A Special look at Angina in Women Part II. Other Types of Angina. Microvascular Angina.

Do you agree?

In my last post, A Special Look at Angina in Women, I referenced vessel size as a difference between men and women, what did I mean by that?

Well, we've learnt up to this point that it is quite common for men to suffer from angina because of blocked coronary arteries. Whereas women can also have blocked coronary arteries, it is also widely accepted that heart disease in women can debut in the smaller arteries that branch out from the coronary arteries without any obstructions present. 

This is known as Microvascular Disease or MVD.

How is Microvascular Disease Caused?

Microvascular Disease and its effect in women's health is still being studied worldwide, however, here is a general idea of how it comes about:

Bear in mind that there are other names which are synonomous, that you might see  instead of of Microvascular Disease or MVD. Here's a list:

• Small Vessel Disease
• Small Artery Disease
• Cardiac Syndrome X
• Non-obstructive Coronary Heart Disease

 What does all this have to do with Angina?

Well, Microvascular Disease is associated with a type of Angina known as Microvascular Angina. 

Here's an overview.

For More Reading:

• American Heart Association- Microvascular Angina
• American Heart Association - Coronary Microvascular Disease
• Mayo Clinic- Small Vessel Disease

 

Did you know....

 Singer of the popular 2003 hit song "Unbreak My Heart", Toni Braxton was diagnosed with Microvascular Angina in 2008 at the age of 40.

Read more here.

Interview with You Magazine UK, May 9th 2010 p.47 

"I had a 23 per cent blockage in my micro-arteries. At first the doctors thought I needed a heart transplant, then they said I have microvascular angina, which means I will be on medication for the rest of my life."

Toni Braxton

                 
                    courtesy welovetoni.com

Another type of angina, which is rare but is considered to be more common in females is known as Prinzmetal Angina.

To see my post on Prinzmetal Angina click on the image of Prince  in a metallic background below:

PrinZmetal Angina

courtesy cdn2.pitchfork.com

That's all for now folks. Be sure to read up on Prinzmetal Angina, the last post in our series about Angina in Women, and the topic of Angina as a whole. 

Soon enough we'll be touching on the dreaded Heart Attack, but first...

October is Breast Cancer Awareness Month and in honour of this cause, there will be upcoming posts about breast health, and preventative measures all women can practice...

Stay tuned and most importantly stay #wadadlian strong.

Blessings to you and yours,

© October 2015

A Special Look at Angina in Women Part I. An Overview

          Laundry Block          

  From the West Indian Washer Woman Series

Who does the woman in the image above remind you of?
Your mother, an aunt maybe, your grandy?

No matter who this person represents for you, it is important to let her know that angina affects women just like men. How do you do this?

Through educating your own self. This post will provide a start.

By now you should know that angina is a symptom of CHD or Coronary Heart Disease, it is also synonymous to chest pain, however, it so happens that for women, chest pain does not necessarily have to occur when suffering from angina.

Simply put women can have the following symptoms with or without chest pain present:

• Shortness of breath
• Nausea
• Abdominal Pain
• Discomfort in the jaw, neck, back and/or arms
• Weakness and/or Fatigue

 Also if chest pain is present, as opposed to the pressure-like sensation that is common, some women may complain of a sharp, stabbing pain.

courtesy www.medicalnewstoday.com

The cause of angina in both men and women is similar, it is due to blocked coronary arteries.
Do you remember the full mechanism of how angina is caused?
To find out read an older post here.

Despite the fact that blockage of the coronary arteries is the standard for both sexes. There is a difference in size as far as women are concerned...
What do I mean by this?
Well, we'll talk about this in the next post where you'll learn about two other types of angina, less common than Stable Angina and Unstable Angina that are associated with women.

Here is a beneficial article by the American Heart Association that will help you review angina and prepare you for the upcoming posts. Angina in Women Can be Different than Men.

In the mean time share your newfound knowledge with a family member.
Begin a discussion at home.
Let's talk about angina.

Click on the image and participate in the poll:

Do you think women tend to ignore chest pain more than men?

