Angina Pain Characteristics During An Episode

Angina pectoris typically presents as episodic chest pain, with patients often experiencing a pressing or squeezing sensation in the chest. This discomfort may be accompanied by a burning feeling and usually occurs behind the sternum. The pain can radiate to various areas including the precordium, left arm, shoulder blade region, jaw, and throat. In some cases, patients may feel tooth pain, which needs to be differentiated from primary dental discomfort.

Triggers And Patterns Of Angina Pain

It is common for angina episodes to occur after physical exertion or emotional excitement, a pattern commonly referred to as exertional angina. The pain tends to develop gradually and may subside with rest or sublingual administration of nitroglycerin. This predictable nature of pain is a hallmark of stable angina, where symptoms typically last for a few minutes and are relieved by rest or medication.

Differences In Acute Coronary Syndrome

In contrast, patients experiencing acute coronary syndrome may suffer from more severe and prolonged symptoms. The discomfort can persist for 30 minutes to an hour and may even occur at rest or during sleep. Unlike stable angina, the symptoms may not be significantly relieved by rest or nitrate medications. Additional symptoms often accompany the chest pain, such as shortness of breath, sweating, nausea, vomiting, palpitations, and even tooth pain, requiring immediate medical attention.