Refractory angina pectoris digital illustration

Refractory angina pectoris Save


ICD-10 code: I20.2

Disease category: None

Understanding Refractory Angina Pectoris

Refractory angina pectoris is a chronic condition characterized by chest pain or discomfort that is not relieved by conventional medical treatments. This condition affects individuals who have coronary artery disease (CAD) and have undergone previous interventions such as angioplasty or bypass surgery.

Typically, angina pectoris is managed with medications, lifestyle modifications, and invasive procedures. However, in refractory cases, these measures prove to be ineffective in alleviating symptoms. Patients with refractory angina pectoris often experience persistent chest pain, reduced physical activity, and a diminished quality of life.

Symptoms of Refractory Angina Pectoris:

  1. Recurrent chest pain or discomfort
  2. Shortness of breath
  3. Fatigue
  4. Reduced exercise tolerance

The exact cause of refractory angina pectoris is not fully understood. However, it is believed to result from severe narrowing or complete blockage of the coronary arteries, leading to inadequate blood flow and oxygen supply to the heart muscle.

Diagnosing Refractory Angina Pectoris:

Diagnosing refractory angina pectoris involves a thorough evaluation of the patient's medical history, symptoms, and a physical examination. Additional diagnostic tests may include:

  1. Electrocardiogram (ECG)
  2. Stress testing
  3. Coronary angiography
  4. Cardiac MRI or CT scan

These tests help healthcare professionals determine the severity of the condition and identify any underlying factors contributing to the refractory nature of angina pectoris.

Managing Refractory Angina Pectoris:

Although this article does not cover treatment options, it is important to note that managing refractory angina pectoris requires a multidisciplinary approach involving cardiologists, interventional radiologists, and pain specialists. Treatment options may include medications, lifestyle modifications, and additional interventions such as enhanced external counterpulsation (EECP) or spinal cord stimulation.

In conclusion, refractory angina pectoris is a chronic condition characterized by persistent chest pain that does not respond to conventional treatments. It can significantly impact an individual's quality of life. If you suspect you may be experiencing refractory angina pectoris, it is crucial to consult with a healthcare professional for an accurate diagnosis and appropriate management plan.

Treatment of Refractory angina pectoris:

Treatment Options for Refractory Angina Pectoris

Refractory angina pectoris is a chronic condition characterized by persistent chest pain caused by reduced blood flow to the heart. While traditional treatments like medication and lifestyle changes may be effective for most patients, refractory angina pectoris refers to cases where these standard approaches fail to provide relief. T...

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