Patients with acute mesenteric angina often present with abdominal pain out of proportion to physical findings associated with leukocytosis and lactic acidosis. These patients also frequently report a history of cardiovascular disease or a recent history of cardiovascular intervention.
Patients with acute mesenteric ischemia may present with renal insufficiency with resistant arterial hypertension, renal function deterioration, flash pulmonary edema, and unstable angina. Chronic intestinal ischemia affects more women than men. Although the prevalence of acute and chronic mesenteric ischemia is low, its clinical importance is high; ischemia may be often fatal, especially when acute. Diagnosis can be challenging as patients may present with postprandial abdominal pain associated with weight loss.
Although the prevalence of mesenteric angina, both chronic and acute, is low, clinicians should have a high degree of suspicion for ischemia because it may be fatal.
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Cite this: Yasmine S. Ali. Fast Five Quiz: Noncoronary Atherosclerosis Signs and Symptoms - Medscape - Mar 01, 2021.