Unstable Angina
Medical Review
Overview of Unstable Angina
Unstable angina is one of the components of Acute Coronary Syndromes (ACS). Unstable angina is an emergency condition and you should seek immediate medical treatment. If this conditionleft untreated, unstable angina can lead to heart attack, heart failure, or arrhythmias (irregular heart rhythms). This can be life-threatening conditions.
Signs and Symptoms of Unstable Angina
Chest pain that feels crushing & squeezing , Pain that radiates to your upper extremities (usually on the left side) or back , Nausea , Anxiety , Sweating , Shortness of breath , Dizziness , Unexplained fatigue
Common Causes of Unstable Angina
Atherosclerosis , Microvascular dysfunction , Coronary artery spasm
Risk Factors of Unstable Angina
Non modifiable: Inreasing age, Family history of IHD, Modifiable: smoking, hypertension, diabetes mellitus, hyperlipidaemia, obesity, sedentary lifestyles
Investigation Techniques for Unstable Angina
Full blood count, Cardiac enzymes (creatine phosphokinase and myoglobin), ECG, Echocardiography, Stress tests, Coronary angiography
Treatment and Prevention of Unstable Angina
Modify risk factors, Optimize cardioprotective medications: antiplatelet agents (eg, aspirin), lipid-lowering statin agents (eg, simvastatin), cardiovascular antiplatelet agents (eg, tirofiban), beta blockers (eg, atenolol), anticoagulants (eg, heparin or low-molecular-weight heparins [LMWHs), thrombin inhibitors (eg, bivalirudin), nitrates (eg, nitroglycerin IV), calcium channel blockers (nifedipine), angiotensin-converting enzyme inhibitors (ACEIs) (eg, captopril), Revascularization
Available Unstable Angina Medicines
No medicines currently available for this condition.




