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Angina inestable
Nombres alternativos:
Angina acelerante; Angina de aparición reciente; Angina progresiva
SÃntomas:
Los sÃntomas abarcan:
- Dolor de pecho súbito que también se puede sentir en el hombro, el brazo, la mandÃbula, el cuello, la espalda u otras áreas.
- Dolor que se siente como rigidez, opresión, compresión; aplastamiento, ardor, asfixia o molimiento.
- Dolor que ocurre en reposo y no desaparece fácilmente con el uso de un medicamento.
Si una persona tiene angina estable y el dolor de pecho comienza a sentirse diferente, dura más de 15 a 20 minutos u ocurre en momentos diferentes, se puede estar desarrollando una angina inestable.
Signos y exámenes:
El médico llevará a cabo un examen fÃsico y revisará la presión arterial . El médico puede escuchar sonidos anormales, como un soplo cardÃaco o latidos cardÃacos irregulares, al auscultar el tórax con un estetoscopio.
Los exámenes para diagnosticar la angina abarcan:
- Exámenes de sangre para verificar los niveles de creatinfosfocinasa (CPK) , mioglobina y troponina I y T.
- AngiografÃa coronaria
- ECG
- EcocardiografÃa
- Pruebas de esfuerzo
Referencias:
Boden WE, O'rourke RA, Teo KK, et al. Optimal Medical Therapy with or without PCI for Stable Coronary Disease. N Engl J Med . 2007 Mar 26; [Epub ahead of print].
Braunwald E, Antman EM, Beasley JW, et al. ACC/AHA Guideline Update for the Management of Patients With Unstable Angina and Non–ST-Segment Elevation Myocardial Infarction—2002: Summary Article: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Unstable Angina). Circulation . 2002;106:1893
- Fecha de revisión: 4/3/2007
- Versión en inglés revisada por: Larry A. Weinrauch, MD, Assistant Professor of Medicine, Harvard Medical School, and Private practice specializing in Cardiovascular Disease, Watertown, MA. Review provided by VeriMed Healthcare Network.
- Traducción y localización realizada por: DrTango, Inc.
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