Q. How much time does anginal pain persist ?
A. Anginal pain usually lasts for 1-5 minutes and is relieved by taking rest or medicine.
Q. How much time does the anti-anginal medication (sublingual medications such as glyceryl trinitrate) take to relieve the symptoms?
A. The anginal symptoms usually gets relieved within 2-3 minutes of taking drug.
Q. My angina is not relieved by taking the anti-anginal medication, what do I do?
A. If angina is persisting even after 5 minutes of taking the drug, the medication may be repeated (maximum thrice).
Q. The frequency of anginal attacks are increasing and it gets precipitated on lesser exertion. What could be the significance?
A. This means your angina is getting worse and you should seek your doctors advice.
Q. Whenever I take sublingual (below the tongue) anti-anginal medication, I have some headache. How can it be avoided ?
A. Spit the undissolved part of medicine as soon as your angina gets relieved.
Q. I have been having headaches since I started taking anti-anginal medications, what do I do ?
A. Nitrates is known to cause headache. Though it may decrease with continuous use, persistent and overly distressing headaches may indicate that dose or drug modification is required. It is advisable to consult a doctor in such cases.
Q. I am suffering from angina, is it safe to continue with my normal sex life?
A. Angina is not a contraindication to sex. But if angina occurs during sex, prophylactic (for prevention) sublingual nitroglycerine (below the tongue) can be taken beforehand.
Q. I frequently have upper abdominal discomfort, is it related to use of aspirin?
A. Although aspirin may cause upper abdominal discomfort and pain, it’s better to consult your doctor for proper evaluation as it could also be anginal pain. The discomfort and pain caused by aspirin usually improves by taking enteric coated tablets, antacid and H2 receptor blocker drugs.
Q. Is this true that alcohol can protect one from heart disease?
A. There are studies that indicate that mild alcohol consumption (2-3 pegs/day) may have a protective effect by increasing the good (HDL) cholesterol level and and reducing clotting tendency of the blood. But this point should not overemphasized considering the fact that exercise, reduction of obesity and aspirin are better alternatives. Heavy drinking, on the other hand is associated with high blood pressure, high calorie intake leading to obesity and adverse cardiac events.
Q. What should be the level of bad and good cholesterol and how can it be achieved ?
A. The targeted level of bad (LDL) cholesterol is below 100 mg/dl and good (HDL) cholesterol is above 60 mg/dl respectively. This can be achieved by diet planning, regular exercise and use of lipid lowering drugs