How to prevent angina and what to do if you experience chest pain

Written in association with: Dr Debashish Das
Published: | Updated: 09/11/2023
Edited by: Kate Forristal

Angina is chest pain which happens when the blood supply to the heart becomes restricted because the arteries supplying the heart have become hardened and narrowed. This is often a result of coronary heart disease. An angina attack normally occurs after physical activity or stress and usually subsides after a few minutes. Advanced age, smoking and obesity all increase your risk of developing angina.

 

 

What can I do to prevent angina?

Coronary heart disease, which causes angina, is irreversible but there are steps you can take which can prevent, or at least delay your arteries from narrowing:

• Stop smoking

• Be physically active

• Maintain a healthy weight

• Eat a healthy, balanced diet

• Control blood glucose if you are diabetic

• Reduce cholesterol

• Cut down on alcohol

• Control high blood pressure

 

What should I do if I get chest pain?

Call the emergency services for an ambulance if you experience chest pain and you haven’t previously been diagnosed with a heart problem.

 

If you have previously experienced an angina attack and have been diagnosed, take the medication prescribed to you by your doctor ( often glyceryl trinitrate). A second dose can be taken after five minutes if the first has no effect.

 

Call an ambulance immediately if you experience any of these symptoms, as it could be a heart attack:

 

• Your chest still hurts after two doses of medication

 

• Your chest pain is accompanied by a pain in your arm, throat, neck, jaw, back or stomach

 

• You become sweaty, feel light-headed, nauseous or feel short of breath

 

Living with angina

Many people continue to live perfectly normal lives once diagnosed with angina. Especially if they have stable angina (when attacks are brought on by an obvious trigger, such as exercise). Stable angina poses increased risks of a heart attack and a stroke but isn’t life-threatening on its own. Your doctor will advise you of any changes which you need to make. A healthy, active lifestyle is essential to stop the condition from getting any worse.

 

If you have had an angina attack you should seek medical advice from your GP who may refer you to a specialist cardiologist.

By Dr Debashish Das
Cardiology

Dr Debashish Das is a highly-skilled consultant cardiologist who treats patients in Essex and London. With over 15 years of experience, Dr Das is an expert in the prevention, diagnosis, and treatment of heart conditions. Dr Das's special interests include cardiomyopathy, palpitations, chest pain, breathlessness, atrial fibrillation, and angina

Dr Das earned his medical degree from the University of Leicester in 2006. He undertook training at esteemed London training hospitals, including London Chest and St Barts Hospitals. He also earned an MD from University College London for his research into ischaemia reperfusion injury.  

Currently, Dr Das sees patients at The Holly Private Hospital, Buckhurst Hill, and the following renowned London hospitals; Spire London East Hospital, St Barts Hospital, and Whipps Cross. He treats patients with various symptoms such as palpitations, breathlessness, and chest pains, and provides patients who are at high risk for developing heart issues with uniquely tailored management plans. Dr Das is also the team leader of The London Heart, a team of leading cardiologists based in London and Essex, who provide personalised care using the latest technology.  

Dr Das is actively involved in research and has published numerous peer-reviewed papers and lectured at national and international meetings. In addition, Dr Das has a keen interest in digital health. Presently he is chair of digital, communications, and marketing for the British Cardiovascular Society. In 2017, he founded Ortus-iHealth, a digital healthcare company providing a digital outpatient solution that facilitates the effective delivery of treatments from referral to discharge. He also works with NHSx and Digital Health London

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