Angina - when you have chest pain
Angina is a type of chest discomfort due to poor blood flow through the blood vessels of the heart muscle. This article discusses how to care for yourself when you have angina.
Acute coronary syndrome - chest pain; Coronary artery disease - chest pain; CAD - chest pain; Coronary heart disease - chest pain; ACS - chest pain; Heart attack - chest pain; Myocardial infarction - chest pain; MI - chest pain
Signs and Symptoms of Angina
You may feel pressure, squeezing, burning, or tightness in your chest. You may also have pressure, squeezing, burning, or tightness in your arms, shoulders, neck, jaw, throat, or back.
Some people may have different symptoms, including shortness of breath, fatigue, weakness, and back, arm, or neck pain. This applies especially to women, older people, and people with diabetes.
You may also have indigestion or be sick to your stomach. You may feel tired. You may be short of breath, sweaty, lightheaded, or weak.
Most times, people have angina when they are exposed to cold weather. People also feel it during physical activity. Examples are climbing stairs, walking uphill, lifting something heavy, or having sex.
How to Treat Your Chest Pain
Sit, stay calm, and rest. Your symptoms will often go away soon after you stop activity.
If you are lying down, sit up in bed. Try deep breathing to help with the stress or anxiety.
If you do not have nitroglycerin and your symptoms are not gone after resting for 5 minutes, call 9-1-1 right away.
Your health care provider may have prescribed nitroglycerin tablets or spray for severe attacks. Sit or lie down when you use your tablets or spray.
When using your tablet, place the pill between your cheek and gum. You can also put it under your tongue. Allow it to dissolve. DO NOT swallow it.
When using your spray, do not shake the container. Hold the container close to your open mouth. Spray the medicine onto or under your tongue. DO NOT inhale or swallow the medicine.
Wait for 5 minutes after the first dose of nitroglycerin. If your symptoms are not better, are worse, or return after going away, call 9-1-1 right away. The operator who answers will give you further advice about what to do.
(Note: your provider may have given you different advice about taking nitroglycerin when you have chest pain or pressure. Some people will be told to try 3 nitroglycerin doses five minutes apart before calling 9-1-1.)
DO NOT smoke, eat, or drink for 5 to 10 minutes after taking nitroglycerin. If you do smoke, you should try to quit. Your provider can help.
Know Your Risk Factors
After your symptoms have gone away, write down a few details about the event. Write down:
Ask yourself some questions:
Share this information with your provider at your regular visits.
Try not to do activities that strain your heart. Your provider may prescribe medicine for you to take before an activity. This can prevent symptoms.
When to Call the Doctor
Call 9-1-1 if your angina pain:
Also call your provider if:
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Sabatine MS, Cannon CP. Approach to the patient with chest pain. In: Mann DL, Zipes DP, Libby P, Bonow RO, Braunwald E, eds. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 50.
Review Date: 8/2/2016
Reviewed By: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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