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Angina — Overview, Symptoms, Treatments, and Other Resources.
Angina (also known as Angina Pectoris)
Comprehensive Guides
What is Angina? - from the National Heart, Lung, and Blood Institute
Angina (an-JI-nuh or AN-juh-nuh) is chest pain or discomfort that occurs when an area of your heart muscle doesn't get enough oxygen-rich blood. Angina may feel like pressure or squeezing in your chest. The pain also may occur in your shoulders, arms, neck, jaw, or back. It can feel like indigestion...More at the National Heart, Lung, and Blood Institute.

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Information on Angina Pectoris from the American Heart Association
Angina pectoris is the medical term for chest pain or discomfort due to coronary heart disease. Angina is a symptom of a condition called myocardial ischemia. It occurs when the heart muscle (myocardium) doesn't get as much blood (hence as much oxygen) as it needs...Read more at The American Heart Association - a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke.

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The Mayo Clinic on Angina
Information on Angina at MayoClinic.com.

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Angina, stable: Essentials from Consumer Reports
What is it? What are the symptoms? How is it diagnosed? How common is it? What will happen? Questions to ask. Key points about treatments at Consumer Reports.

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Fact Sheets, Tutorials, Interactive Tools, and other Interesting Information
Squeezing The Pain Away: Enhanced External Counterpulsation Reduces Angina
Patients with angina (chest pain) and left ventricular dysfunction respond very well to treatment using enhanced external counter pulsation (EECP), with little or no future heart failure events, according to researchers from the Cardiovascular Institute at the University of Pittsburgh Medical Center (UPMC). See the UPMC press release.

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Keep an angina log
A log (or record) of your angina symptoms helps show what angina is like for you and how your angina pattern changes over time. The log helps your doctor regulate your medicines and decide on future treatments...Read more at The American Heart Association - a national voluntary health agency to help reduce disability and death from cardiovascular diseases and stroke.

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Videos and Podcasts
Podcast Podcast: Omega-3 fatty acids — Get the heart-health benefits
Listen to the interview with Katherine Zeratsky, a registered dietitian at Mayo Clinic.presented by the Mayo Clinic.

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Video Video: Heart and circulatory system — How they work
View the video presented by the Mayo Clinic.

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Forums & Support Communities


Clinical Practice Guidelines
Guidelines on the management of stable angina pectoris.
Stable angina is a clinical syndrome characterized by discomfort in the chest, jaw, shoulder, back, or arms, typically elicited by exertion or emotional stress and relieved by rest or nitroglycerin. Less typically, discomfort may occur in the epigastric area. See National Guideline Clearinghouse major recommendations.

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Primary care management of chronic stable angina and asymptomatic suspected or known coronary artery disease: a clinical practice guideline from the American College of Physicians.
The following agents should be used in patients with symptomatic chronic stable angina to prevent MI or death and to reduce symptoms. See National Guideline Clearinghouse major recommendations

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Important Articles from Medical Journals
Abstract: Antianginal efficacy and safety of ivabradine compared with amlodipine in patients with stable effort angina pectoris: a 3-month randomised, double-blind, multicentre, noninferiority trial.
Current medical therapies for the symptoms of angina pectoris aim to improve oxygen supply and reduce oxygen demand in the myocardium. Not all patients respond to current antianginal monotherapy, or even combination therapy, and a new class of antianginal drug that complements existing therapies would be useful. See Abstract at PubMed.

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Abstract: Efficacy of the I(f) current inhibitor ivabradine in patients with chronic stable angina receiving beta-blocker therapy: a 4-month, randomized, placebo-controlled trial.
AIMS: To evaluate the anti-anginal and anti-ischaemic efficacy of the selective I(f) current inhibitor ivabradine in patients with chronic stable angina pectoris receiving beta-blocker therapy. See Abstract at PubMed.

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Abstract: Improved myocardial perfusion in stable angina pectoris by oral lumbrokinase: a pilot study.
A novel antithrombotic agent, lumbrokinase, was evaluated in this pilot study for its efficacy in the treatment of symptomatic stable angina. See Abstract at PubMed.

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Abstract: Efficacy of ranolazine in patients with chronic angina observations from the randomized, double-blind, placebo-controlled MERLIN-TIMI
Ranolazine is an antianginal shown to reduce angina and improve exercise performance in selected patients with early-positive exercise testing and those with frequent angina. See Abstract at PubMed.

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Abstract: Clinical efficacy of benidipine for vasospastic angina pectoris.
Most patients with vasospastic angina who have no significant organic coronary arterial stenosis are well controlled by medical therapy and the prognosis is almost satisfactory. Calcium channel (Ca) blockers are used as the first choice and effective agents for vasospastic angina pectoris. See Abstract at PubMed.

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Abstract: Prinzmetal's variant angina: three case reports and a review of the literature.
Prinzmetal's variant angina is a rare entity. When angina-like symptoms occur at rest, mostly at a specific hour in the early morning, together with transient ST segment elevations and angiographically normal arteries, provocative tests with ergonovine or acetylcholine should be performed. See Abstract at PubMed.

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Abstract: Clinical effects of calcium channel blocker and Angiotensin converting enzyme inhibitor on endothelial function and arterial stiffness in patients with angina pectoris.
Objective: To evaluate the effects of calcium channel blocker (CCB) and angiotensin converting enzyme inhibitor (ACEI) on endothelial function and arterial stiffness in stable angina pectoris (SAP). See Abstract at PubMed.

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Abstract: Cardioprotection with beta-blockers: myths, facts and Pascal's wager.
Beta-blockers were documented to reduce reinfarction rate more than 3 decades ago and subsequently touted as being cardioprotective for a broad spectrum of cardiovascular indications such as hypertension, diabetes, angina, atrial fibrillation as well as perioperatively in patients undergoing surgery. See Abstract at PubMed.

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Abstract: Long-term use of short- and long-acting nitrates in stable angina pectoris.
Long-acting nitrates are effective antianginal drugs during initial treatment. However, their therapeutic value is compromised by the rapid development of tolerance during sustained therapy, which means that their clinical efficacy is decreased during long-term use. See Abstract at PubMed.

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Abstract: Unstable angina and non ST elevation acute coronary syndromes.
Acute coronary syndromes (ACSs) are the most common cause of hospital admission in patients with coronary artery disease (CAD). The term ACS refers to a spectrum of acute life-threatening disorders that includes: unstable angina (UA), non ST elevation myocardial infarction (NSTEMI) and ST elevation myocardial infarction (STEMI). See Abstract at PubMed.

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AARP The Magazine
Keeping active has been proven to be of great benefit to angina sufferers.
Source: Heart & Stroke Tayside

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