{"id":980,"date":"2025-04-30T08:35:48","date_gmt":"2025-04-30T08:35:48","guid":{"rendered":"https:\/\/webdelcorazon.com\/en\/?p=980"},"modified":"2025-06-04T10:46:46","modified_gmt":"2025-06-04T10:46:46","slug":"what-is-unstable-angina","status":"publish","type":"post","link":"https:\/\/webdelcorazon.com\/en\/what-is-unstable-angina\/","title":{"rendered":"What is unstable angina?"},"content":{"rendered":"<p><strong>Angina pectoris<\/strong> is a sensation of discomfort or chest pain (or in surrounding areas) caused by <strong>reversible <a href=\"https:\/\/en.wikipedia.org\/wiki\/Coronary_ischemia\" target=\"_blank\" rel=\"noopener\">myocardial ischemia<\/a><\/strong>\u2014a temporary reduction in blood flow to the heart muscle that does not lead to a heart attack. It is also known as <em>angor<\/em>.<\/p>\n<p>Clinically, it is referred to as <strong>unstable angina<\/strong> when there is a sudden change in coronary blood flow that does not yet result in a myocardial infarction. In angina, there is no cell death, whereas in a heart attack, heart muscle cells are irreversibly damaged.<\/p>\n<p><strong>Unstable angina often presents with increased intensity, frequency, or duration of episodes.<\/strong> About 15% of cases progress to acute myocardial infarction. The mortality rate within the first year after diagnosis is around 10%, highlighting the importance of identifying high-risk patients.<\/p>\n<p>Typically, <strong>unstable angina is triggered by the rupture or fissuring of an atheromatous plaque<\/strong>, which leads to platelet aggregation and coronary vasoconstriction, further reducing blood supply to the heart.<\/p>\n<p>&nbsp;<\/p>\n<h2>Types of Unstable Angina<\/h2>\n<p>Unstable angina can present in several clinical forms:<\/p>\n<ol>\n<li class=\"class-li\"><strong>Rest angina<\/strong>.<\/li>\n<li class=\"class-li\"><strong>New-onset angina<\/strong>: when symptoms began less than one month ago (some experts extend this to two months).<\/li>\n<li class=\"class-li\"><strong>Progressive angina<\/strong>: when previously stable angina worsens in frequency, duration, or intensity.<\/li>\n<li class=\"class-li\"><strong>Post-infarction angina<\/strong>.<\/li>\n<li class=\"class-li\"><strong>Variant or Prinzmetal\u2019s angina<\/strong>: usually occurs at rest and is frequently considered a form of unstable angina, although the underlying mechanisms differ. Most experts categorize it separately.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h2>Treatment and Management<\/h2>\n<p>Management strategies depend on various <strong>prognostic factors<\/strong> identified through clinical history and diagnostic tests. These factors guide therapeutic decisions.<\/p>\n<p>Patients with more intense or prolonged chest pain, and those showing abnormalities in their electrocardiogram or blood work, are considered higher risk. These individuals are typically admitted to a coronary care unit (CCU).<\/p>\n<p>Treatment is generally more aggressive, involving <strong>cardiac catheterization<\/strong>, potential <strong>angioplasty<\/strong>, and the use of <strong>strong antiplatelet therapy<\/strong> along with <strong>anticoagulants<\/strong> to reduce complications and improve long-term survival.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Angina pectoris is a sensation of discomfort or chest pain (or in surrounding areas) caused by reversible myocardial ischemia&mdash;a temporary reduction in blood flow to the heart muscle that does not lead to a heart attack. It is also known as angor. Clinically, it is referred to as unstable angina when there is a sudden [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":981,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-980","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-heart-disease"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What is unstable angina? - Web of the Heart<\/title>\n<meta name=\"description\" content=\"Unstable angina usually occurs due to a worsening of the intensity, frequency, or duration of angina episodes.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/webdelcorazon.com\/en\/what-is-unstable-angina\/\" \/>\n<meta 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