Signs and Symptoms
Symptoms of angina appear and then may or may not disappear when the person is at rest. A person may have chest pain, discomfort and/or pressure, or experience referred pain – pain that is felt in the left shoulder, arm, back, or jaw. Angina may be more difficult to identify in some elderly people when they have symptoms such as abdominal pain after eating (due to increased blood demand for digestion) or have back or shoulder pain (which may be attributed to arthritis). The amount of activity that is required to trigger an episode of angina and the symptoms involved vary from person to person and may also vary between episodes and over time. Since coronary artery disease tends to be progressive, angina may worsen over time – either with more severe symptoms, more frequent episodes, and/or less response to rest and treatment.