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Related Concept Videos

Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Angina I: Introduction01:30

Angina I: Introduction

Definition and Symptoms: Angina (angina pectoris) is chest pain or discomfort caused by myocardial ischemia, which occurs when the heart muscle receives insufficient oxygen-rich blood. It typically manifests as pressing, squeezing, or crushing sensations in the chest and may radiate to the shoulders, arms, neck, jaw, or back.Primary Cause: In a healthy state, the coronary arteries can dilate (widen) to increase blood flow and meet the increased oxygen demand during physical activity or...
Angina II: Classification01:27

Angina II: Classification

Angina, also known as angina pectoris, is a chest pain resulting from diminished blood flow to the heart muscle and is often a symptom of coronary artery disease. Angina presents several variants with distinctive attributes, etiologies, and therapeutic approaches. The main types of angina include stable, unstable, variant (Prinzmetal's), microvascular, intractable, and silent ischemia.Stable angina is caused by atherosclerosis, which leads to the formation of plaques that narrow the coronary...
Angina III: Clinical Manifestations and Assessment01:29

Angina III: Clinical Manifestations and Assessment

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...
Angina V: Nursing Management01:20

Angina V: Nursing Management

Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...

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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Severe angina pectoris in asthma attack: a case report.

Seyed Hesamedin Nabavizadeh1, Nazanin Farahbakhsh2, Ali Fazel3

  • 1M.D., Professor, Department of Immunology and Allergy, Faculty of Medicine, Allergy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Electronic Physician
|August 10, 2016
PubMed
Summary

A rare case of a 12-year-old boy experiencing both asthma exacerbation and angina pectoris is detailed. Prompt treatment resolved both conditions, highlighting the importance of careful medication management in pediatric patients with comorbid respiratory and cardiac issues.

Keywords:
angina pectorispediatricssevere asthma

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Area of Science:

  • Pediatric Cardiology
  • Pulmonology
  • Critical Care Medicine

Background:

  • Asthma is a chronic airway inflammatory disease causing reversible airflow obstruction and recurrent symptoms.
  • Angina pectoris is characterized by chest discomfort due to myocardial ischemia.
  • Co-occurrence of asthma and angina is infrequently reported in medical literature.

Observation:

  • A 12-year-old boy presented with severe asthma exacerbation and subsequently developed angina pectoris during hospitalization.
  • The patient experienced labored breathing, diffuse wheezing, and severe chest pain.
  • Chest pain was attributed to shunt formation and coronary hypoxia secondary to Ventolin administration without supplemental oxygen.

Findings:

  • The patient's asthma and angina symptoms resolved with appropriate medical intervention.
  • No recurrence of angina pectoris has been observed since the initial event.
  • This case underscores a potential complication of asthma treatment in patients with underlying cardiac risk factors.

Implications:

  • Highlights the critical need for vigilant monitoring of cardiac status in pediatric asthma patients, especially during exacerbations.
  • Emphasizes the importance of careful medication administration and oxygenation management during asthma treatment to prevent iatrogenic complications like coronary hypoxia.
  • Suggests that underlying cardiac conditions or predispositions may be unmasked by severe respiratory distress or its treatment.