Unstable Angina

When the chest pain occurs at rest or mild exertion, it is known as unstable angina. The most common underlying condition is coronary artery disease due to atherosclerosis. The plaque build-up in the arterial walls causes narrowing and rigidity, thereby decreasing the blood flow to the heart. Smoking, diabetes, hypertension, old age, male gender, sedentary lifestyle, obesity, high cholesterol levels, etc., are some risk factors. Symptoms include squeezing or crushing pain in the chest radiating to the left shoulder and hand, sweating, and breathlessness. Angioplasty, surgeries, and medications help. Regular exercise, reducing weight, eating healthy, and stopping smoking and alcoholism can prevent angina.

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How serious is my mother's chest pain?

Query: Hi doctor, My mother, who is 62 years old, has been hospitalized for two days due to sudden sweating, chest pain and left hand pain. When she was admitted her BP was 190/110 mmHg. She is also a diabetic (150/270) and undergoing tremendous stress due to sudden personal loss. She underwent ECG and 2D ...  Read Full »


Dr. Danej Mangesh Baliram

Answer: Hi, Welcome to icliniq.com. I have gone through her reports (attachment removed to protect patient identity). It can be unstable angina or MI (myocardial infarction). Please let me know the troponin I value. If it is negative repeatedly, then stress test is advisable. If positive, then st...  Read Full »

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