The common name for the scapula.
Pain in the chest due to insufficient oxygen being carried to the heart muscle in the blood.
Inadequate blood supply to the heart is usually due to coronary artery disease. Other causes include coronary artery spasm, in which the blood vessels narrow suddenly for a short time, aortic stenosis, in which the aortic valve in the heart is narrowed, and arrhythmias. If the pain of angina pectoris continues, it may be due to myocardial infarction. Rare causes include severe anaemia and polycythaemia, which thickens the blood, causing its flow through the heart muscle to slow.
The pain usually starts in the centre of the chest but can spread to the throat, upper jaw, back, and arms (usually the left one) or between the shoulderblades. The pain usually comes on when the heart is working harder and requires more oxygen, for example during exercise. Angina developing during sleep or without provocation is known as unstable angina. Other symptoms may include nausea, sweating, dizziness, and breathing difficulty.
Diagnostic tests usually include an ECG, which may register normal between attacks, and a cardiac stress test. Blood tests and coronary angiography may also be performed.
To help control the symptoms, it is important to stop smoking and to lose weight if necessary. Attacks of angina pectoris may be prevented and treated by nitrate drugs. However, if nitrates are not effective or are causing side effects, beta-blocker drugs or calcium channel blockers may be used.
Drug treatment can control the symptoms for many years.
If attacks become more severe or more frequent, despite treatment, coronary artery bypass surgery or angioplasty may be necessary.... angina pectoris
The collarbone. The 2 clavicles, 1 on each side, form joints with the top of the sternum (breastbone) and the scapula (shoulderblade). The clavicles support the arms and transmit forces from the arms to the central skeleton.... clavicle
The triangular muscle of the shoulder region that forms the rounded flesh of the outer part of the upper arm, and passes up and over the shoulder joint. The wide end of the muscle is attached to the shoulderblade and the collarbone. The muscle fibres meet to form the apex of the triangle, which is attached to the humerus (upper-arm bone) halfway down its length. The central, strongest part of the muscle raises the arm sideways. The front and back parts of the muscle twist the arm.... deltoid
A poorly understood disorder causing generalized aching and stiffness of the muscles of the trunk, hips, and shoulders. Parts of the affected muscles (known as trigger points) are tender to the touch; common tender sites are the base of the skull and the muscles near the shoulderblades. Fibromyalgia commonly develops during periods of stress and may follow a chronic course. Treatment may consist of heat, massage, and drugs such as nonsteroidal anti-inflammatory drugs and, sometimes, antidepressant drugs, which may relieve the symptoms.... fibromyalgia
The muscle at the back of the upper arm. At the upper end of the triceps are 3 “heads”; 1 is attached to the outer edge of the scapula (shoulderblade), and the other 2 to either side of the humerus (upper-arm bone). The lower part of the triceps is attached to the olecranon process of the ulna (the bony prominence on the elbow). Contraction of the muscle straightens the arm. (See also biceps muscle.)... triceps muscle