What is Angina

Angina pectoris is chest pain due to ischemia (a lack of blood and hence oxygen supply) to the heart muscle, generally due to obstruction or spasm of the coronary arteries (the hea...

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The Week In Tragedy...5 Things we can Learn.

By Dr. Orrange June 30, 2009 9:12pm 38 Comments

1) Demerol: I'll never forget a lecture I attended as a resident by a well known toxicologist who said Demerol should be pulled from the market...that it doesn't work any better than any other pain medication and patients love the high it gives them. The American Pain Society said in 2003 that Demerol has no role in acute pain management …

What's the Best Test for Diabetes?

By Dr. Orrange June 21, 2009 7:56pm 6 Comments

"I've had tingling in my feet", "I've been urinating a lot", and "I've been really tired and haven't felt right?" Could this be adult-onset Diabetes? Many people come to the office with signs and symptoms they are worried may represent diabetes and ask me about a "test for Diabetes". Until …

Too much of a good thing? Transient heart dysfunction seen in young marathon runners.

By Dr. Orrange June 8, 2009 1:45am 7 Comments

This was the interesting study of the week for me, let's see what you think. No question both in San Diego and Los Angeles my clinics were busy right after marathons with electrolyte disturbances and seizures, joint aches and swelling among other things. As someone who runs (not marathons) and has marathoner-envy I found this interesting.

A group …

Angina Information

Angina pectoris is chest pain due to ischemia (a lack of blood and hence oxygen supply) to the heart muscle, generally due to obstruction or spasm of the coronary arteries (the heart's blood vessels). Coronary artery disease, the main cause of angina, is due to atherosclerosis of the cardiac arteries. The term derives from the Greek ankhon ("strangling") and the Latin pectus ("chest"), and can therefore be translated as "a strangling feeling in the chest".

Worsening ("crescendo") angina attacks, sudden-onset angina at rest, and angina lasting more than 15 minutes are symptoms of unstable angina (usually grouped with similar conditions as the acute coronary syndrome). As these may herald myocardial infarction (a heart attack), they require urgent medical attention and are generally treated as a presumed heart attack.

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