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Angina

Description

Angina is defined as pain or discomfort felt in the chest. This is a result of decreased blood flow to the heart. The blood flow is usually reduced because something is blocking the vessels that supply blood to the heart. Even though the pain may be temporary or mild, it may be a sign of a serious heart problem. It is important to consult your doctor if you experience angina.

Stable Angina: is the most common type of angina. This type of angina can be triggered by physical activity or stress. However, this only lasts for a few minutes, and resolves on rest. This is not a heart attack, but it does increase the likelihood of having one.

Unstable Angina: This type of angina may occur at rest, and the pain may be more severe, and also last longer. This type of angina can be a warning sign of a heart attack. It is important to consult a doctor immediately.

Prinzmetal’s Angina: This is a rare type of angina that can be quite painful. It may occur at rest. This happens because the blood vessels supplying the heart tighten suddenly. Please consult your doctor if you experience this.

Causes

Angina is a result of poor blood supply to the heart. When the blood supply is inadequate, the heart does not have the oxygen it needs, and this causes pain. This can happen through several mechanisms. Some of them include:

  • Fat may collect in the blood vessels supplying the heart, and this can restrict the blood supply to the heart. This is called
  • A clot may block the blood supply to the heart.
  • Blood vessels may get inflamed, or undergo spasm thereby decreasing blood flow.

 

Other less common causes include:

  • A clot, or blockage in the blood vessels of the lungs. This is called a pulmonary embolism.
  • Heart diseases that have caused the muscles of the heart to become too large to perform their function adequately. This is called hypertrophic cardiomyopathy.
  • A tear in the wall of the largest vessel in the body, the aorta. This is called aortic dissection.
  • Narrowed heart valves. This may include the aortic valve, and is called aortic stenosis.
  • Development of a swelling around the heart, this is known as

 

Angina may be triggered by factors like emotional stress, extreme weather, and obesity.

Risk factors
  • Factors that cannot be changed (Un-modifiable Risk Factors):
  • Men are more likely to experience this than women.
  • Men over the age of 45, and women above 55 years are at risk.
  • Factors that can be changed (Modifiable Risk Factors):
  • Obesity
  • High blood pressure
  • Stress
  • Lack of exercise
  • Diabetes (type 2)
  • High cholesterol
  • Smoking
Symptoms
  • Pain experienced during angina can usually be described as aching, burning, squeezing, heaviness, or feeling of fullness or pressure in the chest.
  • The pain usually radiates to the jaw, shoulder, neck, arms, or stomach region.
  • This pain is usually going to last a few minutes, and resolves on resting. However, even though the duration of the pain is short, a doctor should still be consulted.
Diagnosis

Investigations carried out by your doctor depend on the symptoms. ECG, Chest X-ray, and tests for cardiac enzymes (troponin I or CPK-MB) are common. Other tests include echocardiography, coronary angiogram, CT angiography, CT-Scans, and MRI of the chest.

Management
  • Lifestyle modifications such as a healthy diet, smoking cessation and regular exercise are always advised.
  • Initial therapy includes drugs such as Nitroglycerin, Aspirin, Beta blockers, and morphine sulfate; and maintenance of oxygen saturation.
  • However, if the medication does not manage the symptoms effectively, a bypass surgery, or angioplasty may be advised.
When to consult a doctor?
  • If you feel chest pain, or any other symptoms of a heart attack (such as shortness of breath, irregular heartbeat, sweating, etc.) you should call an ambulance, or be taken to a hospital. It is best not to drive yourself.
  • If your symptoms have not improved within 5 minutes of taking nitroglycerin, you should call for help.

