Angina pectoris with documented spasm

The muscular wall of a coronary artery can constrict for a period and then relax. During constriction, the heart receives less oxygen-rich blood. Episodes may arise at rest, during the night or in the early morning rather than only with exertion.

Documentation may come from characteristic changes recorded during symptoms or from specialist testing. Spasm can occur whether or not fixed narrowing is also present, so the treatment plan is tailored to the individual findings.

Take preventive and rapid-relief medicines exactly as prescribed. Keep rescue medicine accessible and check that you understand when and how to use it. Smoking and stimulant drugs can provoke coronary constriction; tell your clinician about tobacco, vaping, recreational substances, decongestants, migraine treatments and supplements.

Write down the timing of episodes, possible triggers, accompanying symptoms and response to medication. This pattern can help the cardiology team adjust therapy. Never stop a heart medicine abruptly unless the prescriber directs you to do so.

Contact UAE emergency services for severe, new or ongoing chest pressure; an episode that differs from your established pattern; fainting; marked breathlessness; sweating; nausea; or discomfort spreading to the arm, jaw, shoulder or back. Use prescribed rescue treatment as directed while help is arranged, but do not postpone the emergency call to see whether symptoms settle.

Discuss how the spasm was documented, whether fixed coronary narrowing was also found, which triggers matter for you, what to do during an episode, and how prescribed medicines should be taken on days when you feel well.