angina


Also found in: Dictionary, Thesaurus, Medical, Financial, Wikipedia.
Related to angina: angina pectoris, chest pain

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 ?
The Working Group on Cardiovascular Pharmacotherapy of the European Society of Cardiology (ESC) has launched the Angina Awareness Initiative.
Acetylcholine was infused down the pressure wire in 151 subjects diagnosed with angina with no obstructive coronary artery diseases before they left the catheter lab.
It is estimated that as many as one million people in the United States have chronic symptomatic coronary artery disease (often referred to as refractory angina) that is resists medical therapy and conventional revascularization procedures.
There is a great variability of symptoms, according to the length of the coronary spasm, which, if high enough, may cause angina or myocardial infarction.
Experts hope the finding may help people with difficult-to-control angina who are not suitable for other procedures.
In this study among total population typical angina was noted in 29.36% of patients, while there were no angina in 62.69% of cases.
Global Markets Direct's, 'Angina (Angina Pectoris) - Pipeline Review, H1 2016', provides an overview of the Angina (Angina Pectoris) pipeline landscape.