 

Available Medicine for Angina

Tarka 2mg/180mg

Rs.315

Abbott Nutrition

Trand-V ER 1mg/240mg

Rs.100

Genix

Trand-V ER 2mg/240mg

Rs.150

Genix

Trand-V ER 4mg/240mg

Rs.200

Genix

Calan 40mg

Rs.190

Searle

Calan 80mg

Rs.36.2

Searle

Calan 240mg

Rs.105.05

Searle

Sofvasc 5mg

Rs.125.78

Willson's

Sofvasc 10mg

Rs.267.04

Willson's

M-low 10mg

Rs.147.5

Sante

AM-Descol 5/10mg

Rs.57.5

Marvi

Avsar 80mg/5mg

Rs.126

Pharmatec

Ampress 5mg

Rs.74.47

Barrett

Olesta AM 10mg/20mg

Rs.449.41

Searle

Olesta AM 10mg/40mg

Rs.600

Searle

Olesta AM 5mg/20mg

Rs.182.5

Searle

Olmedip 10mg/20mg

Rs.360

Shrooq

Olmedip 10mg/40mg

Rs.1145

Shrooq

Olmedip 5mg/20mg

Rs.320

Shrooq

Olmedip 5mg/40mg

Rs.600

Shrooq

Omsana AM 10mg/20mg

Rs.280

Hilton

Omsana AM 10mg/40mg

Rs.397.5

Hilton

Omsana AM 5mg/20mg

Rs.250

Hilton

Omsana AM 5mg/40mg

Rs.190

Hilton

Sofvasc OLM 10mg/40mg

Rs.0

Willson's

Sofvasc OLM 5mg/20mg

Rs.450

Willson's

Sofvasc OLM 5mg/40mg

Rs.675

Willson's

Amlortan 10mg/160mg

Rs.428

Genome Pharma

Amlortan 5mg/160mg

Rs.398.5

Genome Pharma

Amlortan 5mg/80mg

Rs.34

Genome Pharma

Amlortan 5mg/80mg

Rs.238

Genome Pharma

Amodip-V 10mg/160mg

Rs.210

Mass-PH Health

Amodip-V 5mg/160mg

Rs.168

Mass-PH Health

Amodip-V 5mg/80mg

Rs.141.5

Mass-PH Health

Amstan 10mg/160mg

Rs.476

Scilife

Amstan 5mg/160mg

Rs.427

Scilife

Amstan 5mg/80mg

Rs.308

Scilife

Afsar 10mg/160mg

Rs.0

Pharm Evo

Afsar 5mg/160mg

Rs.0

Pharm Evo

Afsar 5mg/80mg

Rs.0

Pharm Evo

Dioplus 10mg/160mg

Rs.245.45

Atco

Dioplus 5mg/160mg

Rs.209.18

Atco

Dioplus 5mg/80mg

Rs.292.6

Atco

Exforge 10mg/160mg

Rs.1217.16

Novartis

Exforge 5mg/160mg

Rs.1132.63

Novartis

Exforge 5mg/80mg

Rs.676.2

Novartis

Extor 10mg/160mg

Rs.460

Searle

Extor 5mg/80mg

Rs.311

Searle

Newday 10mg/160mg

Rs.308

Werick

Newday 5mg/160mg

Rs.294

Werick

Newday 5mg/80mg

Rs.238

Werick

Sofvasc-V 10mg/160mg

Rs.442.54

Willson's

Sofvasc-V 5mg/160mg

Rs.377

Willson's

Sofvasc-V 5mg/80mg

Rs.294.24

Willson's

Valam 10mg/160mg

Rs.277.7

CCL

Valam 5mg/160mg

Rs.191.86

CCL

Valam 5mg/80mg

Rs.140.45

CCL

Valkena-A 5mg/80mg

Rs.476

Kanel Pharma

Valmo 10mg/160mg

Rs.420

Pharmatec

Valmo 5mg/160mg

Rs.397

Pharmatec

Valmo 5mg/80mg

Rs.298.73

Pharmatec

Valsar 10mg/160mg

Rs.231

Helix Pharma

Valsar 5mg/160mg

Rs.192.5

Helix Pharma

Valsar 5mg/80mg

