Sitting wind (angina): symptoms, causes, to treatment

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Definition

What is wind sitting (angina)?

Sitting wind is chest pain due to a lack of blood and oxygen supply to the heart. Sitting wind, or what is known in medical terms as angina, can be a symptom of coronary heart disease.

In this case, there will usually be a buildup of cholesterol and fat (plaque) in the coronary arteries of the heart (atherosclerosis). Angina can also be caused by muscle spasms in the area of ​​the coronary arteries.

Generally, chest pain that occurs due to angina is unpredictable. It might happen when you are relaxing, it may not even disappear immediately when you rest or take medicine. The wind sitting can make your chest feel sore and achy like you are being pressed or squeezed hard.

Not like a common cold that can heal soon. Sitting winds need immediate treatment from a doctor to relieve symptoms.

How common is this condition?

Angina is a disease that is quite common in society. Anyone can actually experience this disease, both men and women. However, the risk of disease usually increases with age.

Men over the age of 45 years and women who are over 55 years, have a greater risk of developing this disease.

But don't worry, you can reduce your risk of catching a sitting wind by reducing the risk factors you have. Consult your doctor for more information.

Signs & symptoms

What are the signs and symptoms of wind sitting (angina)?

The main symptom of wind sitting is the appearance of uncomfortable pain, either mild or heavy in the chest.

In addition, it cannot be denied that you will feel chest tightness, pain, or chest feeling heavy starting from the chest and sometimes spreading to the jaw, back, neck, left shoulder, and forearm (especially the left).

There may also be pain that feels stabbing or burning hot. Some people describe it as being smothered or gripped. Not only that, here are some other symptoms of sitting wind that you should be aware of:

• Body sweating profusely
• Nausea
• Severe fatigue
• Dizzy
• Hard to breathe

These various symptoms can appear when you are resting or doing activities. Generally, symptoms will occur intermittently, over a long period of time, and are unpredictable. The rest, the symptoms of wind sitting are usually determined by the type of wind sitting itself.

Some of the symptoms of sitting wind are based on the type, namely:

1. Stable angina (angina pectoris)

Steady angina is the most common type of sitting wind. This condition usually occurs when you force yourself to be active, rather than taking time to rest. For example, complaints of chest pain that arise when you walk uphill or are in cold weather will cause attacks of angina pectoris.

Symptoms of angina pectoris or stable angina include:

• Appears when the heart is working harder, such as when you are exercising or climbing stairs.
• It is usually predictable and the pain is similar to normal chest pain.
• The duration tends to be short, about 5 minutes or less.
• It can disappear immediately if you rest or take medicine to overcome wind sits.

The severity and length of time the wind sits occur can vary. The onset of new or different symptoms can indicate a more dangerous sitting wind or a heart attack.

2. Angina is unstable

Unstable angina is often known as acute coronary syndrome. This type of sitting wind has more severe symptoms and conditions than stable angina. This is because the pain in the chest caused by unstable angina usually lasts longer, which is about 30 minutes.

Not only that, but unstable angina will also cause chest pain that is more difficult to get rid of. Even if you've tried to take medication and get plenty of rest time, the symptoms of sitting wind will not necessarily go away.

Symptoms of unstable angina include:

• The time it occurs can be at any time, even when you are resting.
• The resulting chest pain is usually more severe.
• Symptoms that appear are usually unusual and unexpected.

Because of the severity of the symptoms, this type of unstable angina can signal a heart attack.

3. Variant angina (Prinzmetal's angina)

Slightly different from stable and unstable angina, variant angina is less common. Symptoms of variant angina include:

• The time it occurs is usually at rest.
• The resulting chest pain can be quite severe.
• Can be immediately relieved by taking medicine to cope with wind sitting.

There may be signs or gealas not listed above. If you have any concerns about your symptoms, please consult your doctor.

4. Microvascular angina

Microvascular angina can produce signs and symptoms that last longer than 10 minutes. In fact, do not rule out, this type of wind sitting symptom can last more than 30 minutes.

Symptoms of microvascular angina include:

• The resulting chest pain can be more severe and last longer than other types of wind sitting.
• It can be accompanied by shortness of breath, difficulty sleeping, fatigue, and lack of energy.
• Usually appears when you are on the move, or you are experiencing mental stress.

Signs and symptoms caused by this type of sitting wind will usually subside when you sit or rest.

When should I see a doctor?

Sitting wind cannot be underestimated because it is an emergency condition. If you have any of the signs or symptoms listed above or have had chest pain for a long time, please consult your doctor.

Especially when you feel chest pain that doesn't go away with rest and lasts more than 10 minutes. We recommend that you immediately visit the nearest emergency department to get the best treatment according to your health condition.

Cause

What causes wind sits (angina)?

The presence of a blood clot that forms plaque in the artery clogs the artery. These blood clots can form, then break down, then form again. Blood clots that are not treated immediately will get bigger and before they eventually clog the arteries and lead to heart disease.

That is why wind sitting is often associated with a special relationship with the heart organ. Because there are different types of sitting wind, the causes for each are not the same. Here are the causes of wind sitting by type:

1. Stable angina (angina pectoris)

Sitting wind in general is often considered the same as stable angina (angina pectoris). In fact, angina pectoris is one of several types of angina. Just like wind sitting in general, this type of angina pectoris is also characterized by sudden pain in the chest.

In detail, angina pectoris occurs when the heart does not get a supply of oxygen to support its function. As a result, the heart has to work harder while on the move. Other factors, such as coronary heart disease (CHD) and narrowing of the arteries (atherosclerosis), can also block the flow of oxygen to the heart.

