The Content is not intended to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

My health partner
About taking control

Living

with Angina

How should angina be managed?1,2

The management of angina pectoris is based on 2 approaches: the treatment of the painful attack and the long-term treatment.​

The objectives are to:​

  • Restore, if possible, a good blood flow to the heart​
  • Manage the symptoms​
  • Prevent angina attacks
  • Avoid complications such as myocardial infarction or heart failure (to learn more about heart failure, click here)​

44%

of patients don’t have
an adequate treatment3

Only 25%

of patients who reported
angina in the prior month have
their treatment escalated
at the end of their visit4

Why do I need an acute treatment?1,2

Goal: To treat the angina attack and the associated pain​

When? When you may experience chest discomfort or before a potential trigger (exercise, emotional stress, heavy meal etc)​​

How? By taking specific medicines: short-acting nitrates in the form of tablets that you put under your tongue or mouth spray​

Why? It will relax and widen your blood vessels increasing your blood flow and restoring a good blow flow to your heart​

Why do I need a long-term treatment?1,2​

Goal: To treat the angina attack and the associated pain​​

When? Daily, as angina is a chronic symptom and therefore a long-term treatment is needed​​​

How? By a multifaceted approach including medicines, lifestyle changes, sometimes medical procedures and surgery if needed and by knowing your triggers​

Medicines1,5,6

To get angina under control and prevent angina attacks, your doctor might prescribe more than 1 medicine to be taken every day. ​

Lifestyle changes1

To live with angina and reduce the risk of having further problems in the future, it is not only about managing symptoms. You have an important role to play, particularly by changing your lifestyle to include doing regular exercise, quitting smoking, managing your stress, monitoring your blood pressure, improving your diet, and moderating alcohol consumption. ​

50%

reduction is the risk of having
a heart attack by staying active8

50%

reduction in the risk of having
cancer and diabetes9

Before starting any exercise, ask your doctor’s permission and make sure to talk to your doctor on a regular basis so you can exercise in a way that is right for you. It is important to start slowly and not to overexert yourself.

To find out more about regular exercise, have a look at this video:

6 extra years gained

by quitting smoking at ~50 years11

3 extra years gained

by quitting smoking at ~60 years11

39% reduction in the risk
of lung cancer13

To find out more about quitting smoking, have a look at this video:

16%

reduction in the risk of heart
problems by eating vegetables14

20%

reduction in the risk of heart
problems by reducing bad fats15

​To find out more about improving your diet, have a look at this video:

To find out more about managing your stress, have a look at this video:

Talk with your doctor about how to measure your blood pressure, how often, and your results.

Talk with your doctor about how to measure your heart rate, how often, and how to interpret your results.

Medical procedures and surgery1

Medical procedures and surgery may be considered if needed. If you would like more information on this treatment approach, don’t hesitate to talk to your doctor. ​

Know your triggers1

As most episodes of angina follow a pattern, try to know and to track your possible triggers (exercise, emotional stress etc) to manage episodes of angina.​

Let’s get angina under control!​

To get angina under control, download the AnginaControl application on App Store or get it on Google Play​!

Get it on Google Play
Download on the App Store Get it on Google Play

References

  1. NHLBI. Angina. Available at: https://www.nhlbi.nih.gov/health-topics/angina/ Accessed March 23, 2021.​
  2. NHS. Angina. Available at: https://www.nhs.uk/conditions/angina/ Accessed March 18, 2021.​
  3. Kureshi F et al. Clin Cardiol. 2017;40(1):6-10.​
  4. Qintar M et al. Eur Heart J Qual Care Clin Outcomes. 2016;2(3):208-214.​
  5. Ferrari R. Nat Rev Cardiol. 2018;15(2):120-132.​
  6. Knuuti Jet al. Eur Heart J. 2020;41(3):407-477.​
  7. NHLBI. Heart Healthy Living. Available at: https://www.nhlbi.nih.gov/health-topics/heart-healthy-living/ Accessed March 25, 2021.​
  8. Letnes JM et al. Eur Heart J. 2019;40(20):1633-1639.​
  9. Gopinath B et al. Sci Rep. 2018;8(1):10522.​
  10. Gometz ED. Virtual mentor. 2011;13(1):31-35.​
  11. WHO. 2021. Fact sheet about health benefits of smoking cessation. Available at: https://www.who.int/news-room/q-a-detail/tobacco-health-benefits-of-smoking-cessation/ Accessed March 25, 2021.​
  12. Tindle HA et al. J Natl Cancer Inst. 2018;110(11):1201-1207.​
  13. NHS. Quit Smoking. Available at: https://www.nhs.uk/live-well/quit-smoking/10-self-help-tips-to-stop-smoking/ Accessed March 25, 2021.​
  14. Pollock RL. JRSM Cardiovasc Dis. 2016;5:1-9.​
  15. Hooper L et al. Cochrane Database Syst Rev. 2015;10(6):CD011737.​
  16. Schneider RH et al. Circ Cardiovasc Qual Outcomes. 2012;5(6):750-758.​
  17. Jespersen L et al. Clin Res Cardiol. 2013;102(8):571-581.​
  18. Jespersen L et al. Eur Heart J. 2013;34(42):3294-3303.​
  19. NCI. Definition of heart rate – NCI Dictionary of Cancer Terms. Available at: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/heart-rate. Accessed March 23, 2021.​
  20. Kaski JC et al. Open Heart. 2018;5(1):e000725. ​
  21. NHS. How do I check my pulse. Available at: https://www.nhs.uk/common-health-questions/accidents-first-aid-and-treatments/how-do-i-check-my-pulse/#:~:text=press%20the%20first%20(index)%20finger,or%20move%20your%20fingers%20around/ Accessed April 1, 2021. ​