- Title
- Angina: contemporary diagnosis and management
- Creator
- Ford, Thomas Joseph; Berry, Colin
- Relation
- Heart Vol. 106, Issue 5, p. 387-398
- Publisher Link
- http://dx.doi.org/10.1136/heartjnl-2018-314661
- Publisher
- BMJ
- Resource Type
- journal article
- Date
- 2020
- Description
- Ischaemic heart disease (IHD) remains the leading global cause of death and lost life years in adults, notably in younger (<55 years) women. Angina pectoris (derived from the Latin verb ‘angere’ to strangle) is chest discomfort of cardiac origin. It is a common clinical manifestation of IHD with an estimated prevalence of 3%–4% in UK adults. There are over 250 000 invasive coronary angiograms performed each year with over 20 000 new cases of angina. The healthcare resource utilisation is appreciable with over 110 000 inpatient episodes each year leading to substantial associated morbidity. In 1809, Allen Burns (Lecturer in Anatomy, University of Glasgow) developed the thesis that myocardial ischaemia (supply:demand mismatch) could explain angina, this being first identified by William Heberden in 1768. Subsequent to Heberden’s report, coronary artery disease (CAD) was implicated in pathology and clinical case studies undertaken by John Hunter, John Fothergill, Edward Jenner and Caleb Hiller Parry. Typically, angina involves a relative deficiency of myocardial oxygen supply (ie, ischaemia) and typically occurs after activity or physiological stress (box 1).
- Subject
- angina; death; cardia; coronary angiogram; Sustainable Development Goals; SDG 3; SDG 7
- Identifier
- http://hdl.handle.net/1959.13/1426731
- Identifier
- uon:38463
- Identifier
- ISSN:1468-201X
- Rights
- This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
- Language
- eng
- Full Text
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Goal 3: Good Health and Well-Being
Goal 7: Ensure access to affordable, reliable, sustainable and modern energy
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