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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


   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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