Angina can be caused by abnormal coronaries or normal coronaries
Angina due to abnormal coronaries
Coronary disease - Atherosclerotic and non - atherosclerotic-Vasculitis, vasospasm, embolism. Congenital anomaly
Angina with normal coronaries
Aortic regurgitation:Aortic regurgitation results in decreased coronary perfusion as a result of rim off of blood back into the leftventricle and periphery during diastole; in syphilitic AR, there is coronary ostial stenosis also.
Hypertrophic obstructive cardiomyopathy: mechanism of angina is same as in aortic stenosis.
Systemic hypertension:Systemic hypertension result in decreased diastolic coronary perfusion as a result of left ventricular hypertrophy.
Severe anaemia
Connective tissue disorders (due to arteritis)
Extreme tachyarrhythmias.
Angina due to abnormal coronaries
Coronary disease - Atherosclerotic and non - atherosclerotic-Vasculitis, vasospasm, embolism. Congenital anomaly
Angina with normal coronaries
- Aortic stenosis, HOCM, MVP
- Hyperviscosity - polycythemia
- Right ventricular angina seen in pulmonary artery hypertension PAH
- Systemic hypertension and LVH
- Severe anemia.
Aortic regurgitation:Aortic regurgitation results in decreased coronary perfusion as a result of rim off of blood back into the leftventricle and periphery during diastole; in syphilitic AR, there is coronary ostial stenosis also.
Hypertrophic obstructive cardiomyopathy: mechanism of angina is same as in aortic stenosis.
Systemic hypertension:Systemic hypertension result in decreased diastolic coronary perfusion as a result of left ventricular hypertrophy.
Severe anaemia
Connective tissue disorders (due to arteritis)
Extreme tachyarrhythmias.