Having examined you, I'm confident that you're suffering from angina.

The heart is a pump. The more you do physically, the harder it has to work. But as we get older, the blood vessels which supply oxygen to the heart begin to harden and get furred up, so they become narrower. They can't supply all the oxygen the heart needs. The result is the pain you feel as angina.

Because you're experiencing pain at rest as well as on exertion, I'm going to have you admitted to the coronary care unit right away so that your treatment can start at once. You'*ll be given drugs to case the pain and I expect you'll have an angiogram. They may advise surgery or angioplasty -that's a way of opening up the blood vessels to the heart so they can provide more oxygen.

You should try to give up smoking. You won't be able to smoke at all in hospital so it's a good time to stop.

I expect the treatment will improve your pain at least and may get rid of it completely. We can never be absolutely certain about the future but you should remain optimistic. Do you have any questions?

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