Rs.138.6

Helix Pharma

Valtan M 10mg/160mg

Rs.460

L A Kurative

Valtan M 5mg/160mg

Rs.390

L A Kurative

Valtan M 5mg/80mg

Rs.280

L A Kurative

Valtec AM 10mg/160mg

Rs.360

Tabroos

Valtec AM 5mg/160mg

Rs.322

Tabroos

Valtec AM 5mg/80mg

Rs.245

Tabroos

Vamlodip 5mg/80mg

Rs.476

Accurate

Exforge HCT 10mg/160mg/12.5mg

Rs.532.88

Novartis

Exforge HCT 10mg/160mg/25mg

Rs.536

Novartis

Exforge HCT 10mg/320mg/25mg

Rs.732.38

Novartis

Exforge HCT 5mg/160mg/12.5mg

Rs.496.13

Novartis

Sofvasc HCT 10mg/160mg/12.5mg

Rs.169.06

Willson's

Sofvas HCT 10mg/160mg/25mg

Rs.91

Willson's

Sofvas HCT 10mg/320mg/25mg

Rs.532

Willson's

Sofvas HCT 5mg/160mg/12.5mg

Rs.85

Willson's

Sofvas HCT 10mg/320mg/25mg

Rs.1232

Willson's

Sofvas HCT 5mg/160mg/12.5mg

Rs.783.71

Willson's

Amper 4mg/10mg

Rs.150

Nexpharm

Amper 4mg/5mg

Rs.244

Nexpharm

Coversam 4mg/10mg

Rs.327.96

Servier

Coversam 4mg/5mg

Rs.295.8

Servier

Coversam 8mg/10mg

Rs.375.54

Servier

Norvasc 5mg

Rs.153.49

Pfizer

Norvasc 10mg

Rs.309.92

Pfizer

Covam 10mg/160mg

Rs.227.5

Getz

Covam 5mg/160mg

Rs.197.5

Getz

Covam 5mg/80mg

Rs.164.1

Getz

Telsarta A 5/40mg

Rs.158.9

Pharm Evo

Triforge 10mg/160mg/12.5 mg

Rs.78.75

Highnoon

Valcard 5/160mg

Rs.616.47

Efroze

Diasar 10/160mg

Rs.233.45

Shaigan

Valcard 10/160mg

Rs.391.5

Efroze

Telsarta A 5/80mg

Rs.218.5

Pharm Evo

Amlo-Q 5mg

Rs.61.93

High-Q

Lodopin 10mg

Rs.78.81

Martin Dow

Sofvasc HCT 5mg/160mg/12.5mg

Rs.391.86

Willson's

Ampress 10mg Tablet

Rs.148.94

Barrett

Avsar 5mg/160mg

Rs.207.7

Pharm Evo

Zodip 5mg

Rs.24.05

Zafa

Amlocard 10

Rs.170

Pharmatec

Lodopin 5 mg

Rs.59.26

Martin Dow Marker

Triforge 10mg/320mg/25mg

Rs.72.48

Highnoon

Avsar 5mg/80mg

Rs.144.9

Pharm Evo

Amtas 10 mg / 40 mg

Rs.155.12

Getz

Covance 10/160mg

Rs.309

Ferozsons

Covance 5/80mg

Rs.189

Ferozsons

Covance 5/160mg

Rs.259

Ferozsons

Extor 5mg/160 mg

Rs.385

Searle

AM-Telsan 5mg/40mg

Rs.165

Hilton

Olesta AM 5mg/40mg

Rs.330

Searle

Co-Extor 5mg+160+25mg

Rs.362

Searle

Misar AM 40mg/5mg

Rs.140

Highnoon

Natrilam 1.5mg / 10mg

Rs.172.89

Servier

Am-Telsan 10mg/40mg

Rs.177.5

Hilton

Telsarta-A 40mg / 10mg

Rs.119.4

Pharm Evo

Telsarta-A 10mg/80mg

Rs.155.25

Pharm Evo

Coversam 8mg/5mg

Rs.340.81

Servier

Co-Amstan 10+160+25mg

Rs.341.88

Scilife

Listan-AM 5mg/80mg

Rs.278

Amarant

Amodip 5mg

