Angina is chest pain or pressure caused by decreased blood flow to the heart. Pain may also be felt in your arms, jaw or upper back. The pain is a signal that your heart is not getting enough oxygen. It is a sign that you need treatment to prevent a heart attack.
Angina may happen anytime but is more common with:
• Work, exercise or activity
• Eating a large meal
• Smoking or using tobacco
• Very hot or cold temperatures
• Emotional or stressful events.
Angina is classified in one of two types:
1) Stable angina
2) Unstable angina.
Stable angina is the most common type of angina, and what most people mean when they refer to angina. For most patients, symptoms occur during exertion and commonly last less than five minutes. They are relieved by rest or medication, such as nitroglycerin under the tongue.
Unstable angina is less common and more serious. The symptoms are more severe and less predictable than the pattern of stable angina. Moreover, the pains are more frequent, last longer, occur at rest, and are not relieved by nitroglycerin under the tongue (or the patient needs to use more nitroglycerin than usual). Unstable angina is often a precursor to a heart attack.
The most common cause of angina is coronary artery disease. A disease of the heart itself, where the arteries supplying the heart muscles are clogged by athermanous plaques. An atheroma is a collection or a swelling on the vessel wall composed of fats, cell debris, calcium, connective fibrous tissues etc. A less common cause of angina is spasm of the coronary arteries, coronary artery spasm; the walls of the arteries are surrounded by muscle fibers. Rapid contraction of these muscle fibers causes a sudden narrowing (spasm) of the arteries. A spasm of the coronary arteries reduces blood to the heart muscle and causes angina. Angina as a result of a coronary artery spasm is called “variant” angina or Prinzmetal angina.
Signs of Angina
Signs of angina can be much like the signs of a heart attack. Pain or pressure, or a feeling of tightness or heaviness in the chest, arms, jaw, shoulders or neck sweating, shortness of breath, nausea or vomiting, abdominal pain, feeling very tired, dizzy or faint. Some people have no signs other causes of chest pain;
- Pulmonary embolism
- Mitral valve prolapsed
- Aortic dissection
- Costochondritis, rib fractures, muscle strain or spasm
- Nerve compression
- Shingles (herpes zoster infection of the nerves
- Esophageal spasm and reflux Gallbladder
- Anxiety and panic attacks.
How is angina diagnosed???
Exercise stress test
CT coronary angiogram
Cactus g. q
Its well known characteristic symptom, “Sensation as if the heart were grasped with an iron hand,” which clutches and relaxes alternately, is ever present to the mind. It should be borne in mind that not all patients express themselves alike. A squeezed sensation may mean the same symptom. It is a remedy adapted to hypertrophy of the heart in young people. It is also very useful in intense palpitation and fluttering sensations about the heart.
Angina Pectoris with pain and numbness radiating to left arm and fingers; almost specific in acute stage cimicifuga (actaea racemosa) this is a remedy often indicated in heart troubles, especially when they supervene upon chorea or rheumatism of the bellies of the muscles. The headache confined to the forehead or as if the top of the head would fly off is present and an indicating feature. Pain under the left nipple and down the left arm may also be present. The pains are apt to come in shocks. Insomnia is persistent.
Aurum met with violent beating of heart, depression and suicidal thoughts Digitalis Q or in potency. The patient fears that the heart will stop beating if he should make any motion. This uneasy feeling about the chest rarely amounts to real pain. Gelsemium has the opposite symptom to this. The patient is roused out of sleep feeling that the heart will stop beating, and he is impelled to move about to keep it going. Digitalis is also indicated in dropsical conditions dependent on heart trouble, swelling of feet and ankles, anasarca, cardiac dropsy associated with slow pulse, urine suppressed or scanty. Apocynum is similar in this relation. The special field of usefulness of Digitalis is inflammation of the heart muscle approaching insidiously and in sudden cases of myo-or endo-carditis with the symptoms above outlined. The first noticeable benefit is a steadier heart’s action and an increased flow of urine. To use it in strong doses for a long time will render the patient incurable.angina with cramps
Q. When patient can not lie on left side due to acute pain.
Spigelia is another remedy for the painful affections about the heart. It stands at the head of the list for acute carditis and pericarditis. There are sharp pains shooting from the heart to the back, and radiating from the heart down the arm, over the chest, and down the spine. There is palpitation worse from any movement of the arm or body. The pulse is intermittent, not synchronous with the heart beat, and the slightest motion of the arm or hands makes the patient worse. At times the heart beat is even audible.
