B Fruitfull

Acid Reflux causes and Treatment

Chest Pain and Angina – Dr. Sameer Nagamia

Chest Pain and Angina – Dr. Sameer Nagamia


(gentle music) – [Sameer] So angina
is basically chest pain that’s caused from the heart. It can be caused by blockages
in the heart arteries. It can also be caused by
spasms of the arteries. Generally it manifests
itself as pressure-like sensation in the chest. Some people it moves to their left arm, some people it moves up to their jaw. Women tend to be a little bit different. Sometimes they can have those symptoms, or they can completely different symptoms. In patients that have
diabetes can also have, sometimes even no symptoms. Just shortness of
breath, not feeling well, those kinds of things. Chest pain, generally, if it’s cardiac. If it’s of cardiac origin, it’s generally preceded by exertion. Sometimes it can happen at rest. When it does happen at rest, it can be worrisome because that can mean the onset of a heart attack. If you’re experiencing chest discomfort and we’re not sure exactly
what the cause of it is. I would recommend to go
in to see your doctor as soon as possible. If it lasts more than 5-10 minutes and it’s not getting better. At that point, you should call 911. If their stress test is negative, it doesn’t mean that you
don’t have any heart disease. What it does mean, is
that there was no evidence of blockages in the heart arteries, based on the stress test. Stress tests are excellent tools, but they’re not 100%. So a 64 Slice CTA is one of
the tools in our armament that we use to diagnose
coronary artery disease and get to the route of what is causing your chest pain. It is a specialized CT scan that uses a high-resolution scanner. Basically it makes 64 slices, so it’s very fast compared
to the older technologies. The older technologies were a 32 slice and there are newer technologies that include a 128 et cetera different types of slices. What that basically does is it tells us how fast we can diagnose,
look at the arteries of the heart and tell if there’s any blockages there. Stable angina is when a
person who gets chest pain whenever they do a
certain amount of exercise and that’s reliably reproduced every time. For example, every time
I go to my mailbox, I get a little bit of chest discomfort. I stop, it goes away. That is stable angina. If that same walking to the mailbox now becomes walking up my front door, that is becoming progressively worse. Unstable angina, which is
kind of the continuation of that progression. Is basically when that
chest pain is no longer occurring with that amount of exertion. It’s starting to happen
at less and less exertions and it’s also happening at rest. (gentle music)

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