Unstable Angina

Medical Review

Written by: Dr. Von Chiao Wen Doctor of Medicine (MD), N.I. Pirogov Russian National Research Medical University
Reviewed by: Dr. Lee Chin Meng Doctor of Medicine (MD), Manipal Academy of Higher Education (MAHE)

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.

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