2. Angina is unstable

Unstable angina is caused by a blockage of plaque in the blood vessels, either partially or completely. The buildup of plaque can result in reduced blood flow to the heart, so that the blood clots and clots.

The reason is, the plaque can break, which will cause injury to the blood vessels. This condition is the reason why the blood then clots. When compared to stable angina, this type of unstable angina comes in a more severe form.

3. Variant angina (Prinzmetal's angina)

The cause of variant angina is due to narrowing of the coronary arteries due to spasm. Whereas it should be, these blood vessels are in charge of supplying blood and oxygen to the heart.

A spasm is a condition characterized by sudden tightening of the heart muscle, which causes you to feel pain.

This type of sitting wind can happen at any time. Whether it's when you're on the move, or resting. Although it is very rare, variant angina cases usually appear in the middle of the night or early morning.

4. Microvascular angina

Chest pain caused by microvascular angina is caused by microvascular coronary disease (MVD). MVD is a heart disease that affects the smallest coronary arteries in the heart.

This disease results in reduced blood flow to the heart, resulting in microvascular angina angina chest pain. This type of sitting wind usually occurs when you are actively moving or doing activities, or experiencing emotional disturbances.

Although wind sits are relatively common, many people still have difficulty distinguishing the symptoms from other chest pain conditions. For example pain or discomfort due to indigestion.

If you have unexplained chest pain, seek medical help immediately.

Risk factors

What increases my risk of wind sits (angina)?

People who are at high risk of developing coronary artery disease, usually also have the same risk of experiencing wind sits. Reporting from the American Heart Association, there are many factors that can increase your risk of wind sitting, such as:

1. Age and gender

Your risk of having wind sits will increase with age. For men over the age of 45 years and women over the age of 55 years, the risk is greater than the young age. Women who have experienced menopause also have the same risk.

2. Family history

Be vigilant if there is a family member who has a history of sitting wind disease. This means that you are more likely to experience this disease than other people who do not have it.

3. Diet

High cholesterol levels are the main cause of deposits that clog the blood vessels of the body. One of them is the blood vessels that carry blood to the heart.

The types of cholesterol that increase the risk of sitting wind are LDL or "bad" cholesterol, and blood triglycerides.

4. Lazy to exercise

A sedentary lifestyle or lazy movement is one of the causes of increased cholesterol levels, high blood pressure, and obesity. All of these things contribute to a risk factor for wind sitting.

5. Smoking

Smoking can damage the inner walls of the arterties, which in turn affects the function of the heart. This disruption of heart function can result in cholesterol depositing, thus inhibiting blood flow.

6. Have diabetes

Diabetes can increase the risk of coronary artery disease. As mentioned earlier, coronary artery disease can cause winds to sit and heart attacks. This occurs due to atherosclerosis and an increase in cholesterol levels in the body.

7. High blood pressure

High or low blood pressure in the body is determined by several things. Based on how much blood is pumped by the heart, as well as the amount of blood flow to the blood vessels.

Over time, high blood pressure can damage the arteries by accelerating the hardening of the arteries.

8. Obesity

Obesity can increase your risk of developing angina and heart disease. This is because cholesterol and blood pressure levels in the body tend to increase if you are obese. Not only that, the heart also has to work harder to supply blood throughout the body.

Drugs & Medicines

The information provided is not a substitute for medical advice. ALWAYS consult your doctor.

What are my treatment options for wind sitting (angina)?

The first choice of angina treatment, the doctor will stabilize the patient's condition first by giving painkillers, aspirin, and oxygen. Other drugs can also be given to control blood pressure and help open blood vessels. For example by using nitroglycerin capsules.

The nitrate content in nitroglycerin drugs can help prevent and reduce the intensity of angina attacks. You do this by relaxing and dilating blood vessels in the body.

Further treatment can be given a variety of drugs. Take, for example, the drugs aspirin, clopidogrel, and heparin, to stop blockages. There are also drugs to lower blood pressure, as well as drugs to lower cholesterol and blood fat levels (statins).

If the treatment methods are unsuccessful, the patient may need surgery to open the blood vessels (angioplasty). A small tube of several interlocked wires (stent), is inserted into the blocked artery. After that, the arteries can get wider which will prevent them from narrowing.

However, in very severe cases of artery blockage, the doctor may recommend open heart surgery (coronary artery bypass graft / CABG). In this CABG method, a vein or artery is removed and sutured with the blocked artery so that blood flow can pass through the blockage.

What are the usual tests for this condition?

Quoted from Healthline, making the right diagnosis is important because it will detect winds and heart disease. The doctor will usually take a medical history, perform a series of examinations, and blood tests.

Electrocardiography (EKG) and X-rays can be used to evaluate the condition of all the cells in the heart and the structures in them. In addition, the respiratory system, blood pressure, and oxygen levels in the blood will also be measured.

Your doctor may also do an EKG stress test, to read your blood pressure during physical activity. Meanwhile, blood tests usually aim to check levels of fat, cholesterol, sugar, and protein in the body.

Home remedies

What are some lifestyle changes or home remedies that can be used to treat wind sits (angina)?

The following lifestyle and home remedies can help you deal with wind sitting down.

• Visit your doctor regularly and take medication as prescribed.
• Lose weight and eat a healthy diet.
• Tell your family and friends how to provide media assistance if angina symptoms occur at any time.
• Exercise regularly, but still with the approval and recommendation of your doctor.
• Quit smoking.
• Manage stress well.

If you have any questions, consult your doctor for the best solution to your problem.

Hello Health Group does not provide medical advice, diagnosis or treatment.