Although angina pectoris is a common symptom in middle-aged and elderly heart patients, it is not exclusive to middle-aged and elderly people, but also to young adults who have hidden heart diseases. So what are the characteristics of angina? And how do we identify it?
Angina mainly has the following characteristics
1. the location is mostly in the upper or middle of the chest and back, the boundaries are not very clear, often radiating to the left shoulder, the left inner arm to the ring finger or little finger, or to the neck, throat or jaw.
2. The nature is difficult to describe precisely, and is often a feeling of pressure, constriction, or obstructive suffocation, rather than true pain. Patients are afraid to continue their activities, which is a common feature of patients with angina pectoris.
3. Triggers emotional changes, physical activity, satiety, cold, smoking, etc. may induce angina, and the same exertion is more likely to induce angina in the morning than in the afternoon.
4. duration is often 2-15min, not more than half an hour.
5. relief mode can generally be relieved after stopping the original symptom-triggering activities; sublingual nitroglycerin can be rapidly relieved after 2-3 minutes, it should be noted that nitroglycerin can only contain 1 tablet each time, if the pain cannot be relieved, it can be repeated every 5 minutes with 1 tablet, and the continuous use cannot exceed 3 tablets.
Angina identification by these 6 Details
Detail 1: Angina site
Most episodes of angina are located in the anterior region of the sternum or chest, but can also occur in any part of the upper abdomen to the pharynx. If you feel pain in these locations, you should be alert.
Detail 2: The range of angina
The pain in angina is often widespread and patchy. Patients often feel a stabbing pain in an area, rather than a pain limited to a single point. These phenomena, which cannot be clearly identified as a “pain point”, are most likely caused by angina.
Detail 3: Nature of angina pectoris
The nature of angina pectoris in the elderly is often dull and burning, and the pain is not as intense as in young people. Sometimes angina in the elderly is not a painful sensation, but an indescribable feeling of discomfort. It is important to note that if the pain is needle-like or knife-like, it is often not true angina, or pain from other organs.
Detail 4: Angina radiata
The pain of angina is not only in the chest, but often radiates to the shoulders, upper limbs, neck or spine. The most common radiating part of angina is the left shoulder or left upper extremity, from the inside of the forearm to the little finger and ring finger.
Detail 5: Angina pectoris starting symptoms
Angina starts slowly with temporary ischemia and hypoxia, and the pain is mild at first, reaching a peak after a few minutes. If angina starts with severe pain and gradually decreases later, it is often not angina pectoris.
Detail 6: Duration of angina pectoris
The duration of typical angina is often about 3 to 5 minutes, and rarely exceeds 10 to 15 minutes. Only a few variants of angina pectoris and angina before myocardial infarction longer. The pain is like a lightning bolt that passes in a flash is often not angina pectoris.