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
Collins Discovery Encyclopedia, 1st edition © HarperCollins Publishers 2005
The following article is from The Great Soviet Encyclopedia (1979). It might be outdated or ideologically biased.

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

The Great Soviet Encyclopedia, 3rd Edition (1970-1979). © 2010 The Gale Group, Inc. All rights reserved.

angina

[′an·jə·nə or an′jī·nə]
(medicine)
A sore throat.
Any intense, constricting pain.
McGraw-Hill Dictionary of Scientific & Technical Terms, 6E, Copyright © 2003 by The McGraw-Hill Companies, Inc.
References in periodicals archive ?
The guidelines apply to patients with chronic stable angina who have not had a myocardial infarction (MI) or have undergone revascularization in the past 6 months, as well as patients who are asymptomatic but have demonstrated evidence of coronary artery disease.
It occurs when the artery narrows, which can cause stable angina, and then in some cases ruptures, causing a blood clot.
Out of which, 50 were cases of unstable angina (Group-A); 50 were cases of stable angina (Group-B); and 50 were healthy controls (Group-C) selected after age and sex matching with the cases of UA Group-A constituted cases, subjects with SA (Group-B) and healthy controls (Group-C) constituted comparison group.
Unstable angina is more serious than stable angina because it may be related to a rupture in plaque that could cause a clot.
AP has a long history in China and is widely used as an alternative and complementary therapy for the treatment of stable angina. Prospective clinical studies have confirmed that AP may alleviate symptoms and improve heart function in patients with stable angina [10-12].
Effects of L-carnitine on exercise tolerance in chronic stable angina: a multicenter, double-blind, randomized, placebo controlled crossover study.
The objective of the present study was to assess the efficacy of danshenform compound in reducing anginal episodes in patients with stable angina pectoris already taking optimal anti anginal medications.
Prognostic value of circulating pregnancy associated plasma protein levels in patients with chronic stable angina. European Heart Journal 2006; 27:1678-1684.
Optimal medical strategies in the treament of chronic stable angina include the prescription of aspirin, statins, angiotensin-converting enzyme inhibitors (ACE inhibitors), and lifestyle interventions such as quitting smoking, increasing physical activity and dietary change.
MRFR Offering Latest Research Report Middle-East And Africa Ischemic Heart Disease Market Information, By Type (Stable Angina, Unstable Angina, Myocardial Infarction, And Others) By Diagnosis (Electrocardiogram, Echocardiography, Stress Testing, Coronary Angiography, Magnetic Resonance Imaging (MRI), Chest X Ray, And Others), By Treatment Type (Medications, Surgery, Lifestyle Changes, And Others) - Forecast To 2022
Groups were categorized as Group A, including healthy normotensives (BP equal to or less than 120/80 mm Hg); group B comprising of newly diagnosed cases of hypertension, group C consisting of newly diagnosed cases of stable angina pectoris with hypertension and group D with cases of acute myocardial infarction with hypertension.
When the pain is triggered by exertion and disappears with rest, it's called stable angina. This type of predictable angina is less dangerous than angina that comes "out of the blue."