Natural treatment for angina pectoris: what to know

Angina is chest discomfort caused by the heart muscle not receiving enough oxygen for its needs, often during exertion or emotional stress. It may feel like pressure, tightness, heaviness or burning and can spread to an arm, jaw, back or shoulder. Hypertension and other cardiovascular risks can contribute. Chest tightness has several possible causes, so a clinician may use an examination and an electrocardiogram as part of assessment.

Follow the plan given by your clinician and do not stop heart medicines in favour of herbs or supplements. Avoid smoking, build activity gradually with medical guidance, choose regular balanced meals, and manage sleep and stress. Keep a record of what brings symptoms on, how long they last and what relieves them. Ask before using supplements, because some affect blood pressure, heart rhythm or prescribed medicines. Blood pressure medication or statin therapy may be recommended when appropriate.

Stop exertion and follow your personal angina action plan when symptoms begin. Seek emergency help for new, severe, prolonged or worsening chest discomfort, symptoms at rest, fainting, severe breathlessness, cold sweating, or discomfort spreading to the arm, jaw or back. Do not drive yourself. New chest tightness needs prompt assessment even if it settles.

How can I tell my usual angina from an emergency? Which activity level is safe? Do I need an ECG or changes to blood pressure medication, statin therapy or other treatment?