Unlike typical angina – which is often triggered by exertion or emotional stress – Prinzmetal’s angina almost always occurs when a person is at rest, usually between midnight and early morning. These attacks can be very painful.
Prinzmetal angina may also be referred to as:
- Variant angina
- Prinzmetal’s variant angina
- Angina inversa
Prinzmetal’s angina is rare, representing about two out of 100 cases of angina, and usually occurs in younger patients than those who have other kinds of angina.
Causes of Variant (Prinzmetal) Angina: The pain from variant angina is caused by a spasm in the coronary arteries (which supply blood to the heart muscle).
The coronary arteries can spasm as a result of:
- Exposure to cold weather
- Medicines that tighten or narrow blood vessels
- Cocaine use
Symptoms of Variant (Prinzmetal) Angina: The pain or discomfort:
- Usually occurs while resting and during the night or early morning hours
- Are usually severe
- Can be relieved by taking medication
Treatment of Variant Angina | Prinzmetal’s Angina
Medicines can help control the spasms. Drugs such as calcium antagonists and nitrates are the mainstays of treatment.
The spasms tend to come in cycles – appearing for a time, then going away. After six to 12 months of treatment, doctors may gradually reduce the medication.
Prinzmetal’s angina is a chronic condition that will need to be followed by your healthcare provider even though the prognosis is generally good.
Track your angina symptoms with our Angina Log.
- What is angina?
- Angina Pectoris | Stable Angina
- Unstable Angina
- Microvascular Angina
- Angina in Women
This content was last reviewed July 2015.
If someone near you fainted, collapsed from exhaustion or had a stroke and lay unconscious–what would you do? What if you knocked someone out during martial arts practice? You can do more than call 911. Acupuncturists know points that can revive someone. One very hot day at Saratoga Race track a young girl fainted right next to me. I pressed with my fingernail under her nose (GV 26) and she awoke in less than a minute. She was frightened but, after I assured her that she was alright, she recovered completely.
Your doctor or ambulance driver, unfortunately are not required to study acupuncture. Too bad for everyone. The police learn a few points to subdue rowdies. But the revival points I will show you here may come in handy someday. The Governor Vessel (in Chinese: Du Mai meridian) has considerable influence on the central nervous system.
Kundalini yoga practitioners and Asian martial arts people learn about the Governor Vessel meridian, which runs up the spine and neck to the top of the head, and the Conception Vessel meridian, which runs down the front. Together they make an energy loop that passes from the pernium (at the genitals) to the brain and back. With Asian health practices, vitality in that energy loop can be increased to enhance longevity, sexuality and beauty. Or circulation can be smacked along that loop to knock a person out cold. The revival points, located at the nose, engage the energy of the loop and regulate its actions. GV 26 in Chinese is called Du Mai 26 (Shui Gou) “Water Trough.” It revives and refreshes the spirit.
The Governor Vessel meridian, which runs up the back through the spine and then from the neck over the head down to the nose, governs the energy flow –the circulation– of the meridians on the back and sides of the body. Pressing GV 6, the point just under the nose sends blood and oxygen to the brain.
Remember how you stop a sneeze? You press GV 6–the same point you stimulate to revive someone. If you had a sewing needle handy, you might put the tip into a flame for a few seconds to sterilize it. Then hold the needle by the tip so that only 1/8 inch shows beyond your fingers. Then you would prick that point under the nose with the tip of the needle. Then press your finger there to prevent blood from escaping. That stimulates the point, but it also works when you use your fingernail. The important thing is to press inward and upward slightly toward the brain without hurting the nose. Easy isn’t it?
If you google Governor Vessel you can find
Research combining acupuncture of GV points and antidepressants
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Stenocardia is one of the forms of ischemic heart disease. The direct cause of the disease is atherosclerosis of the arteries of the heart, in which the lumen of the heart vessels narrowed by atherosclerotic plaques (deposits of cholesterol in the artery wall), and the heart receives insufficient blood, i.e. is in a state of starvation, which is accompanied by bouts of pain in the heart.
Symptoms of stenocardia
Stenocardia is manifested by seizures usually occur during physical activity. Less frequently they appear in connection with anxiety, can also be caused by output from a warm room into the cold air, Smoking, alcohol, rich food. In between bouts person usually nothing worries.
Attack stenocardia pressure is manifested by pain, which, as it burns and compresses the heart. Sometimes it is perceived as simply heaviness, squeezing, tightness or compression. Most often, patients with stenocardia describe the pain as a brick on his chest”. Man seeks as quickly as possible to stop the load, to stop, to sit, to breathe fresh air.
Typical location of pain behind the breastbone, but often it feels and to the left. Attacks can be accompanied by difficulty breathing, dizziness and fear, less frequently, nausea or vomiting.
After the cessation of stress attack resolves on its own within 2 to 5 minutes. The fastest effect of taking nitroglycerin tablets under the tongue. If the seizure lasts more than 10 minutes and the pain subsides, it is better to call an ambulance – it may cause serious damage to the heart.
Stenocardia can occur in different forms
Experts identify several forms of angina: stable angina, unstable angina and angina at rest and angina and more rare variant angina. Separately allocated first developed angina, which almost always requires hospitalization.
The most common form of angina. Attacks arise under load: usually during walking, running, work, but also the pain can cause emotional crass, cold, heat, overeating and other.
Angina peace called late-stage disease, when exercise is limited so that the pain can occur without it, that is alone. Variant angina due to several other reasons: instead of atherosclerotic plaques in its origin plays a major role spasm of the arteries of the heart. This form occurs in younger people.
Stable angina from time to time has the same symptoms. If the pain from the attack to the attack begins to grow, or acquires a new quality starts to give in the arm, jaw, etc), angina is considered to be progressive or unstable. Often these two forms can be harbingers of impending heart attack.
Because angina is one of the possible manifestations of CHD, all the complications of these diseases are common. Most often, over time, patients develop chronic heart failure, manifested by swelling of the feet and shortness of breath.
High blood pressure is not a complication, but an aggravating factor strokes, the higher the pressure, the harder the heart to push the blood through the vessels and the faster it wears out.