Rs.200

Mass-PH Health

Amodip 10mg

Rs.400

Mass-PH Health

Address 5mg/80mg

Rs.216

Scotman

Address 5mg/160mg

Rs.285

Scotman

Address 10mg/160mg

Rs.335

Scotman

Leaf 5mg

Rs.40

Scotman

Leaf 10mg

Rs.60

Scotman

Biscot 2.5mg

Rs.49

Scotman

Biscot 10mg

Rs.156

Scotman

Biscot 5mg

Rs.97

Scotman

Natrilam 1.5/5mg

Rs.163.61

Servier

Misar AM 80mg/5mg

Rs.223.5

Highnoon

Triplixam 5mg/1.25mg/5mg

Rs.1140

Servier

Avsar Plus 10mg/160mg/25mg

Rs.85.47

Pharmevo

Olesta-AM 5/40mg

Rs.330

Searle

Avsar 160 mg/10 mg

Rs.242.2

Pharm Evo

Co-Extor 10mg/160mg/12.5mg

Rs.457.8

Searle

Co-Extor 5mg160mg/12.5mg

Rs.391.86

Searle

Amlo-Q 10mg

Rs.93.24

High-Q

Lodopin 2.5mg

Rs.52.28

Merck

AV-Sartan 10 mg/ 160 mg

Rs.350

Barrett

AMTAS 5 mg / 80 mg

Rs.202.3

Getz

Amtas 5mg/40mg

Rs.175

Getz

M-LOW 5 mg

Rs.159

Scilife

Amodip 5mg

Rs.85.66

Mass-PH Health

Onato 10mg

Rs.63.67

Sami

Ascard 75mg

Rs.17.48

Atco

Ascard 150mg

Rs.18.83

Atco

Ascard Plus 81mg/75mg

Rs.169

Atco

Ascard 300mg

Rs.17.33

Atco

Lowplat Plus 75mg/75mg

Rs.195.24

Pharm Evo

Co-Plavix 75mg/75mg

Rs.332.06

Sanofi

Angipro 75mg

Rs.10

Unimark

Apiscot 150mg

Rs.14.67

Scotman

Apiscot 75mg

Rs.7.33

Scotman

ASA 150mg

Rs.33

Don Valley

ASA 300mg

Rs.50

Don Valley

ASA 75mg

Rs.23

Don Valley

Aspirin 300mg

Rs.130

Amros

Aspirin 300mg

Rs.182

Ardin

Aspirin 300mg

Rs.28

Gaba

Aspirin 300mg

Rs.183.04

Geofman

Aspirin 300mg

Rs.300

Ideal

Aspirin 300mg

Rs.250

Irza

Aspirin 300mg

Rs.20

Irza

Aspirin 300mg

Rs.113

Jawa

Aspirin 300mg

Rs.156.37

LCPW

Aspirin 300mg

Rs.5.77

LCPW

Aspirin 300mg

Rs.154.56

Lisko

Aspirin 300mg

Rs.0

Mediate

Aspirin 300mg

Rs.135

Nawab sons

Aspirin 300mg

Rs.80

Pharmacare

Aspirin 300mg

Rs.74.12

Unexo

Aspirin 300mg

Rs.125

Xenon

Aspirin 300mg

Rs.300

Euro Pharma

Aspiwan 75mg

Rs.30

Nawab Labs

Caprin 150mg

Rs.11.67

Candid

Caprin 75mg

Rs.8.33

Candid

Caspia 75mg

Rs.8.33

Epla

Deerin 300mg

Rs.100.67

Delux

Disprin CV 100mg

Rs.14.57

Reckitt Benckiser

Disprin 500mg

Rs.110

Reckitt Benckiser

Disprin 300mg

Rs.17.74

Reckitt Benckiser

Disprin 300mg

Rs.17.17

Reckitt Benckiser

Doloprin 75mg

Rs.9.43

Pacific Pharma

Eprin 300mg

Rs.104

Epoch

Eprin 300mg

Rs.1.85

Epoch

Eprocid 300mg

Rs.0

Eros

Eprocid 75mg

Rs.0

Eros

Jeprin 75mg

Rs.8.33

Genome Pharma

Loprin 150mg

Rs.20

Highnoon

