You can usually predict when the pain will occur, so reducing physical exertion can help manage your chest pain. Discuss your exercise routine and diet with your doctor to determine how you can adjust your lifestyle safely.
Certain lifestyle adjustments can help prevent future episodes of stable angina. These changes may include exercising regularly and eating a healthy diet of whole grains, fruits, and vegetables. These habits can also reduce your risk of developing chronic long-term diseases, such as diabetes , high cholesterol , and high blood pressure. These conditions can affect stable angina and may eventually lead to heart disease.
A medication called nitroglycerin effectively relieves pain associated with stable angina. Your doctor will tell you how much nitroglycerin to take when you have an episode of angina. You might need to take other medications to manage underlying conditions that contribute to stable angina, such as high blood pressure, high cholesterol, or diabetes.
Tell your doctor if you have any of these conditions. Your doctor may prescribe certain medications that can help stabilize your blood pressure, cholesterol, and glucose levels. This will lower your risk of experiencing more episodes of angina.
Your doctor may also prescribe you blood-thinning medication to prevent blood clots, a contributing factor in stable angina. A minimally invasive procedure called angioplasty is often used to treat stable angina. During this procedure, a surgeon places a small balloon inside your artery. The balloon is inflated to widen the artery, and then a stent tiny wire mesh coil is inserted.
The stent is permanently placed in your artery to keep the passageway open. Blocked arteries may need to be surgically repaired to prevent chest pain. Open-heart surgery may be done to perform a coronary artery bypass graft. This may be necessary for people with coronary heart disease.
The outlook for people with stable angina is generally good. The condition often improves with medication. Recording and tracking your symptoms on the SecondsCount Tracking You r Angina Worksheet is one key piece, but angina affects you in many ways beyond the immediate experience of your symptoms. Think about how angina affects you emotionally and physically each day, and tell your doctor.
Sharing your answers to these questions is another great way to start the conversation. With the help of your doctor you can do a lot to treat your angina and feel better. Choices you make each day can slow the build up of plaque in your arteries and reduce your risk of heart attack.
In addition to nitroglycerin for immediate symptom relief, your doctor may prescribe one or more of the medications listed below to reduce your symptoms and risk of heart attack and cardiovascular problems. To learn more about Medications for Angina, click here. It may seem obvious, but for medication to be effective it has to be taken as prescribed. Angioplasty is a minimally invasive procedure to open arteries that are blocked or narrowed by plaque to increase the flow of oxygen-rich blood to the heart.
Angioplasty is performed by inserting a small tube called a sheath into an artery and then maneuvering long plastic tubes called catheters up to the arteries of the heart to take pictures that are used in identifying blockages that may be interfering with blood flow to the heart.
Once the blockages are identified the catheter can also be used to insert a stent , which is a mesh tube that is permanently inserted into the artery to keep it open. Your doctor may recommend coronary bypass surgery if a lengthy portion of an artery becomes narrowed, if an artery is severely blocked, or if the blockage is in a critical location.
A surgeon makes a cut near the blocked artery, and then attaches a new blood vessel from another part of the body above and below the blockage. By providing a channel for the blood to bypass the blockage, the new vessel, called a graft, allows blood to continue to flow to the leg and foot. Once the vessel is attached, the surgeon closes the cut with sutures or staples. Click here to learn more about coronary bypass surgery, which is also known as coronary artery bypass graft surgery CABG.
Generally, EECP is used to treat angina in patients who continue to have chest pain or discomfort even after treatment with medication and angioplasty and stenting. It is also used to treat patients with blood flow problems in blood vessels too small to treat with other procedures. EECP is a non-invasive procedure that increases blood flow to the heart by using inflatable cuffs on the legs to push blood back to the heart in between beats.
Treatment takes one or two hours per daily session for about 7 weeks. Learn more about EECP here. This is called unstable angina. The pain of angina usually isn't sharp. Instead, it is more a sense of pressure or squeezing. Sometimes it is just an uncomfortable sensation, not really a pain. Angina is not affected by the position of your body or by taking a deep breath, while other causes of chest pain, such as pleurisy or pericarditis, often are.
Angina attacks usually last a few minutes. If it has been triggered by exertion, it usually subsides within a few minutes as you rest. When such pain lasts more than 10 minutes, it could indicate a heart attack. If you have this type of pain and it lasts more than 10 minutes, call Your doctor can suspect a diagnosis of angina based on your description of your symptoms, when they appear and your risk factors for coronary artery disease.
Your doctor will likely first do an electrocardiogram ECG to help determine what additional testing is needed to confirm the diagnosis. Standard exercise stress test. If your ECG is normal and you are able to exercise, this test is often done first. It can be done with a treadmill, stationary bicycle, or other exercise machine to get you moving while hooked up to heart-monitoring equipment. It can determine how well the coronary arteries supply blood to the heart when it must work harder, and if the rhythm remains normal.
The exercise stress test is generally safe. Heart imaging. There are a variety of tests that can provide images of the heart to help diagnose angina and also provide information about the amount of coronary artery blockage. This content does not have an Arabic version. See more conditions.
Angina treatment: Stents, drugs, lifestyle changes — What's best? Products and services. By Mayo Clinic Staff. Open pop-up dialog box Coronary artery stent Close. Coronary artery stent When placing a coronary artery stent, your doctor will find a blockage in your heart's arteries A using cardiac catheterization techniques.
Thank you for Subscribing Our Housecall e-newsletter will keep you up-to-date on the latest health information. Please try again. Something went wrong on our side, please try again. Show references What is angina? National Heart, Lung, and Blood Institute. Accessed May 4, Simons M, et al. New therapies for angina pectoris. Angina chest pain. American Heart Association. Lab Tests Online. Cardiac procedures and surgeries. Accessed May 6,
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