronary artery. Microvascular angina, also less common, may last for longer periods of time and the pain is not always relieved by medication.

Who is at risk for angina pectoris?

If you have coronary heart disease, be sure to discuss your symptoms with your doctor, who may prescribe a combination of rest and medication to relieve your angina.

If you are having chest pain that does not go away with rest and medication, call 911 immediately.


Coronary Revascularization/Hybrid Coronary Revascularization

CABG and angioplasty are examples of coronary revascularization. About 40 percent of all robotic-assisted CABG performed at Lankenau use hybrid approach. Hybrid coronary revascularization refers to both grafting and stenting approaches to improving blood flow to the heart.

Robotic-Assisted Coronary Artery Bypass Graft Surgery (CABG)

To care for patients with multiple blocked vessels, heart bypass surgeons collaborate with interventional cardiologists to offer hybrid approach involves a combination of coronary stent placement and robotic-assisted coronary artery bypass graft (CABG surgery), also known as heart bypass surgery or robotic heart surgery.

Cardiac Catheterization

In cardiac catheterization (often called heart catherization), a very small hollow tube, or catheter, is advanced from a blood vessel in the groin or arm through the aorta into the heart.

Percutaneous Transluminal Coronary Angioplasty (and Stenting)

Coronary angioplasty is a treatment for atherosclerosis, which you may need if diet and lifestyle changes aren’t enough to improve blood circulation to the heart. Learn more about what to expect during angioplasty and stenting procedure.


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