Loprin 75mg

Rs.15.13

Highnoon

Mas-Prin 150mg

Rs.11.44

Mass-PH Health

Mas-Prin 75mg

Rs.9.53

Mass-PH Health

Megaprin 300mg

Rs.16

Mega

Meriprin 300mg

Rs.175.95

Bloom Pharma

Meriprin 300mg

Rs.19.17

Bloom Pharma

Meriprin 300mg

Rs.1055.7

Bloom Pharma

Mini Prin 75mg

Rs.9.2

Bloom Pharma

Myprin 300mg

Rs.215

Semos

Orsprine 75mg

Rs.8.33

Orta

Panarin 300mg

Rs.85

Flow Pharma

Prosperin 150mg

Rs.14.67

Epoch

Prosperin 75mg

Rs.12

Epoch

Solprin 300mg

Rs.590

Pharma Wise

Soluprin 300mg

Rs.60.5

Lisko

Soluprin 300mg

Rs.380.33

Lisko

Soluprin 300mg

Rs.49.5

Lisko

Vin 150mg

Rs.10

Saydon

Vin 300mg

Rs.16.33

Saydon

Vin 75mg

Rs.8.33

Saydon

Apcom 300mg / 200mg

Rs.3.5

Karachi Chemical

Febrinol Compound 300mg / 200mg

Rs.250

Pharma Wise

Febrinol Compound 300mg / 200mg

Rs.6.25

Pharma Wise

Apecirin 200mg / 300mg/ 30mg

Rs.180

Alfalah Pharma

Apecirin 200mg / 300mg/ 30mg

Rs.121

Alfalah Pharma

Nopain 200mg / 300mg/ 30mg

Rs.15.9

Schazoo Pharmaceuticals

Obsagrel 75mg/75mg

Rs.158.18

OBS

Aslow-81 81mg

Rs.11

Helix Pharma

Disprin cold n fever 300mg/200 mg

Rs.220

Reckitt Benckiser

Eplacin 300mg/200 mg

Rs.5.2

Epla

Juvapyrine 300mg/200 mg

Rs.300

Progressive

Apecirin 300 mg / 200 mg

Rs.180

Alfalah Pharma

Apecirin 300 mg / 200 mg

Rs.121

Alfalah Pharma

Aspirin 300 mg / 200 mg

Rs.172

Nawab sons

Aspirin 300 mg / 200 mg

Rs.8

Nawab sons

Donamol plus 300 mg / 200 mg

Rs.18

Rakahposhi

Norplate-S 75mg/75mg

Rs.182.61

Scilife

Clotnil Plus 75/75 mg

Rs.166

Barrett

Lowplat Plus 150mg

Rs.188.16

Pharm Evo

Noclot-EA 75Mg

Rs.194

CCL

Ogrel Plus-81 Tab

Rs.152.92

Bosch

Tenormin 100mg

Rs.167.85

ICI PAKISTAN LIMITED

Tenormin 25mg

Rs.66.42

ICI PAKISTAN LIMITED

Tenormin 50mg

Rs.120.97

ICI PAKISTAN LIMITED

Tenoret 50mg

Rs.146.77

ICI PAKISTAN LIMITED

Zafnol 50mg

Rs.27.49

Zafa

Antolol 100mg

Rs.150.17

Icon

Antolol 50mg

Rs.41.72

Icon

Atenblock 100mg

Rs.100

Everest

Atenolol 50mg

Rs.74

Batala Pharma

Atromin 100mg

Rs.80

Noa Hemis

B-loc 100mg

Rs.100

Nova Med

Bekolol 100mg

Rs.80

Hygeia

Blocker 50mg

Rs.88.4

Dosaco

Atelor 100mg

Rs.105

Pharmadic

Atelor 50mg

Rs.71

Pharmadic

Atenblock 50mg

Rs.37

Everest

Ateno-Heart 100mg

Rs.40

Friends

Ateno-Heart 50mg

Rs.37

Friends

Atenocard 50mg

Rs.37

Mediate

Atenolol 50mg

Rs.0

Batala Pharma

Atenolol 100mg

Rs.0

Batala Pharma

