Worried about your symptoms?
Start the test with our free AI Symptom Checker.
This will help us personalize your assessment.
By starting the symptom checker, you agree to the Privacy Policy and Terms of Use
Nausea
Malaise
Chest pain
Neck pain
Shortness of breath
Vomiting
Jaw pain
Left arm pain
Cold sweats
Chest tightness
Not seeing your symptoms? No worries!
These are often grouped together under the term "Acute Coronary Syndrome" (ACS) and are potentially life-threatening. This occurs when a blood vessel supplying the heart is blocked, usually by a blood clot. Risk factors include high cholesterol, high blood pressure, a sedentary lifestyle, diabetes, and a family history of cardiovascular diseases (e.g., stroke, heart disease).
Your doctor may ask these questions to check for this disease:
This is a medical emergency and requires prompt medical attention in the hospital. Treatment aims to restore blood supply to the heart with medication to reduce blood clot size, prevent clot formation, and reduce the workload of the heart. Surgery or procedures are performed to open up the blocked artery supplying the heart or reroute blood around the blocked area.
Reviewed By:
Osler Jay Justo Guzon, MD (Cardiology)
Dr. Guzon graduated from the University of Missouri-Kansas City School of Medicine with a BLA and MD. He then completed his Internal Medicine Residency at St. Louis University before a fellowship in Cardiovascular Diseases at the University of Missouri-Columbia. He has since working as an invasive cardiologist with a particular interest in preventative medicine and cardiometabolic disease. Over the past several years, Dr. Guzon has served on the speaker bureaus of AstraZeneca, Lilly, Boehringer-Ingelheim, and Aralez.
Tatsuya Shiraishi, MD (Cardiology)
Dr. Shiraishi graduated from the Kyoto University School of Medicine. He worked as a cardiologist at Edogawa Hospital, and after joining Ubie, he became the Director of East Nihonbashi Internal Medicine Clinic.
Content updated on Jul 18, 2024
Following the Medical Content Editorial Policy
Was this page helpful?
We would love to help them too.
With a free 3-min quiz, powered by Ubie's AI and doctors, find possible causes of your symptoms.
This questionnaire is customized to your situation and symptoms, including the following personal information:
Biological Sex - helps us provide relevant suggestions for male vs. female conditions.
Age - adjusts our guidance based on any age-related health factors.
History - considers past illnesses, surgeries, family history, and lifestyle choices.
Your symptoms

Our AI

Your report

Your personal report will tell you
✔ When to see a doctor
✔︎ What causes your symptoms
✔︎ Treatment information etc.
See full list
Q.
Scared of Blockage? Why Your Heart Needs Angioplasty and Medically Approved Next Steps
A.
Angioplasty is a minimally invasive way to open blocked coronary arteries, restore blood flow, ease chest pain, and during a heart attack save heart muscle and lives, with serious complications uncommon in experienced hands; it treats the narrowed artery but not the underlying coronary disease. The medically approved next steps include urgent care for warning symptoms, prompt doctor evaluation and testing, an individualized decision between angioplasty and medications, and strict adherence to antiplatelet therapy plus lifestyle risk reduction; there are several factors to consider, so see the complete details below to understand timing, safety, and alternatives that could change your plan.
References:
* Lawton JS, et al. 2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2022 Jan 18;79(2):e21-e129. doi: 10.1016/j.jacc.2021.09.006. Epub 2021 Dec 6. PMID: 34895623.
* Knuuti J, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J. 2020 Jan 14;41(3):407-477. doi: 10.1093/eurheartj/ehz425. PMID: 31504439.
* Valgimigli M, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2018 Oct 7;39(42):3736-3808. doi: 10.1093/eurheartj/ehy394. PMID: 30165437.
* Collet JP, et al. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J. 2021 Apr 12;42(14):1289-1367. doi: 10.1093/eurheartj/ehaa575. PMID: 32860058.
* Grundy SM, et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019 Jun 18;139(25):e1082-e1143. doi: 10.1161/CIR.0000000000000625. Epub 2018 Nov 10. PMID: 30586774.
Q.
Nitro Not Working? Why Your Chest is Still Tight & Medical Next Steps
A.
If nitro does not ease chest tightness within minutes, it could mean the pain is not angina, a heart attack or unstable angina is developing, you have nitrate tolerance, or the dose, timing, or storage was off. Use the 5-minute rule up to 3 doses and call emergency services if pain persists or red flag symptoms appear; do not drive. There are several factors to consider, and important details about other causes, risk factors, and what doctors will do next are explained below.
References:
* Uriel, N., & Stone, G. W. (2022). Management of Refractory Angina. JACC. Cardiovascular Interventions, 15(1), 1–13.
* Knuuti, J., et al. (2020). 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. European Heart Journal, 41(3), 407–477.
* Ong, P., et al. (2020). International Classification of Coronary Artery Anomalies (ICCA) for Microvascular Angina. Journal of the American Heart Association, 9(12), e016921.
* Crea, F., et al. (2022). Ischemia with non-obstructive coronary arteries: A multidisciplinary approach to diagnosis and treatment. European Heart Journal, 43(35), 3290–3306.
* Kunadian, V., et al. (2020). Chronic Coronary Syndromes. JACC: Cardiovascular Interventions, 13(13), 1500–1512.
Our symptom checker AI is continuously refined with input from experienced physicians, empowering them to make more accurate diagnoses.

“World’s Best Digital
Health Companies”
Newsweek 2024

“Best With AI”
Google Play Best of 2023

“Best in Class”
Digital Health Awards 2023 (Quarterfinalist)

Which is the best Symptom Checker?
Ubie’s symptom checker demonstrated a Top-10 hit accuracy of 71.6%, surpassing the performance of several leading symptom checkers in the market, which averaged around 60% accuracy in similar assessments.
Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1Munger TM, Oh JK. Unstable angina. Mayo Clin Proc. 1990 Mar;65(3):384-406. doi: 10.1016/s0025-6196(12)62539-7. PMID: 2179645.
https://www.mayoclinicproceedings.org/article/S0025-6196(12)62539-7/fulltextBraunwald E, Morrow DA. Unstable angina: is it time for a requiem? Circulation. 2013 Jun 18;127(24):2452-7. doi: 10.1161/CIRCULATIONAHA.113.001258. PMID: 23775194.
https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.113.001258Wehrmacher WH, Bellows R. Unstable angina. Compr Ther. 2004 Spring;30(1):6-9. doi: 10.1007/s12019-004-0018-y. PMID: 15162586.
https://link.springer.com/article/10.1007/s12019-004-0018-yWallace WA, Richeson JF, Yu PN. Unstable angina pectoris. Clin Cardiol. 1990 Oct;13(10):679-86. doi: 10.1002/clc.4960131002. PMID: 2257708.
https://onlinelibrary.wiley.com/doi/10.1002/clc.4960131002