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Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
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Porcine Model of Infrarenal Abdominal Aortic Aneurysm
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Abdominal angina.

Marco Biolato1, Luca Miele, Giovanni Gasbarrini

  • 1Department of Internal Medicine, Catholic University of Rome, Rome, Italy.

The American Journal of the Medical Sciences
|October 2, 2009
PubMed
Summary
This summary is machine-generated.

Abdominal angina, or chronic mesenteric ischemia, causes post-meal pain and weight loss. Early diagnosis requires high suspicion and excluding other conditions, aided by imaging like angiography.

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Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Diagnostic Imaging

Background:

  • Abdominal angina, characterized by postprandial abdominal pain and weight loss, is frequently underdiagnosed.
  • Diagnosis is challenging due to the need to exclude common causes and requires a high index of clinical suspicion.
  • Risk factors include patient age, atherosclerosis, and evidence of vasculopathy in other body areas.

Purpose of the Study:

  • To review the pathophysiology and clinical presentation of chronic mesenteric ischemia (CMI).
  • To propose a diagnostic flowchart for CMI.
  • To enhance the recognition and timely diagnosis of abdominal angina.

Main Methods:

  • Literature review focusing on pathophysiology, clinical presentation, and diagnostic modalities for CMI.
  • Analysis of diagnostic tools including duplex ultrasound, traditional angiography, MR angiography, CT angiography, and tonometry.
  • Development of a structured diagnostic approach.

Main Results:

  • CMI presents with specific symptoms and risk factor profiles, often mimicking other gastrointestinal disorders.
  • A combination of clinical suspicion and advanced imaging is crucial for accurate diagnosis.
  • Established diagnostic pathways can improve the identification of this condition.

Conclusions:

  • Abdominal angina is a significant clinical entity often diagnosed late.
  • A systematic diagnostic approach incorporating clinical evaluation and appropriate investigations is essential.
  • Improved awareness and diagnostic strategies can lead to earlier CMI detection and management.