Talk:Angina pectoris

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Maybe it's just my feeling but the opening sentence is clumsy and actually not correct:

Angina pectoris is a lack of oxygen supply to the heart muscle, due to a reduced blood flow around the heart's blood vessels

the following lines seem much better:

Angina pectoris is a common symptom of myocardial ischemia (most often chest pain). People with coronary artery disease are most often affected by angina.

Kpjas 16:41, 13 September 2005 (UTC)

• Rewording better, but I disagree with the definition: strictly 'Angina Pectoris' is only a symptom (of having a tightening-type chest pain) and the term long-predates the identification of atheromatous ischaemic coronary disease. Hence experiencing a severe spasm of a muscle between the ribs or of heartburn from acid-reflux whilst someone is active may both be cases of angina, but not through cardiac-cause. The most important possibility is of course of reversible cardiac ischaemia on activity. So I propose a tighter initial definition mentioning both the major and lesser causes before the article (approproately) continues to discuss IHD. I welcome comments by others before I have a go at this. David Ruben^talk 12:26, 20 September 2005 (UTC)

I've done some expanding, especially of the diagnosis section (which had not been written), the epidemiology section (which was US-centric) and the treatment section (which did not mention calcium antagonists and completely ignored risk factor modification). Differential diagnosis needs to be expanded, and some things could be tightened. JFW | T@lk 16:16, 20 September 2005 (UTC)

[edit] 1911 para needs rewrite - surely??

Hi

This para:

"An attack of angina pectoris usually comes on with a sudden seizure of pain, felt at first over the region of the heart, but radiating through the chest in various directions, and frequently extending down the left arm. A feeling of constriction and of suffocation accompanies the pain, although there is seldom actual difficulty in breathing. When the attack comes on, as it often does, in the course of some bodily exertion, the sufferer is at once brought to rest, and during the continuance of the paroxysm experiences the most intense agony. The countenance becomes pale, the surface of the body cold, the pulse feeble, and death appears to be imminent, when suddenly the attack subsides and complete relief is obtained. The duration of a paroxysm rarely exceeds two or three minutes, but it may last for a longer period. (If it lasts more than a few minutes longer than it normally does, this means medical attention is needed immediately and a call for help should be made.) The attacks are apt to recur on slight exertion, and even in aggravated cases without any such exciting cause."

- is pretty much word for word from the 1911 Britannica. We do not any longer say stuff like "the sufferer is at once brought to rest". Well not in my bit of London anyway, foresooth! Can some nice medical person please render it into English more auitable for this century? It's really quite an important article (yeah yeah I know!) and I am sure it would benefit greatly from a few minutes of your time. I can't do it, but I feel sure it needs doing. Or is it just me???

Thanks

Disapppeared ex-user Old Git. :) 138.37.199.199 11:45, 10 November 2005 (UTC)

Yes, Gonegoneone, I still haven't figured out which departed user you are, but I've fixed the article. There is still more to come, but I need to dip into Pubmed to get a good general review for the references section, and to provide some scientific details on vasospasm vs placque rupture. JFW | T@lk 13:40, 11 November 2005 (UTC)

[edit] ST??

In the diagnosis sectiont there is mention of 'elevation of the ST segment'. What's an ST?

It's the interval between the S and T waves, but that's not obvious so I'll add a link. Gccwang

[edit] Talk:Angina

Reason: Wouldn't have bothered, but in Abdomnal angina someone refers angina to Angina pectoris and that's not correct. Both refer to "angina" itself. -- Robodoc.at 09:38, 17 February 2007 (UTC)