Ministry of health of republic of uzbekistan tashkent medical academy

Onset angina
Onset angina (VVS) is diagnosed when the angina, stress and / or rest, first time,appears in the patient not more than one month ago. At first, the attacks may resemble the pain of stable angina. Typically, the attacks of pain occur during physical or psychological and emotional stress, especially in cold and windy conditions, localized in the chest, radiating to the left arm, shoulder blade, and shoulder. Duration of pain is usually not more than 1-5 minutes. The pain is stopped by nitroglycerin and / or termination of the triggering factors.
Soon, however, some patients with the Air Force note that, bouts of angina pain is repeated more often and become more intense and prolonged. For a short time (1-4 weeks), they lead to a decrease in tolerance to physical exercise. Sometimes, the pain comes in peace and is accompanied by a feeling of shortness of breath, sudden weakness, sweating, and dizziness. It should be remembered that each such angina attack in patients with unstable flow of BBC could end with MI or sudden death.
Strictly speaking, the Air Force is not synonymous with the NS and may not always be associated with high-risk atherosclerotic plaque. In these cases, the Air Force is characterized by a more "relaxed" stable course: angina, although recur, but usually triggered by a significant physical or psycho-emotional stress, tolerance of patients is not reduced for a long time. From the very beginning, there is a slowly emerging stenosis spacecraft, which at some point becomes a hemodynamically significant and appears first mooted angina, which is at once has a stable character (PH Janashia et al.). 1-1.5 months from the beginning of the disease, coronary artery disease is regarded as stable angina.
However the nature of the further course of the Air Force (stable or unstable) in a patient with a newly emerged angina attack is very difficult to predict. Therefore, each case requires a doctor to pay close attention to the development of symptoms. There is no doubt that each patient with the Air Force should be observed in cardiac hospital, where he can receive medical care and appropriate examination.
Considering the characteristics of pain in the Air Force as a stable and unstable flow, keep in mind the relatively high incidence of these patients, especially in young patients, atypical angina-like clinic autonomic dysfunction. Pain in the heart can have a significant duration, often not localized behind the sternum, and in the apex of the heart to the left of the sternum or in the epigastrium, often provoked by not physical activity, and there are, as it were spontaneously, which underlines the importance of the dynamic occlusion of the coronary artery caused its spasm.