Treatments for angina incorporate several different aspects. They include lifestyle changes, medications, and surgical procedures when necessary. Lifestyle changes are recommended to help reduce risk factors, to help slow the progression of underlying coronary artery disease (when present), and to help anticipate, control, and sometimes prevent angina episodes. These changes include controlling high blood pressure, reducing high cholesterol levels, exercising (under a healthcare provider's supervision), losing excess weight, and quitting smoking.
In people with stable angina, monitoring the pattern over time and becoming aware of what activities tend to trigger an angina episode can be helpful. For example, taking steps to manage stress, avoiding sudden changes in activity and temperature, and avoiding large meals can reduce the number of episodes in some people. For unstable angina, a baby aspirin is considered a first-line treatment. Sometimes medical procedures are needed, such as angioplasty or coronary artery bypass grafting.
New medications, procedures, and guidelines for addressing angina are constantly being evaluated. Those who have been diagnosed with angina should talk to their healthcare practitioner about the best treatment options for their current condition.