Keep sharing and reading.
Above all stay #wadadlianstrong.
Blessings to you and yours,

 © September 2015

Chest Pains. Types of Angina.Unstable Angina. Part III

 

Today our topic is about a second common type of angina, known as unstable angina. To refresh your memory on the the first type of angina we looked at click here.

WHAT IS UNSTABLE ANGINA?

       UNSTABLE                                                ANGINA

                                                                                                                                                                                       

        

                                                                       courtesy: knowyourmeme.com


First let me get this out of the way:   
Unstable Angina = immediate phone call  to the EMS/911.

Keep that in mind as we discuss Unstable Angina.
The cause of unstable angina is linked to the narrowing of the coronary vessels around the heart due to obstruction. We learnt about this in the post Chest Pains. Understanding Angina. How is it Caused? Part II 

Unstable Angina is based on the worsening of these same mechanisms, and  has an unpredictable way of manifesting itself... unlike Stable Angina which follows a predictable pattern.

( For more insight see my last post Chest Pains. Types of Angina. Stable Angina. Part III)

Both Stable and Unstable Angina share similar characteristics as far as the cause of the pain, what the pain may feel like, as well as where the pain is located. 

• Anginal pain is most commonly described as pressure in the chest that runs to the left arm and neck.

Below is a visual aid of more locations of anginal pain courtesy shareslide.com

 


However similarities come to an end in terms of pattern and predictability since Unstable Angina plays by different rules.

Characteristics of Unstable Angina

• Unstable Angina appears whenever it likes, for those who already suffer from stable angina, you may notice your chest pain does not follow the triggers that you  have become used to.  The heart does not have to be working harder than it usually does.  It does not depend on overexertion, so it can occur at rest; it is RANDOM.

•  With Unstable Angina the times chest pain usually the chest pain you feel is much more severe.

• Also, the time the chest pain stays with you is longer in Unstable Angina, easily surpassing ten minutes, as well as 20 minutes.

•  If you are on medication for angina, you may notice that even after using your medication sometimes, you have no relief from the chest pain.

•  Along with the chest pain you feel, you may also experience sweating, shortness of breath, nausea and vomiting.

Which brings me back to the first point I wanted to get out of the way.  Unstable angina is  a forewarning of an impending heart attack and this is the reason why...

Unstable Angina = immediate phone call  to the EMS/911

 Prevention is indeed better than the cure, so if you are in a situation where you may have symptoms such as these or even those mentioned in the post about Stable Angina, its about time that  you get yourself to a doctor for evaluation of your condition.

If you remember nothing else remember this...

Hope you've learnt a lot today about Unstable Angina. 

Here are some websites for more info:

•  American Heart Association 

• British Heart Foundation

Interested in seeing how Angina happens on the inside of our bodies?
Press play to see the animation.  

courtesy: Speak from the Heart Youtube channel

Stay #wadadlian strong
Blessings to you and yours...

 © September 2015

 

 

Chest Pains. Types of Angina.Stable Angina. Part III

Hello there,

So far we've touched on the 3 main things:

1. Angina is not a disease but rather just a term to describe chest pain
2. The Risk Factors of Angina
3. How angina is caused  

Today we will learn about types of angina.

Now, the thing is, since the term angina, is descriptive of chest pain, it warrants that there are different types of chest pain  that someone can have.
In medicine, angina is further broken down into different types based on the specific circumstances under which the person felt the chest pain, as well as how the pain progressed.  To bolster your general knowledge we will be considering the most common types:

1. Stable Angina also known as Angina Pectoris
2. Unstable Angina 
   

Let's learn about Stable Angina.

                                                            courtesy: hts-training.co.uk

Did You Know...in Greek, angina means strangling, and the word pectoris is derived from the Latin word pectus that simply means chest. The Strangled Chest.

 

                 

STABLE ANGINA

   Stable                                                 Angina              

                                                          courtesy: harroldlowerschool.co.uk                                       courtesy: nattokinase.org 

    

                                                   courtesy: knowyourmeme.com                                                                                                                                                                                                                                                                                                                                                                                               

Stable Angina  is the most common of all forms of angina, and usually has a predictable way of giving you warnings.

What Triggers Stable Angina?

• Physical activity/exertion
• Extreme temperatures
• Heavy meals
• Severe Emotional Stress
• Smoking 

What type of Pain can you feel?

