REVIEW
Introdução: A angina cervical é uma síndrome rara caracterizada por dor torácica não cardíaca, frequentemente confundida com angina pectoris. Sua origem está associada a patologias cervicais, como espondilose e radiculopatia, representando um desafio diagnóstico relevante na prática clínica. Objetivo: Analisar os aspectos clínicos, complicações e condutas terapêuticas da angina cervical por meio de uma revisão integrativa da literatura. Métodos: Foi realizada uma revisão integrativa utilizando as bases de dados PubMed e CAPES Periódicos. Foram incluídos estudos publicados nos últimos dez anos, em português ou inglês, disponíveis na íntegra. Excluíram-se revisões sistemáticas, capítulos de livros e artigos de revisão. Resultados: A angina cervical manifesta-se como dor torácica anterior, frequentemente acompanhada de sintomas autonômicos como dispneia, vertigem e cefaleia. Os níveis cervicais mais envolvidos são C5-C6 e C6-C7. O diagnóstico exige exclusão de causas cardíacas, exames de imagem e testes clínicos específicos, como a manobra de Spurling. O manejo terapêutico inclui abordagens conservadoras (medicação, fisioterapia, quiropraxia) e intervencionistas (injeções, bloqueios), além de cirurgias como discectomia cervical anterior e artroplastia, indicadas para casos refratários. Conclusão: A angina cervical é uma condição subdiagnosticada que demanda atenção multidisciplinar. O reconhecimento precoce, aliado a uma abordagem terapêutica individualizada, pode reduzir morbidades e melhorar significativamente a qualidade de vida dos pacientes.
Introduction: Cervical angina is a rare syndrome characterized by non-cardiac chest pain, often mistaken for angina pectoris. It originates from cervical spine pathologies such as spondylosis and radiculopathy, representing a significant diagnostic challenge in clinical practice. Objective: To analyze the clinical aspects, complications, and therapeutic approaches of cervical angina through an integrative literature review. Methods: An integrative review was conducted using the PubMed and CAPES Periódicos databases. Studies published within the last ten years, in Portuguese or English, and available in full text were included. Systematic reviews, book chapters, and review articles were excluded. Results: Cervical angina presents as anterior chest pain, frequently associated with autonomic symptoms such as dyspnea, vertigo, and headache. The most commonly affected cervical levels are C5-C6 and C6-C7. Diagnosis requires the exclusion of cardiac causes, imaging exams, and specific clinical tests such as Spurling’s maneuver. Therapeutic management includes conservative strategies (medication, physiotherapy, chiropractic care) and interventional procedures (injections, nerve blocks), as well as surgical interventions like anterior cervical discectomy and fusion or disc arthroplasty in refractory cases. Conclusion: Cervical angina remains an underdiagnosed condition requiring multidisciplinary awareness. Early recognition, combined with individualized therapeutic planning, can reduce patient morbidity and significantly improve quality of life.
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1Universidade Federal de Sergipe, Aracaju, SE, Brazil.
2Universidade Federal de Sergipe, Lagarto, SE, Brazil.
Received Jul 22, 2025
Accepted Aug 11, 2025
