Walk through angina pectoris: Difference between revisions
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==Walk through angina pectoris== | ==Walk through angina pectoris== | ||
In the majority of patients with obstructive [[coronary artery disease]], the intensity of angina is associated with the intensity of the physical activity. However, a subset of patients have so called '''walk through angina'''. | *In the majority of patients with obstructive [[coronary artery disease]], the intensity of angina is associated with the intensity of the physical activity. However, a subset of patients have so called '''walk through angina'''. | ||
These patients experience angina early in the course of physical activity (e.g. walking, gardening, climbing, and short running) but the angina then disappears despite continuation of the activity. | *These patients experience angina early in the course of physical activity (e.g. walking, gardening, climbing, and short running) but the angina then disappears despite continuation of the activity. | ||
The precise underlying mechanism of walk though angina remains unclear. | *The precise underlying mechanism of walk though angina remains unclear. | ||
:*It has been speculated that this may be due to an initial increase in coronary vascular tone with a consequent reduction in [[coronary blood flow]] at the beginning of the exercise. | :*It has been speculated that this may be due to an initial increase in coronary vascular tone with a consequent reduction in [[coronary blood flow]] at the beginning of the exercise. | ||
:*It has also been speculated that recruitment of [[collaterals]] may also play a role in the phenomenon. | :*It has also been speculated that recruitment of [[collaterals]] may also play a role in the phenomenon. | ||
[[Category:Ischemic heart diseases]] | |||
[[Category:Disease state]] | [[Category:Disease state]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
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Revision as of 14:22, 18 August 2011
Chronic stable angina Microchapters | ||
Classification | ||
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Differentiating Chronic Stable Angina from Acute Coronary Syndromes | ||
Diagnosis | ||
Alternative Therapies for Refractory Angina | ||
Discharge Care | ||
Guidelines for Asymptomatic Patients | ||
Case Studies | ||
Walk through angina pectoris On the Web | ||
Risk calculators and risk factors for Walk through angina pectoris | ||
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
Walk through angina is the appearance of anginal discomfort early in the course of exertion which then subsides despite continuation of exertion.
Walk through angina pectoris
- In the majority of patients with obstructive coronary artery disease, the intensity of angina is associated with the intensity of the physical activity. However, a subset of patients have so called walk through angina.
- These patients experience angina early in the course of physical activity (e.g. walking, gardening, climbing, and short running) but the angina then disappears despite continuation of the activity.
- The precise underlying mechanism of walk though angina remains unclear.
- It has been speculated that this may be due to an initial increase in coronary vascular tone with a consequent reduction in coronary blood flow at the beginning of the exercise.
- It has also been speculated that recruitment of collaterals may also play a role in the phenomenon.