• Tightening 
• Burning 
• Squeezing 
• Fullness  
• Pressure-like sensation

...and yes the pain can feel like a case of indigestion.

Where can you feel the Pain?

• Centre of the Chest ( This may run to the arm, especially the left arm, to wrists and the hands.)
• Below the Breastbone
• Arms (The arms may feel uncommonly heavy)
• Between the Shoulder Blades

Represented below are the places on your body where you may feel the pain of Stable Angina or Angina Pectoris.

             courtesy:  heartdiseaseddx.org

The pain lasts from 2 to 10 minutes and  is usually relieved by resting, and also by the use of a specific medication known as nitroglycerin.

It is also important to note that in some cases persons may not even feel chest pain, but may have episodes of shortness of breath....

Some symptoms that may appear with chest pain

• Restlessness
• Feeling more tired that usual (as we say Logey)
• Dizziness
• Nausea
• Shortness of breath

Another revealing factor about stable angina, is that it may be a  pain that you have grown accustomed to... this means you may have noticed that you experience the pain without fail after engaging in some type of  physical activity that requires a little more effort than usual, maybe lifting something heavy, or intense exercise. The pain does not surprise you anymore you know what activities trigger it.

Take note of these characteristics, if you or a loved one have been experiencing these symptoms, go to your nearest community physician and get evaluated.
Next up...Unstable Angina.

Stay #wadadlianstrong
Blessings to you and yours.

© August 2015

Chest Pains.Understanding Angina. How is it caused? Part II

Good-day all,

In the last post we spoke about the risk factors of angina.
Were you able to identify any risk factors in yourself, friends or family members?
How many were there?


Today we'll be learning a bit about how angina or chest pain occurs, as a symptom of Coronary Heart Disease or Coronary Artery Disease. In order to do so, we'll be learning about some of the structure of the heart that were not covered in my earliest posts about Understanding Your Heart.... 

These structures are known as the coronary arteries.

What are they?
They are nothing but arterial branches from the biggest artery in our body, the aorta.
That's the big curved tube in the image right in between the labelled right and left coronary arteries.^^

Remember in Understanding Your Heart.... we learnt about how arteries are in charge of bringing oxygen rich blood to organs and cells of the body?
The coronary arteries follow that general rule, they carry oxygen rich blood, to a specific location.
The heart muscle.

        

courtesy dribbble.com

We know that the heart pumps blood to the body but the reality is, that the blood it pumps just isn't enough to provide its own muscle with the oxygen that it needs to continue working.
This is where the coronary arteries come in, they are so named because they surround the heart like a crown, and enable it to receive oxygen just like the other parts of our body.

When you hear the word coronary, doesn't it remind you of other words, like coronation?
Coronary comes from the latin word "corona" which means crown.

How is Angina linked to the Coronary Arteries?

Chest pain or angina develops when the Coronary Arteries become very narrowed by fatty deposits. When this happens, enough oxygen isn't able to flow as much to the heart muscle as it works.

 courtesy www.bidmc.org

The normal amount of blood the heart is accustomed to receiving has become reduced since the size of the arteries the blood flows through has also been reduced by all that plaque build up.
The heart while still maintaining the body, finds it increasingly difficult to maintain itself.

 Here are two examples in everyday life for comparison:

1. Your vehicle uses the fuel it has to get you to your daily destination, however if it doesn't receive gas, eventually it will slowly sputter and break down. Here the reduced blood flow in the narrow coronary arteries are represented by the low amount  of gasoline your car has been running on. 
2. You live in Bethesda and use the public transport system to get to St.John's for work, you haven't been paid in months, after a while you hardly have money to pay a bus or taxi, and have difficulty getting to work. Here the reduced blood flow in the narrow coronary arteries are represented by the low funds that you've been working with.

Can you think of any other everyday examples?
Share them with me by commenting below.

This strained environment under which the heart has to function. is worsened under conditions such as exercise or emotional stress, where the demand for the blood it needs is less than the supply it can receive.
It is precisely this circumstance that causes angina or chest pain.

        

courtesy www.gifsmile.com

Here is a link to an animation that gives a visual explanation of the angina mechanism.
Have you understood the basic mechanism of angina? If you have then please share it with a friend
....or that family member with those horrible "gas pains".


