angina

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angina

1. any disease marked by painful attacks of spasmodic choking, such as Vincent's angina and quinsy
2. a sudden intense pain in the chest, often accompanied by feelings of suffocation, caused by momentary lack of adequate blood supply to the heart muscle

Angina

 

an acute infectious disease affecting mainly the palatine tonsils. The most common causative agent is streptococcus. Angina is among the most common diseases, especially among children and young people. Chilling of the organism and chronic inflammation of the palatine tonsils (tonsillitis) tend to produce angina.

The mildest form, catarrhal angina, begins with a slight swelling of the tonsils; the mucous membrane of the pharynx reddens, and there is dryness of the throat followed by pain in swallowing. In adults the body temperature is only slightly elevated, but in children it may reach 40°C (104°C). The illness lasts for three to five days. In lacunar angina all symptoms are more pronounced. The temperature rises sharply, and there is throat pain, fatigue, and cephalalgia. Suppurative plugs, which protrude onto the surface of the tonsil, are formed in the recesses of the tonsils (lacunae). Follicular tonsillitis begins with sudden chills, a temperaturerise to 39–40°C (102.2–KMT), and sharp throat pain. Rheumatic pains in the extremities and back, cephalalgia, and a feeling of general fatigue appear soon after. A large number of circular yellowish spots—small suppurate fragments of the tonsil (follicles)—appear on the swollen and reddened tonsils. Under unfavorable circumstances (lowered resistance of the organism, grave infection), this form of the disease may develop into phlegmonous angina, a suppurative inflammation of the tissues around the tonsil, with formation of an abscess. Here the temperature rises to 39–40°C, with chills and general weakness. Throat pain, often unilateral, intensifies rapidly and is more intense upon swallowing or opening the mouth, so that often the patient has to refuse food or drink. In phlegmonous angina surgical intervention is often necessary. In this form of angina complications may appear, affecting the joints, kidneys, or heart.

Treatment Rest in bed, warm (but not hot) liquid nourishment (vegetable soups and purees, gruels, kisel’—starchy fruit jelly—and stewed fruit), vitamins, and frequent warm drinks (milk, sweet tea with milk) are all mandatory. A warm bandage or warming compress should be placed on the neck, and the throat should be rinsed with disinfectant solutions (2 percent boric acid, salt, or potassium permanganate solution of light rose color). Sulfanilamide preparations and, in severe cases, antibiotics should be used. To avoid the spread of infection, the patient must eat from separate dishes and avoid intimate personal contact, especially with children. The prophylaxis for angina consists of a systematic buildup of resistance and prompt treatment of any mouth or throat illness (enlarged adenoids, chronic tonsillitis, or bad teeth). Those seriously ill with angina should receive dispensary service.

Angina can be not only an independent disease but also a symptom of certain general infectious diseases (scarlet fever, diphtheria) or a sign of some blood disease (the leukosis group). A physician should therefore be consulted at the first signs of angina.

REFERENCES

Preobrazhenskii, B. S., and Iu. N. Volkov. Anginy (Ikh sushchnost preduprezhdenie i lechenie). Moscow, 1960.
Korchagin, A. V. Angina, 2nd ed. Moscow, 1961.

L. V. NEIMAN

angina

[′an·jə·nə or an′jī·nə]
(medicine)
A sore throat.
Any intense, constricting pain.
References in periodicals archive ?
Michael Gibson, professor of medicine at Harvard Medical School, Boston, said he'd like to have seen data on the duration as well as the number of anginal episodes.
To our knowledge, there is currently little published information about the predictive value of cTnI for patients with anginal equivalent symptoms of ACS.
Class III (severe) patients experience a marked limitation of physical activities, remain comfortable at rest, but less than ordinary physical activity quickly fatigues them, and they experience palpitation, dyspnea, or anginal pain.
The patient developed typical anginal type chest pain 5 days into the treatment.
There's also a rare secondary headache disorder called cardiac cephalgia, in which head pain is an anginal equivalent.
These variables are typical angina developing during the test, significantly reduced exercise time for age (less than two thirds predicted), ST-segment depression [greater than or equal to] 2 mm, downsloping ST depression, ST depression occurring in stage 1 or 2 of a standard Bruce test, ST depression in 7 or more leads, exertional hypotension early during exercise, and persistence of ST depression or anginal pain for 10 minutes or more after exercise (2-4).
If the heart attack was uncomplicated by heart failure or recurrent anginal pain, the patient can safely resume sexual activity by the time he is able to walk up two flights of stairs or walk a block without discomfort.
Still, physicians should pursue the connection if other factors, such as a history of epilepsy or mind-body dissociation during an anginal attack, exist.
In addition, data have demonstrated that FFR measurements can be useful as an alternative to noninvasive functional testing, and to help assess an abnormal narrowing in a coronary artery for patients with anginal symptoms such as chest pain.
Reductions in anginal frequency of 50% or more have been noted in patients taking 200 to 500 mg daily.
While classic anginal symptoms can aid in the evaluation of acute chest pain, ACS patients can present with atypical or confusing complaints and require care assessment by evaluating health professionals.