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                               Angina is a heart pain that last for a
                            couple of minutes. It may be due to temporary
                            imbalance of the flow of the oxygen to the muscles
                            of the heart. The underlying cause of angina is the
                            reduction in supply of the blood due to the
                            deposition of the cholesterol. The pain is due to
                            physical or emotional activities. 
                             
                            Symptoms 
                            
                            
                              - 
                                
Angina
                                can be recognized by characterized pain
                                radiation. The pain is constricting, squeezing,
                                choking, as if some heavy weight is placed on
                                the chest.  
                              - 
                                
The
                                pain is usually located centrally in the front
                                of the chest or in the lower portion of the
                                sternum (breast –bone).  
                              - 
                                
Although
                                the heart is left sided, the pain is rarely left
                                sided, and it radiates to the left shoulder and
                                arm , right shoulder and arm, or both, or to the
                                neck or jaw, or in between the two shoulder
                                blades at the back or even at the pit of the
                                stomach. 
                                 
                                Relief from pain can be brought about through: 
                                
                              - 
                                
Rest   
                              - 
                                
End
                                of exertion  
                              - 
                                
Drug
                                like nitroglycerine  
                             
                            
                              
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                               Myocardial infarction or heart attack
                            is the severe heart pain due to the collapse of some
                            part of the heart muscles. Some times it leads to
                            spot death. The underlying cause of myocardial
                            infarction is the obstruction in the coronary
                            artery, the artery that supplies blood to the heart
                            muscle. This obstruction is due to the narrowing of
                            the artery caused due to the deposition of fats on
                            the walls of the artery (atheroma), leading to
                            clotting of blood (thrombosis) thus blocking supply
                            of blood to the heart muscles. 
                             
                            Symptoms 
                              
                            It has the same characterized pain as that of angina
                            but more prolonged and severe that lasts for few
                            hours and takes several days to recover. The
                            symptoms are: 
                            · Chest pain 
                            · Weakness 
                            · Profuse cold sweat 
                            · Palpitation 
                            · Difficulty in breathing 
                            · Deathly pallor 
                            · Vomiting 
                             
                            Complications due to
                            Infarction 
                               
                            · Irregular pulse 
                            · Low blood pressure—leading to cardiogenic shock 
                            · Difficulty in breathing, cough and frothy blood
                            stained sputum 
                            · Infarction of the lungs due to clotting of the
                            blood in the veins of the leg 
                            · Paralysis 
                             
                            Difference in the Symptoms
                            of Angina and Heart Attack: 
                              
                            · Pain has not subsided even after 20 min of rest. 
                            · It has not responded to 2-3 doses of
                            nitroglycerine 
                            · Continuous recurrence 
                            · Profound weakness 
                            · Cold sweat 
                            · Irregular pulse 
                            · Difficulty in breathing 
                             
                            In case, you are not able to differentiate these
                            symptoms, immediately contact the doctor. 
                            
                              
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