Mixed angina pectoris: Difference between revisions

Jump to navigation Jump to search
(New page: {{Chronic stable angina}} {{CMG}}; Associate Editor-In-Chief: {{CZ}} ==Overview== One of the clinical subsets of angina <ref>{{cite book |last= Braunwald |first= Eugene |coauthors= Le...)
 
 
(22 intermediate revisions by 7 users not shown)
Line 1: Line 1:
__NOTOC__
{{Chronic stable angina}}
{{Chronic stable angina}}
{{CMG}}; Associate Editor-In-Chief: {{CZ}}
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}


==Overview==
==Overview==
One of the clinical subsets of [[angina]] <ref>{{cite book |last= Braunwald |first= Eugene |coauthors= Lee Goldman |title= [[Primary Cardiology]] |publisher= [[Saunders]] |year= 2003 |isbn= 0-7216-9444-6}}</ref> is described below.
Mixed or variable threshold angina pectoris is a syndrome in which there is substantial variation in the magnitude of physical activity that induces anginal chest pain.


==Mixed (Variable Threshold) Angina Pectoris==
==Pathophysiology==
*The essential clinical feature of mixed angina is a '''substantial variation in the degree of physical activity that induces angina'''.
Dynamic [[vasoconstriction]] which is superimposed on fixed atherosclerotic coronary artery obstruction has been postulated as the underlying pathophysiologic mechanism for the changes in exercise threshold in mixed angina pectoris.
:*These group of patients may also experience rest or nocturnal angina on certain occasions.
:*Angina may also occur on exposure to cold, during emotional stress, or after meals.  


*'''Dynamic vasoconstriction which superimposed on fixed atherosclerotic coronary artery obstructions''' has been postulated as the mechanism for the variable exercise threshold.
==Diagnosis==
====Symptoms====
* The essential clinical feature of mixed angina is a substantial variation in the degree of physical activity that induces angina.
* This group of patients may also experience [[nocturnal angina pectoris|nocturnal angina]] on certain occasions.
* Anginal episodes may also occur upon exposure to cold, during periods of emotional stress, or after meals.
 
==Treatment==
* The treatment is the same as in [[Chronic stable angina treatment|chronic stable angina]].


==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}


[[Category:Disease state]]
[[Category:Disease]]
[[Category:Ischemic heart diseases]]
[[Category:Ischemic heart diseases]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
 
[[Category:Intensive care medicine]]
{{WikiDoc Help Menu}}
[[Category:Up-To-Date]]
{{WikiDoc Sources}}
[[Category:Up-To-Date cardiology]]

Latest revision as of 15:07, 29 January 2013

Chronic stable angina Microchapters

Acute Coronary Syndrome Main Page

Home

Patient Information

Overview

Historical Perspective

Classification

Classic
Chronic Stable Angina
Atypical
Walk through Angina
Mixed Angina
Nocturnal Angina
Postprandial Angina
Cardiac Syndrome X
Vasospastic Angina

Differentiating Chronic Stable Angina from Acute Coronary Syndromes

Pathophysiology

Epidemiology and Demographics

Risk Stratification

Pretest Probability of CAD in a Patient with Angina

Prognosis

Diagnosis

History and Symptoms

Physical Examination

Test Selection Guideline for the Individual Basis

Laboratory Findings

Electrocardiogram

Exercise ECG

Chest X Ray

Myocardial Perfusion Scintigraphy with Pharmacologic Stress

Myocardial Perfusion Scintigraphy with Thallium

Echocardiography

Exercise Echocardiography

Computed coronary tomography angiography(CCTA)

Positron Emission Tomography

Ambulatory ST Segment Monitoring

Electron Beam Tomography

Cardiac Magnetic Resonance Imaging

Coronary Angiography

Treatment

Medical Therapy

Revascularization

PCI
CABG
Hybrid Coronary Revascularization

Alternative Therapies for Refractory Angina

Transmyocardial Revascularization (TMR)
Spinal Cord Stimulation (SCS)
Enhanced External Counter Pulsation (EECP)
ACC/AHA Guidelines for Alternative Therapies in patients with Refractory Angina

Discharge Care

Patient Follow-Up
Rehabilitation

Secondary Prevention

Guidelines for Asymptomatic Patients

Noninvasive Testing in Asymptomatic Patients
Risk Stratification by Coronary Angiography
Pharmacotherapy to Prevent MI and Death in Asymptomatic Patients

Landmark Trials

Case Studies

Case #1

Mixed angina pectoris On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Mixed angina pectoris

CDC onMixed angina pectoris

Mixed angina pectoris in the news

Blogs on Mixed angina pectoris

to Hospitals Treating Mixed angina pectoris

Risk calculators and risk factors for Mixed angina pectoris

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

Mixed or variable threshold angina pectoris is a syndrome in which there is substantial variation in the magnitude of physical activity that induces anginal chest pain.

Pathophysiology

Dynamic vasoconstriction which is superimposed on fixed atherosclerotic coronary artery obstruction has been postulated as the underlying pathophysiologic mechanism for the changes in exercise threshold in mixed angina pectoris.

Diagnosis

Symptoms

  • The essential clinical feature of mixed angina is a substantial variation in the degree of physical activity that induces angina.
  • This group of patients may also experience nocturnal angina on certain occasions.
  • Anginal episodes may also occur upon exposure to cold, during periods of emotional stress, or after meals.

Treatment

References

Template:WikiDoc Sources