Thumbnail image of: Circulatory System: Illustration
Thumbnail image of: Heart Catheterization: Illustration
Thumbnail image of: Heart, External View: Illustration
Thumbnail image of: Heart, Interior View: Illustration
Thumbnail image of: Plaque Buildup in Arteries: Illustration

Chest Pain (Angina)

What is chest pain?

Chest pain caused by a problem with your heart is called angina pectoris or angina. Angina is often described as a feeling of tightness, squeezing, or pain in the chest. It happens when the heart does not get enough oxygen-rich blood. Angina may be caused by any condition that affects the blood flow to your heart, such as coronary artery disease, abnormal heart valves, abnormal heart rhythms, anemia, or uncontrolled blood pressure.

What can I expect in the hospital?

Several things may be done while you are in the hospital to monitor, test, and treat your condition. They include:

Monitoring

  • You will be checked often by the hospital staff.
  • A heart (cardiac) monitor will be used to keep track of your heartbeat. If you have an irregular rhythm that might be dangerous, it will be treated right away.
  • Your blood oxygen level will be monitored by a sensor that is attached to your finger or earlobe.

Testing

Testing may include:

  • An ECG (also called an EKG or electrocardiogram), which measures and records your heartbeat
  • Blood tests to check for the amount of certain proteins in the blood to find out if the heart muscle has been damaged
  • A chest X-ray to check if your heart is bigger than normal and if there is extra fluid or other problems in your lungs
  • Ultrasound (echocardiogram), which uses sound waves and their echoes passed through your body from a small device (called a transducer) that is held against your skin to create pictures of the inside of your heart, to look at your heart valves, blood flow, and how well your heart muscle is pumping
  • Heart catheterization (coronary angiogram), which is a series of X-rays taken after your healthcare provider places a long, thin, flexible tube (catheter) into a blood vessel in your groin and up to your heart and injects a special dye into your blood vessels to look for areas where the blood vessels are blocked and how bad the blockage is
  • Stress test, which is an ECG while you exercise on a treadmill. If you are unable to exercise, you will be given a medicine that increases the work of your heart in order to measure your heart’s response. This test will help your provider decide what treatments and exercise are best for you or may be needed in the future.

Treatment

The treatment for chest pain depends on its cause, your test results, your overall health, and any complications you may have.

  • You will have a small tube (IV catheter) inserted into a vein in your hand or arm. This will allow medicine to be given directly into your blood and to give you fluids, if needed.
  • You may receive oxygen through a small tube placed under your nose or through a mask placed over your face.
  • Your provider may prescribe medicine to:
    • Relax and widen blood vessels and allow blood to flow through them easier
    • Help prevent blood clots
    • Reduce blood pressure, slow the heart rate, and reduce the workload of the heart
    • Control cholesterol levels
  • You may need surgery to treat the cause of your chest pain. Surgery may include:
    • Pacemaker insertion: Surgery to insert a medical device to help keep your heart rate stable
    • Percutaneous coronary intervention (PCI): A procedure in which your healthcare provider inserts a flexible tube called a balloon catheter into a blocked artery in your heart to unblock it. It opens up your artery without major surgery and allows blood to flow. A metal mesh device, called a stent, is usually left in the artery to help keep the blood vessel open.
    • Coronary artery bypass graft surgery (CABG): Surgery in which a blood vessel from another part of your body is used to create a new route for blood to flow around a blockage in a heart artery caused by coronary artery disease

What can I do to help?

  • You will need to tell your healthcare team if you have new or worsening:
    • Pain that is not well controlled with your medicine
    • Chest discomfort when lying down
    • Chest pain that gets worse or happens more often
    • Shortness of breath
    • Feeling like your heart is beating too fast, too slow, or skipping beats
    • Swelling in your legs, ankles, or feet
    • Nausea or vomiting
    • Signs of infection around your surgical wound if you had surgery. These include:
      • The area around your wound is more red or painful
      • The wound area is very warm to touch
      • You have blood, pus, or other fluid coming from your wound area
      • You have chills or muscle aches
  • Ask questions about any medicine or treatment or information that you do not understand.

How long will I be in the hospital?

How long you stay in the hospital depends on many factors. The average amount of time to stay in the hospital after chest pain is 1 to 3 days.

Developed by RelayHealth.
Acute Care Advisor 2015.1 published by RelayHealth.
Last modified: 2014-07-30
Last reviewed: 2014-07-31
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
Copyright ©1986-2015 McKesson Corporation and/or one of its subsidiaries. All rights reserved.

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