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 ?
The most common arrhythmia in patients with Prinzmetal angina is ventricular tachycardia, which initially occurs in 2/3 of the patients during anginal episodes, and 1/3 in resolution periods.
Psychological determinants of anginal pain perception during exercise testing of stable patients after recovery from acute myocardial infarction or unstable angina pectoris.
However, the PCI group had a significantly lower incidence of anginal episodes.
When the Russian sites were excluded from the analysis, the average number of weekly anginal episodes in the ranolazine group dropped from 3.
Duration and number of anginal episodes before and at the end of 4thi week recorded.
On arrival, the patient was pale and diaphoretic, with blood pressure 105/70 mmHg and heart rate 86 bpm, but he had no anginal complaints.
Matc Wallack, a surgical oncologist, a man who treats cancer patients and who has done original pioneer studies in melanoma vaccines, who ran marathons as a way of life and as an example to his patients, at age 54 suffers anginal pain while running.
5 At least two anginal events in the prior 24 hours
Frequently, patients who report myalgia actually are experiencing arthralgia, muscle strain, injury not stemming from statin therapy, or, on occasion, an anginal equivalent when complaining of chest, shoulder, or neck soreness/discomfort.
Primary endpoint was the combined incidence of death, myocardial infarction, stroke, repeat angiography or re-admission because of anginal symptoms during the follow-up period.