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Can you have angina without blocked arteries? Sometimes, however, true angina can occur in the absence of typical CAD. Several cardiac and medical conditions can cause angina even without atherosclerotic plaques that are producing discrete blockages in the coronary arteries. Some of these conditions actually do involve the coronary arteries, while others do not.
Does unstable angina show up on ECG? Unstable angina results from acute obstruction of a coronary artery without myocardial infarction. Symptoms include chest discomfort with or without dyspnea, nausea, and diaphoresis. Diagnosis is by ECG and the presence or absence of serologic markers. Rest angina that is prolonged (usually > 20 min)
What causes vasospastic angina? Vasospastic angina is caused by focal or diffuse spasm (of the smooth muscle layer of the arterial wall) of an epicardial coronary artery [4,5], resulting in a high-grade obstruction. Transient myocardial ischemia causes angina in many patients; myocardial infarction may develop in some if spasm is persistent [1,6].
Can angina lead to death? If you have new, worsening or persistent chest discomfort, you need to go to the ER. You could be having a heart attack which puts you at increased risk for severe cardiac arrhythmias or cardiac arrest, which could lead to sudden death. Learn about an unstable form of angina called Prinzmetal angina.
How is unstable angina treated? How is unstable angina treated? Medication. One of the first treatments your doctor may recommend is a blood thinner, such as aspirin, heparin, or clopidogrel. Surgery. If you have a blockage or severe narrowing in an artery, your doctor may recommend more invasive procedures. Lifestyle changes.
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