Angina Pectoris – Management

Taking care of risk factors

By taking care of risk factors one can reduce the chances of development and progression of coronary heart disease.

  • Smoking – It accelerates the process of atherosclerosis and cessation of smoking leads to significant  reduction in heart attack and death in persons having coronary heart disease.  The risk of coronary disease decreases substantially within one year of stopping smoking.
  • Obesity – Obesity not only increases the risk of adverse events alone but is also associated with other risk factors like hypertension and abnormal lipid profile (hyperlipidemia). So appropriate body weight needs to be  maintained.
  • Hyperlipidemia – Maintaining safe level of lipids especially LDL (low density lipoproteins) and HDL (high density lipoproteins) cholesterol is very important in patients with coronary artery disease. Drugs known as statins (lovastatin, simvastatin, atorvastatin) are particularly effective in lowering LDL cholesterol level when combined with saturated fat restricted diet.
  • Hypertension – Uncontrolled hypertension not only increases the risk of adverse incidents but also  increases the oxygen demand of heart muscles by increasing the thickness of heart muscle wall. So, it should  be treated effectively by salt restriction, avoiding high alcohol intake, regular physical exercise, obesity control and suitable antihypertensive drugs.
  • Diabetes – Strict control of diabetes not only decrease the risk of angina and heart attack but also helps in lowering LDL cholesterol and triglyceride level associated with diabetes.
  • Sedentary life style – Individualized physical exercise program not only reduces the body weight and blood pressure but also improves the exercise tolerance to angina. It also increases the HDL cholesterol level.