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These should be used only when the tightness is present and not when you feel giddy or weak as they will reduce blood pressure and may cause you to faint. Whilst typically angina pectoris occurs as tightness in the chest it may move up into the throat or down one or both arms. When the heart muscle receives insufficient oxygen it produces lactic and pyruvic acids and these produces the tightness in the chest known as angina the type of angina which occurs during exercise is termed Angina Pectoris. Most patients have symptoms prior to an actual heart attack � generally a �tightness� behind the breastbone, which generally is caused by an increase in heart rate. Publisher: Sue Barrett If you want to make money selling on eBay, you can help increase your profits by setting up an eBay store. In this case the pain is more severe and often associated with an increase in sympathetic overactivity. This condition is generally associated with a clot being formed within one of the main coronary arteries and hospitalisation is necessary so that a definitive diagnosis may be made and urgent treatment to protect the heart from damage instituted. This terminal condition (ventricular fibrillation) is very easily treated by first aid measures and cardiac shock- termed defibrillation. Surrounding the dead muscle is a variable sized area of heart muscle at risk of dying because of inadequate oxygen supply � this condition is known as myocardial ischaemia. This is the first symptom of a heart attack in about 20% of people � sudden death � the victim just collapses to the ground. Rarely patients may be found with classical electrocardiographic changes of a heart attack without remembering anything remotely like the symptoms, which are noted above. What's better is they can easily be found online. 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