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Related Experiment Videos

Cervical angina

P Wells1

  • 1Scottsdale Memorial Hospital, Arizona, USA.

American Family Physician
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

Cervical angina, or pseudoangina, mimics cardiac chest pain due to cervical disc issues compressing nerves. Diagnosis involves history, exam, and imaging, ruling out heart disease, with treatment including traction and physical therapy.

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Area of Science:

  • Neurology
  • Orthopedics
  • Cardiology

Background:

  • Cervical angina is chest pain mimicking cardiac angina.
  • It originates from cervical discopathy causing nerve root compression, often C7.
  • This condition is also known as pseudoangina.

Observation:

  • Diagnosis relies on patient history and physical examination findings.
  • Symptoms can be mistaken for true angina, necessitating a thorough workup.
  • Cervical discopathy is the underlying cause of nerve root compression.

Findings:

  • Magnetic resonance imaging (MRI) and discography can confirm cervical discopathy.
  • Ruling out coexisting coronary artery disease is crucial.
  • Compression of the C7 nerve root is the most common etiology.

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Implications:

  • Early diagnosis and appropriate management can alleviate pain and improve quality of life.
  • Non-surgical treatments include cervical traction, physical therapy, NSAIDs, and muscle relaxants.
  • Referral to a spine surgeon is considered if conservative treatments fail.