Heart Attack or Angina - Dubai Cardiology Clinic

Do I have Angina or Heart attack

When you get chest pain don’t ignore it, but don’t panic because you need to act in a reasonable way to clear the matter very soon without further trouble. If you are feeling any heart attack symptoms you can call to +97142798200. DRHC is Dubai's  best cardiology centre to diagnose heart attack symptoms.

There are many causes of chest pain,  I will list them down and then I will focus on the ischemic chest pain which needs special attention:

  • Coronary artery disease(CAD).
  • Parietal chest pain: this pain increase with deep breathing and palpation of the area.
  • Gastroesophageal reflux and esophagitis: associated with heartburn or what we call acidity especially after big meal and relieved by antiacids.
  • Anxiety and neurotic pain:  anxiety attack and  anxious personality can be the cause.
  • Pneumonia and pleurisy: Pneumonia is associated with (fever – cough – dullness on percussion - rales or rhonchi by auscultation) . for pleurisy the pain increase by deep breathing and chest movement.
  • Cardiac failure: associated with short of breath on exertion or lying flat, and sometimes leg swelling.
  • Pulmonary embolism: associated with severe chest pain with tachycardia and tachypnea – fever – DVT or recent operation or baby delivery- Blood test for D dimer can help to clarify the situation.
  • Pneumothorax: patient would not be able to lying flat – very anxious – CXR give the diagnosis immediately.
  • Acute pericarditis: usually associated wit a history  of cold 2 weeks ago – the pain improve when the patient is setting and leaning forward.
  • Aortic dissection: chest pain radiate to the  back – Pulse and blood pressure different in upper arms. CT of chest clear the diagnosis. DRHC offers all kind of heart disease treatment.

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           Did you hear about Silent heart attack or Silent myocardial infarctions?

  • Shingles or Zona in left chest wall: pain or severe burning sensation in left side and red rash follows to clarify the diagnosis.

Now let us go to our goal the ischemic pain(coronary artery disease) which has wide range:

          I – Angina pectoris: chest pain with exertion or emotional stress radiating to left arm or shoulder or jaw, last for few minutes and relieved by rest and sublingual nitroglycerin.

          II – Unstable angina: chest pain at rest or anginal pain last more than few minutes or more severe than before.

          III – Acute myocardial infarction (heart attack) severe chest pain radiating to both shoulders – last 20 minutes or more associated with diaphoresis – fear – apprehension – nausea or vomiting – pale color and the patient looks unwell.

Investigation like ECG will shows:

  •  ST segment elevation or depression,
  • left bundle branch block (new),
  • Q waves,
  • Deep T wave inversion,

 Now we have to send the patient to hospital to confirm the diagnosis of heart attack by Echocardiography and blood test of Troponin I.  If the diagnosis (STEMI), we will transfer the patient to the Cath.Lab for coronary angiography and angioplasty and if it is (NSTEMI) we stabilise the case then do coronary angiogram next day.

You will ask about STEMI and NSTEMI –  STEMI means myocardial infarction with ST elevation and positive troponin I which needs angioplasty within 90 minutes whereas NSTEMI means myocardial infarction without ST elevation which could be managed by medicine and needs coronary angiography later on in 1-2 days.

Meet our Cardiologist to know about heart attack symptoms, signs of heart attack, types of heart attacks, different levels of heart attacks, what causes heart attacks, healthy heart foods. Dubai Cardiology clinic at Dr Rami Hamed Center provides you one of the best cardiologist in dubai for treating hypertension, heart attack, heart failure, ischemic heart disease, holter monitoring, stress test, chest pain and echocardiography  .