Alternative Names Variant angina; Angina - variant; Prinzmetal's angina Symptoms Spasm may be "silent" -- without symptoms -- or it may result in chest pain or angina. If the spasm lasts long enough, it may even cause a heart attack. The main symptom is a type of chest pain called angina, which can be felt under the chest bone and is described as: Constricting Crushing Pressure Squeezing Tightness It is usually severe. The pain may spread to the neck, jaw, shoulder, or arm. The pain: Often occurs at rest May occur at the same time each day, usually between midnight and 8:00 AM Lasts from 5 to 30 minutes The person may lose consciousness. Unlike angina that is caused by hardening of the coronary arteries, chest pain and shortness of breath are often not present when you walk or exercise. Signs and tests Tests to diagnose coronary artery spasm may include: Coronary angiography ECG Echocardiography
Vascular spasms temporary limit blood flow to tissue supplied by that vessel. The most common symptom is pain. Other symptoms are caused by lack of proper circulation and will vary depending on the specific organ affected:
When the spasm affects circulation in a limb, there may be pallor and a sensation of cold in that arm or leg. Limb function and movement will be impaired.
When the spasm affects circulation in the heart, there may be symptoms similar to a heart attack and irregular heartbeats. Other names for chest pain resulting from vascular spasm are Prinzmetal's angina and variant angina.
Signs and tests
These vary depending on the affected organ.
In the time leading up to hip replacement surgery, you were looking forward to living pain free. But now months after the surgery, you are disappointed with your reality of living with ongoing pain or even worse pain than you had before. What went wrong? Why aren’t you experiencing the pain-free life that you dreamed of? A few things can be going wrong and preventing you from the best possible results after the replacement of your hip.
First and foremost, you might be caught in a painful triad of arthritis involving both the hips and the spine. Replacing one or both hips does not solve the back pain. And fusing the back does not solve the hip pain. The hip-spine connection is frequently encountered in the elderly because all of these parts have deteriorated over time. 1 Sometimes hip arthritis is misdiagnosed as low back pain. Sometimes low back pain is misdiagnosed as hip arthritis. And many times both are seen together in the same person. Even someone who has had t...
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