John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
Dr. Kulick received his undergraduate and medical degrees from the University of Southern California, School of Medicine. He performed his residency in internal medicine at the Harbor-University of California Los Angeles Medical Center and a fellowship in the section of cardiology at the Los Angeles County-University of Southern California Medical Center. He is board certified in Internal Medicine and Cardiology.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Angina is classified as one of the following two types:
Stable angina is the most common angina, and the type most people mean when they
refer to angina.
People with stable angina usually have angina symptoms on a regular basis. The episodes occur in a pattern and are predictable.
For most people, angina symptoms occur after short bursts of exertion.
Stable angina symptoms usually last less than five minutes.
They are usually relieved by rest or medication, such as nitroglycerin under the tongue.
Unstable angina is less common. Angina symptoms are unpredictable and often occur at rest.
This may indicate a worsening of stable angina, but sometimes the first time a person has angina it is already unstable.
The symptoms are worse in unstable angina - the pains
are more frequent, more severe, last longer, occur at rest, and are not
relieved by nitroglycerin under the tongue.
Unstable angina is not the same as a heart attack, but it warrants an immediate visit to
the healthcare provider or a hospital emergency department. The patient may need to be hospitalized to prevent a heart attack.
If the patient has stable angina, any of the following may indicate worsening of
An angina episode that is different from the regular pattern