       


Remember in teaching we learn.
Stay #wadadlianstrong my dears.
Next up...types of angina.
Blessings to you and yours.

© August 2015

Chest Pains. What is Angina? Risk Factors. Part I

Chest pains are a common symptom that can cover a range of  illnesses in medicine. It can alert a doctor to not only cardiac disease, but trouble with the lungs, the gastrointestinal system, as well as the muscular structures in the vicinity.

However, truth be told in Wadadlian society, if someone says that their chest hurts, unless its not your asthmatic brother or cousin, most people will think of the heart. 

Most people.

We all have that one family member though, who will diagnose gas pains beyond a shadow of a doubt....

Angina.What do you know about angina? What do you think it is?

Well, first of all, it must be made clear that Angina is not a disease but rather a term that is used to explain chest pain/discomfort that is directly related to low oxygen blood levels dominating in the heart muscle, instead of the oxygen-rich blood it needs to properly function.  

(To understand how the heart works, check out an older blog entry Understanding Your Heart...)

Angina is nothing but a symptom of a bigger problem known as Coronary Heart Disease. 

                                                      courtesy nattokinase.org

WHAT ARE THE RISK FACTORS?

Important risk factors are:

• Smoking/Tobacco Use (This also includes second hand smoking)
• Hypertension
• Diabetes
• High Cholesterol

Other Contributing Risk factors are:

• Family History of Heart disease at an early age
• Obesity
• Anaemia
• A Sedentary lifestyle a.k.a Lack of physical activity
• An Unhealthy Diet
• Ages 55 and above in women and 45 and above in men
• Stress

In the next post we'll learn about different types of Angina, and a general explanation on how this symptom of Coronary Heart Disease occurs. In the meantime, take a look at the risk factors, are there any present in your family?

Stay #wadadlian strong. Blessings to you and yours.

© July 2015

Babies and Heart Defects. A look at Tetralogy of Fallot. Part 2

courtesy chocolatehighh.tumblr.com

In the last post we defined Tetralogy of Fallot, and took a look at the 4 structural defects that play their role in its effect:

                                                            courtesy: cias.rit.edu

1. Pulmonary Stenosis

2. Ventricular Septal Defect

3. Overriding Aorta

4. Right Ventricular Hypertrophy

 For those of you who haven't seen the last post, and are interested to find out more about this condition check out, A look at Tetralogy of Fallot. Part I, and also stop by JJ's Congenital Heart Defect Awareness for Antigua and Barbuda on Facebook piloted by +Jessica Berman.  

Today you will be learning about the signs and symptoms of the condition, that can indicate your child or the child of someone you know could be potentially suffering from this congenital heart defect. 

Signs and Symptoms of Tetralogy of Fallot

1. Bluish nails, and lips. This is known as cyanosis, it is caused by the low levels of oxygen in the child's blood.You may notice that this abnormal colour gets worse when the baby cries, or even when the baby is feeding.

 The infant may not feed for very long either, it will seem almost as if a lot of effort is involved in suckling.

In toddlers and older children, cyanosis will increase after playing,or engaging in some other physical activity.  You may notice that the child becomes easily short of breath. 

2. Squatting. Toddlers and older children may do this intermittently when having a cyanotic episode, or when short of breath. 

                  

 Instinctively the child assumes the squatting position as it increases blood flow to the lungs.

3. Digital Clubbing. In older children, as well as infants, the nails and tips of the fingers may seem to be larger than is normal.

                              

                                           courtesy: http://bestpractice.bmj.com/

4. Poor development and growth. When you take the baby to the clinic, the district nurses might note that the baby is not growing well for his or her age, and hasn't gained an appropriate weight either. You might hear them use a term known as failure to thrive. 

If you've noticed any of these symptoms and signs in your child, it is important to see a health care professional as soon as possible, since the child's condition deteriorates with time if the defects are not surgically corrected. 

Early detection is always helpful. 

Now you know what to look for, spread the word to your family and friends, and visit JJ's Congenital Heart Defect Awareness for Antigua and Barbuda on Facebook. 

Blessings to you and yours,

#wadadlian strong

                                                                   ©  April 2015