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Home > West Medicine > Internal Medicine > Cardiology
I20.900

Angina Pectoris

心内科

Common symptoms

心血管堵塞、心脑供血不足、胸痛、紧张、胸背痛、胸闷憋气、烦躁不安、心动过速

The pathology of disease

Angina pectoris is substernal chest pain/pressure due to myocardial ischemia, classified as stable (exertional, fixed stenosis), unstable (new/crescendo/rest, ACS), and variant (vasospastic). Treatment: sublingual nitroglycerin for attacks; anti-ischemic therapy (beta-blocker/CCB/nitrates); antiplatelet (aspirin) and statin; risk-factor modification; urgent angiography/revascularization for unstable/high-risk.

Common Symptoms

Substernal pressure; exertional/rest; radiates to arm/jaw; relieved by nitroglycerin; by stable/unstable/variant

Causes and Pathogenesis

Coronary insufficiency (stenosis/spasm) causes myocardial ischemia and pain.

Treatment

Nitrates; BB/CCB; aspirin/statin; risk factors; angiography/revascularization for high-risk

Preventive Measures

Risk-factor control; antiplatelet/statin; urgent evaluation of chest pain.

Department to Visit

It is recommended to visit the Cardiology/Emergency department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.