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Heart & Cardiovascular Disease • ICD-10-CM I20.9

Angina

Also known as: Angina Pectoris

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM I20.9 • 6 Linked .gov / PubMed Citations • Governance: Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Angina Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Angina?

Angina is chest pain or discomfort you feel when there is not enough blood flow to your heart muscle. Your heart muscle needs the oxygen that the blood carries. Angina may feel like pressure or a squeezing pain in your chest. It may feel like indigestion. You may also feel pain in your shoulders, arms, neck, jaw, or back. Angina is a symptom of coronary artery disease (CAD), the most common heart disease . CAD happens when a sticky substance called plaque builds up in the arteries that supply blood to the heart, reducing blood flow. There are three types of angina: Stable angina is the most common type. It happens when the heart is working harder than usual.

Pathophysiology, Underlying Causes & Clinical Presentation

Pathophysiologically, Angina (ICD-10 I20.9) is driven by structural ventricular wall in Angina (I20.9: stress); Cross-referenced with NIH MeSH (Angina Pectoris), specialists in Heart & Cardiovascular Disease monitor Apolipoprotein B (ApoB) [Angina I20.9] to gauge tissue recovery.

Common Symptoms & Clinical Signs

  • • Variant angina is rare. It happens when you are resting. Medicines can help
  • • Presentation of Angina (I20.9): shortness of breath in Angina (I20.9: when climbing stairs)
  • • Secondary Angina clinical sign: palpitations, skipped beats, in Angina (I20.9: or irregular resting)
  • • Symptom flares in Angina correlating with High-Sensitivity Troponin I [Angina I20.9] deviation outside < 14 ng/L (I20.9)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Angina Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code I20.9 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Heart & Cardiovascular Disease NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: High-Sensitivity Troponin I [Angina I20.9] < 14 ng/L (I20.9) Clinical Reference Target Range
Diagnostic / Lab Marker: Apolipoprotein B (ApoB) [Angina I20.9] < 70 mg/dL (I20.9) Clinical Reference Target Range
Diagnostic / Lab Marker: Left Ventricular Ejection in Angina (I20.9: Fraction (LVEF)) 55% – 70% (I20.9) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Angina

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Medication Pharmacologic Class Patient Worth-It CMS NADAC / Unit Typical Lowest Cash
Isosorbide Dinitrate Isordil Titradose • RxCUI 381056 Nitrate Vasodilator 80% $0.1852 $ 6.72 /mo
Isosorbide Mononitrate Monoket • RxCUI 311196 Nitrate Vasodilator 92% $0.1631 $ 83.85 /mo
Nifedipine Procardia • RxCUI 198032 Dihydropyridine Calcium Channel Blocker 74% $0.1179 $ 11.87 /mo
Aspruzyo Sprinkle (Ranolazine) Aspruzyo Sprinkle • RxCUI 616749-B47335625 Anti-anginal 79% $0.2954 $ 29.77 /mo
Ranolazine Aspruzyo Sprinkle, Ranexa • RxCUI 616749 Anti-anginal 84% $0.2725 $ 8.40 /mo
Nitroglycerin Rectiv, Nitrostat • RxCUI 198040 Nitrate Vasodilator 94% $0.0619 $ 19.89 /mo
Nicardipine Hydrochloride Cardene IV, Cardene • RxCUI 858613 Dihydropyridine Calcium Channel Blocker 75% $1.1201 $ 30.81 /mo
Nitroglycerin Lingual Nitroglycerin Lingual Generic • RxCUI 705129 Nitrate Vasodilator 83% $0.4761 $ 27.78 /mo
Nadolol Corgard • RxCUI 198006 beta-Adrenergic Blocker 74% $0.1274 $ 8.83 /mo
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Angina)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Sertraline treatment of major depression in patients with acute MI or unstable: What a 369-Participant Study Found

Our results suggest that sertraline is a safe and effective treatment for recurrent depression in patients with recent MI or unstable angina and without other life-threatening medical conditions.

JAMA • 2002-08-14 • Randomized Controlled Trial
N = 369 93/100 PMID 12169073 ↗
New Insights on Association between trajectory of systolic blood pressure and outcomes in heart: What a 3,388-Participant Study Found

The decreasing or increasing SBP trajectory is associated with a high risk of heart and blood vessel events in HFpEF, suggesting a stable SBP trajectory group (≈130 mmHg) have lower incidence of heart and blood vessel events...

European journal of internal medicine • 2025-01-15 • Phase III Randomized Trial
N = 3,388 90/100 PMID 39419733 ↗
Can This Approach Help? Inside the Latest Research on Testosterone replacement in hypogonadal men with angina improves ischaemic

Testosterone replacement therapy in hypogonadal men delays time to ischaemia, improves mood, and is associated with potentially beneficial reductions of total cholesterol and serum tumour necrosis factor alpha.

Heart (British Cardiac Society) • 2004-08-15 • Randomized Controlled Trial
Multi-cohort 88/100 PMID 15253956 ↗
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