Where is the location of angina?

Sep 30, 2024 Source: Cainiu Health
Disease description:

My grandfather was recently rushed to the hospital after experiencing angina while walking in the park. He couldn't clearly describe where the pain was located. I would like to ask, in general, where is the typical location for angina pain?

Doctor's answer (1)
Dr. Tian Hongbo

The location of angina pectoris typically occurs in the precordial region or behind the sternum, which represents the most typical area for anginal pain. Specifically, angina may manifest in the left precordial region, generally around the 4th intercostal space along the left midclavicular line, with an affected area approximately the size of a clenched fist or palm. Additionally, anginal pain may radiate to other areas such as the left arm, shoulder, jaw, pharynx, and even the back or abdomen. This referred pain results from visceral nerve pain being projected to the body surface, leading to imprecise localization.

When diagnosing angina pectoris, physicians make comprehensive assessments based on the patient's medical history, clinical presentation, electrocardiogram (ECG), echocardiography, coronary angiography, and other relevant tests. Treatment options for angina include pharmacological therapy, interventional procedures such as coronary stent implantation, and surgical approaches like coronary artery bypass grafting (CABG). The specific method chosen depends on the individual patient's condition.

Once symptoms of angina appear, prompt medical evaluation and treatment are essential to prevent further deterioration of the condition.