Female doctor smiling and conversing with male patient about angina while holding a clipboard

¿Qué es la angina?

Blood carries oxygen to the heart and the rest of your body. When your heart doesn’t get enough oxygen-rich blood, you may experience angina, which is the medical term for chest pain or discomfort. Angina is a warning sign that blood flow to your heart muscle is limited and is most often related to blockages in the heart’s arteries.

Types of angina

How you experience angina depends on the type you have. There are two main types:

  • Stable angina: This is the most common form of angina and describes chest pain after physical activity or stress. Also known as angina pectoris, it occurs predictably over two months or longer.
  • Unstable angina: Unstable angina is unpredictable and may cause intense chest pain and occurs whether you’re exercising or at rest. Left untreated, unstable angina can result in a Ataque al corazón.

There are also less common types of angina, including:

  • Microvascular angina: A condition within the heart’s tiny blood vessels that causes chest pain for long periods. It may occur with rest or exertion.
  • Vasospastic angina: A spasm inside the heart causes intense chest pain, often when resting, and may occur in the middle of the night.

Síntomas de angina

The most common symptom of angina is discomfort in the chest that may feel like burning, pressure, squeezing or tightness. Additionally, you may experience:

  • Light-headedness
  • Náusea
  • Dificultad para respirar
  • Sweating for no reason
  • Cansancio
  • Debilidad

In some cases, the pain doesn’t stay confined to your chest. It can radiate into your shoulders, back, neck, jaw or arms. While angina symptoms are always the same, the severity and duration vary based on the type of angina you have.

¿Es angina o un infarto?

Angina is a common heart attack symptom. You should always call 911 if you have concerning chest pain, but here are some key differences between angina and heart attack-related chest pain.

Although scary, angina does not cause permanent damage.

Angina

  • No dure más de 20 minutos
  • Ocurren con el esfuerzo o la excitación
  • Vete con descanso

Ataque al corazón

  • Dura más de 20 minutos
  • Puede ocurrir sin actividad o excitación
  • No te vayas con el descanso

Additional heart attack warning signs include:

  • Molestias en la espalda, el cuello, la mandíbula o el estómago
  • Estallar en un sudor frío, náuseas o mareos
  • Molestias en el pecho
  • Molestias en uno o ambos brazos
  • Shortness of breath Women and men can experience heart attack symptoms differently.

Learn more about these differences on our women’s heart health page.

Female doctor using stethoscope to examine female patient's heart for symptoms of angina

What causes angina?

Coronary heart disease, the most common heart disease in America, is the leading cause of angina. It occurs when the arteries build up fat, cholesterol and other substances. The arteries become narrowed or blocked, reducing blood flow to the heart and increasing the risk of developing dangerous blood clots that can cause a heart attack or stroke.

Angina risk factors

Anyone can experience angina. But, your risk for this common heart problem increases with the following:

  • Age: The older you get, the higher your risk for most types of angina. However, vasospastic angina often affects younger people.
  • Other medical conditions: Chest pain can be caused by anemia (low red blood cells), chronic kidney disease, peripheral artery disease and Miocardiopatía  (conditions that affect the heart muscle).
  • Family history: Your risk for angina increases if your parents, siblings or other close relatives have experienced angina or other heart conditions.
  • Ethnicity: African Americans are more likely to experience angina, especially if they’ve already had a heart attack.
  • Particle pollution: Dust particles from farms, construction sites and mines can cause chest pain.
  • Sex: Until age 55, men are more likely than women to have heart disease and angina. After that age, women and men are equally at risk.
  • Tobacco exposure: Smoking cigarettes and secondhand smoke exposure can lead to chest pain.
  • Unhealthy lifestyle: Misusing alcohol or illegal drugs, not managing stress, eating an unhealthy diet, and not getting enough physical activity can increase your risk of angina.
  • Work environment: Occupations that expose you to radiation or loud noises, are extremely stressful, or make it difficult to get good sleep, increase your chance of developing angina.

Diagnosing angina

​​​​​​​​​​​​​

Diagnosing angina begins with a discussion about your personal and family medical history. Your provider will also perform a physical exam to check your blood pressure, pulse and heart rate.

During this exam, your provider may ask you questions about:

  • When your chest pain occurs and how long it lasts
  • Whether it occurs with certain activities
  • What the pain feels like and where it’s located
  • If anything helps the pain improve

Depending on the results of your physical exam, your provider may recommend one or more of the following tests.

Análisis de sangre

One common blood test for angina looks for a protein that leaks into the bloodstream when your heart gets damaged. Your provider may also check your cholesterol levels.

Pruebas de estrés

Stress tests evaluate heart performance and blood flow to the heart at rest and during various levels of exercise.

Electrocardiograma (ECG O EKG)

An electrocardiogram records electrical activity in your heart. Abnormalities can suggest heart disease and angina.

Imagen

Various cardiac imaging tests, such as a chest X-ray, cardiac MRI or coronary computed tomography angiography, give providers an inside look at your heart’s function.

Ecocardiograma

An echocardiogram, or echo, gives doctors a closer and more detailed look at the heart’s structure.

Angiograma

An angiogram also offers a closer look at heart structure, but this test specifically helps identify narrow or blocked blood vessels in the heart.

Angina treatment and care options

​​​​​​​​​​​​​

Unstable angina requires emergency care, as it can lead to a heart attack. Call 911 if you or someone with you experiences unstable angina symptoms.

Stable angina may respond to one or more of the following treatments.

Cambios en el estilo de vida

You can better control stable angina by eating a balanced diet, reaching a healthy weight, exercising regularly, managing stress and not smoking.

Medicación

Certain medications can help manage angina and its symptoms. You may need medication to reduce pain, relax blood vessels or other parts of your heart, lower cholesterol levels or prevent blood clots.

Terapias

Enhanced external counter-pulsation, or EECP, is a non-invasive procedure that can help reduce the frequency or intensity of the angina symptoms you experience.

Cirugía y procedimientos

Surgery can correct an underlying health issue causing chest pain. Common surgeries for angina include coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI), which improve blood flow by addressing blockages and plaque buildup in the blood vessels and arteries.

Encuentre una ubicación cerca de usted

We help you get heart care at a location that fits your needs. We offer several locations throughout North and Central Texas.

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