What are the first signs of angina?

The first signs of angina are often chest pressure, tightness or heaviness during exertion, with possible breathlessness, sweating or discomfort elsewhere. The sensation may spread to an arm, shoulder, neck, jaw or back and may improve after resting.

Angina happens when the heart muscle temporarily receives less oxygen-rich blood than it needs. Symptoms may appear when walking uphill, exercising, feeling stressed or in cold weather. Some people describe indigestion, squeezing, burning or unusual tiredness rather than pain. Angina is not diagnosed from the feeling alone; other heart, lung, stomach and muscle problems can feel similar. Risk factors such as hypertension and high cholesterol may be relevant even when a person feels well between episodes.

Stop the activity and rest if symptoms occur with exertion. Arrange prompt medical assessment for new, repeated or changing chest symptoms. A clinician may review your history, examine you and arrange tests such as an Electrocardiogram. Take only medicines prescribed for you and follow the written plan for any known angina.

Call emergency services for chest pain or tightness that is severe, lasts longer than expected, occurs at rest, is getting worse, or comes with marked breathlessness, sweating, nausea, faintness or collapse. Do not drive yourself. Emergency assessment is also needed when symptoms feel different from your usual pattern.

Ask whether your symptoms fit angina, which tests are appropriate, and what to do if discomfort returns. Discuss blood pressure, cholesterol and medicines such as Blood Pressure Medication or Statin Therapy when relevant.