2. Angina – More Than Just Chest Pain
Angina, while being a symptom of CAD, warrants a separate discussion due to the variety of forms it can present and its importance as a warning sign for more severe heart problems.
Angina arises from reduced blood flow to the heart muscle, depriving it of the necessary oxygen. This chest pain, often described as pressure or a squeezing sensation, can vary greatly in terms of severity, frequency, and duration. It’s commonly mistaken for indigestion or heartburn, but it’s a signal from your heart that it’s not receiving enough oxygen.
One form of angina, called stable angina, occurs predictably. Physical exertion, emotional stress, cold temperatures, or heavy meals might bring it on. The pain usually subsides with rest, but if it doesn’t, immediate medical attention is required as it could indicate a heart attack.
The critical thing to note about angina, particularly in women, is that it may not always cause chest pain. Women are more likely than men to have pain elsewhere, such as in the arms, neck, jaw, throat, abdomen, or back. It’s this subtlety and difference in presentation that often leads to under-diagnosis in women, emphasizing the importance of recognizing and understanding this condition. (2)