Q. When patient becomes unconscious due to intense pain and numbness of left arm Naja t. Heart failure due to prolonged illness Ammonium carb Angina with faintinf, restlessness and weak pulses Lachesis Angina with restlessness, burning sensation, excessive thirst and fear of death arsenic alb Pain heart due to pressure of wind. Patient desires to be fanned; coldness and blueness of the body. Arsenicum produces great irregularity of the heart, or the pulse may be quick and weak. It is especially useful in pericarditis or endocarditis after suppression of measles or scarlatina. Restlessness will be present, and oedema, puffiness of the eyes and swelling of the feet. Great dyspnoea, attacks of suffocations at night on lying down and particularly after midnight. Carbo veg Collapse with extreme coldness, blueness and weakness of body.
Tobacco heart; one of the best heart stimulants kalmia
Kalmia is a remedy for cardiac hypertrophy, especially after rheumatism, and has the symptom so common in heart affections, namely, “numbness of the left arm.” There is with Kalmia much pain and anguish about the heart, some dyspnoea, palpitation, and pressure from the epigastrium towards the heart. The heart is irregular and intermits every third or fourth beat. There are shooting pains through the chest to the scapula. Kalmia is an excellent remedy for cardiac troubles when they have been caused by the suppression of rheumatism by external applications. The pulse of Kalmia is slow, but not as slow as Digitalis.
Veratrum alb 30 or 200
Palpitation with pain in heart; stiching pain in heart radiating to left shoulder and left hand; worse walking, after eating; hypertension, vertigo, darkness before eyes.
Termilania arjuna Q or 6
Heart tonic (to strengthen the heart)
Cactus g.Q and Crataegus Q
When pain extends from heart region to right shoulder or right clavicle or towards right knee Convallaria (Con). There is quite a large class of remedies affecting the heart which might be termed the newer remedies. Among these in Convallaria. It is useful in valvular diseases of the heart with scanty urine, dropsy and great dyspnoea. It has so relieved the oedema in a number of cases that the patient could lie down. Dyspnoea, palpitation and oedema due to mitral disease have been relieved by it. Twitching should be present to well indicate this remedy. Dilatation associated with emphysema.
It increases arterial tension, regulates the heart beats by lessening the frequency of the pulse and increasing the force of the cardiac contraction.
Lycopus Virginicus is still another heart remedy of this class. It is useful in cardiac irritability with depressed force, after abuse of cardiac depressants or cardiac stimulants, excessive hypertrophy, muscular weakness, etc. Its use has been limited, chiefly confined to the condition known as cardiac asthma, where it works well. The rapid regular pulse, tumultuous and forcible heart action, indicate it in exophthalmic goitre.
Homoeopathy is a unique system of medicine based on individualistic and holistic approach to the disease centered on the law of similar. There is no medicine for any particular disease, but there is a medicine for the patient suffering from the disease. The present problem of the patient is not usually an isolated occurrence. It is part of a sequence. A good homoeopath learns how to perceive disease as a continually evolving process which begins in the womb and, unless arrested and cured, ends in the tomb. Selection of medicine in Homoeopathic prescription especially in chronic cases is an art. An expert by virtue of his experience and intuitive keenness is able to prescribe the desired remedy successfully. Only a reason gifted mind can adopt a logical procedure of deductive and inductive path in an integrated way to accomplish the task The art of constitutional homoeopathic prescribing involves the ability to recognize and deal appropriately with all such symptom patterns, including recognizing and removing any obstacles to recovery and determination of the dose, potency and frequency of repetition of that remedy that will, over time, best arouse the curative powers of the patient and evoke the most gentle, complete and permanent healing response.