Atenorm 100mg

Rs.43.12

Ferozsons

Atenorm 50mg

Rs.18.4

Ferozsons

ATL 100mg

Rs.50

Mega

ATL 50mg

Rs.35

Mega

Atlin 100mg

Rs.60

Bosch

Atlin 25mg

Rs.29

Bosch

Atlin 50mg

Rs.35

Bosch

ATN 100mg

Rs.140

Flow Pharma

ATN 50mg

Rs.58.5

Flow Pharma

Atomin 25mg

Rs.51

Semos

Atril 100mg

Rs.150

Star

Atromin 50mg

Rs.40

Noa Hemis

B-loc 50mg

Rs.37

Nova Med

Bekolol 50mg

Rs.20

Hygeia

Blocker 100mg

Rs.42.54

Dosaco

Blokium 50mg

Rs.70

Highnoon

Atenolol 100mg

Rs.41.8

Zafa

Normitab 50mg

Rs.66.88

Marvi

Blokium DIU 50mg/12.5mg

Rs.75.32

Highnoon

Blokium 25mg

Rs.34.57

Highnoon

Blokium DIU 100mg/25mg

Rs.88.08

Highnoon

Jingle 50mg

Rs.65

Scotman

Jingle 25mg

Rs.35

Scotman

Jingle 100mg

Rs.120

Scotman

Blokium 100mg

Rs.92.5

Highnoon

NORMITAB 100 mg

Rs.82

Marvi

Corbis 2.5mg

Rs.30.5

Efroze

Monitor 10mg

Rs.150

Werick

Monitor 2.5mg

Rs.55

Werick

Probase 10mg

Rs.150

Mass-PH Health

valvozid 10mg

Rs.160

Pacific Pharma

Actim 10mg

Rs.196.92

Sami

Actim 2.5mg

Rs.27.58

Sami

Actim 5mg

Rs.118.84

Sami

Biscot 10mg

Rs.156

Scotman

Biscot 5mg

Rs.97

Scotman

Bison 5mg

Rs.59

Siza

Bispirol 10mg

Rs.0

Kurative

Concor 10mg

Rs.391.31

Merck

Concor 2.5mg

Rs.112.71

Martin Dow

Concor 5mg

Rs.226

Martin Dow

Corbis 10mg

Rs.144.5

Efroze

Corbis 5mg

Rs.80

Efroze

Monitor 5mg

Rs.105

Werick

Monocor 10mg

Rs.156.47

Stand Pharm

Monocor 5mg

Rs.62.35

Stand Pharm

Probase 2.5mg

Rs.55

Mass-PH Health

Probase 5mg

Rs.92.5

Mass-PH Health

Sopral 10mg

Rs.225

Bryon

Sopral 2.5mg

Rs.38.74

Bryon

Sopral 5mg

Rs.140

Bryon

valvozid 5mg

Rs.95

Pacific Pharma

Corbis-H 10mg/6.25mg

Rs.144.5

Efroze

Corbis-H 5mg/6.25mg

Rs.70

Efroze

Sopral Plus 5mg/6.25mg

Rs.96.36

Bryon

Barilol Tab 2.5mg 14's

Rs.20.5

Barrett

Bispa 10 mg

Rs.240

Aspin Pharma

Bispa 2.5 mg

Rs.33.4

Aspin Pharma

Bispa 5 mg

Rs.132.97

Aspin Pharma

Barilol 10mg

Rs.118.02

Barrett

Barilol 5mg

Rs.74.73

Barrett

Corbis-H 10mg

Rs.144.5

Efroze

Corbis-H 5mg

Rs.95

Efroze

Sopral Plus 5mg

Rs.96.36

Bryon

Herbesser 30mg

Rs.49

Highnoon

Herbesser 60mg

Rs.86.67

Highnoon

Herbesser 180mg

Rs.290

Highnoon

Herbesser 90mg

Rs.150

Highnoon

Dilzem 60mg

Rs.237.39

Pfizer

Herbesser 60mg

Rs.688.1

Highnoon

Dilzem 30mg

Rs.43.52

Pfizer

Elantan Long 50mg

Rs.99.8

Atco

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