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Unstable angina. Chest pain or chest discomfort at rest or minimal exertion, or a new onset chest pain or discomfort on exertion. Unstable angina is a type of angina pectoris [1] that is irregular or more easily provoked. [2] It is classified as a type of acute coronary syndrome.
Unstable angina (UA) (also "crescendo angina"; this is a form of acute coronary syndrome) is defined as angina pectoris that changes or worsens. [11] It has at least one of these three features: [12] it occurs at rest (or with minimal exertion), usually lasting more than 10 minutes; it is severe and of new-onset (i.e., within the prior 4–6 weeks)
The accepted management of unstable angina and acute coronary syndrome is therefore empirical treatment with aspirin, a second platelet inhibitor such as clopidogrel, prasugrel or ticagrelor, and heparin (usually a low-molecular weight heparin), with intravenous nitroglycerin and opioids if the pain persists.
Five pieces of thrombus are shown (arrow heads). Reperfusion therapy is a medical treatment to restore blood flow, either through or around, blocked arteries, typically after a heart attack (myocardial infarction (MI)). Reperfusion therapy includes drugs and surgery. The drugs are thrombolytics and fibrinolytics used in a process called ...
Types include stable angina, unstable angina, and myocardial infarction. [17] A common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. [4] Occasionally it may feel like heartburn. Usually symptoms occur with exercise or emotional stress, last less than a few minutes, and improve with rest. [4]
Information card published by the National Heart, Lung, and Blood Institute urging people with symptoms of angina to call the emergency medical services.. Because of the relationship between the duration of myocardial ischemia and the extent of damage to heart muscle, public health services encourage people experiencing possible acute coronary syndrome symptoms or those around them to ...