What is Angina?

Updated:Dec 8,2015

Angina is chest pain or discomfort that occurs when your heart doesn’t get as much blood and oxygen as it needs. In angina, the need for increased blood flow isn’t met for a short time. When increased demand for blood goes away, angina symptoms go away too.

Angina and heart attack have the same root cause: atherosclerosis. This is the buildup of fatty substances (plaque) in the coronary arteries. If one or more arteries are partly clogged, not enough blood can flow through, and you can feel chest pain or discomfort.

While the pain of angina may come and go, it's a sign of heart disease and can be treated. Lifestyle changes, medications, medical procedures and surgery can help reduce angina.

What does angina feel like?

Angina usually lasts for just a few minutes. Angina discomfort is usually in the center of the chest, behind the breastbone.

Here’s how people say it feels:

  • Chest feels tight or heavy.
  • Feel short of breath (or hard to breathe).
  • Pressure, squeezing or burning in chest.
  • Discomfort may spread to arm, back, neck, jaw or stomach.
  • Numbness or tingling in shoulders, arms or wrists.
  • Sick to the stomach.

When will I get angina?

You may get angina when you ...

  • Climb stairs or carry groceries
  • Feel angry or upset
  • Work in very hot or cold weather
  • Eat too much at one time
  • Have sex
  • Have emotional stress
  • Exercise

What diagnostic tests might I have?

  • Blood tests
  • Electrocardiogram (EKG or ECG)
  • Exercise stress test
  • Cardiac catheterization
  • Coronary angiogram

How is angina treated?

Your doctor may give you nitroglycerin. It is a medicine that relieves or prevents chest pain from angina.

Nitroglycerine:

  • Comes as tiny tablets you put under your tongue.
  • Is available as a spray, capsules, skin patches or ointment.
  • Is inexpensive and acts quickly.

If you are taking nitroglycerin:

  • Keep a fresh, sealed supply with you at all times.
  • Always keep your tablets in their original bottle. Exposure to heat, light and air can make them less effective.
  • Ask your doctor about refilling your prescription every six months. Old tablets can lose their strength.
Your doctor may tell you to take one just before starting an activity that’s likely to cause chest pain. Also, you should take a tablet if you have discomfort that doesn’t start to go away within a minute or two after you’ve stopped the activity, or if pain occurs when you aren’t active.

What can I do about angina?

 You can change your way of life and lower your chance of having angina attacks. A few simple steps may help you feel more comfortable every day:

  • See your doctor if you are having pain and/or think you might have angina
  • Stop smoking, and avoid second-hand smoke.
  • Eat healthy meals low in saturated fat, trans fat, and salt.
  • Control high blood pressure and blood cholesterol levels.
  • Avoid extreme temperatures.
  • Avoid strenuous activities.
  • Learn to relax and manage stress.
  • Call your doctor if your angina changes. For example, if you get angina while resting or if it ever gets worse.
How can I learn more?
  1. Call 1-800-AHA-USA1 (1-800-242-8721), or visit heart.org to learn more about heart disease and stroke.
  2. Sign up to get Heart Insight, a free magazine for heart patients and their families, at heartinsight.org.
  3. Connect with others sharing similar journeys with heart disease and stroke by joining our Support Network at heart.org/supportnetwork.
We have many other fact sheets to help you make healthier choices to reduce your risk, manage disease or care for a loved one. Visit heart.org/answersbyheart to learn more.

 

Do you have questions or comments for your doctor or nurse?

Take a few minutes to write your own questions for the next time you see your healthcare provider. For example:

Can I exercise?

When should I call my doctor?

©2015, American Heart Association
 

 


Multi-language Fact Sheet Topics

Heart-related Conditions
What is Angina?
What is an Arrhythmia?
What Is Atrial Fibrillation?
What Do My Cholesterol Levels Mean?
How Can I Improve My Cholesterol?
What Are High Blood Cholesterol and Triglycerides?
What Is High Blood Pressure?
How Can I Reduce High Blood Pressure?
High Blood Pressure and Stroke
What Is Diabetes and How Can I Manage It?
How Can I Live With Heart Failure?
What Is Heart Failure?
What Is a Heart Attack?
How Will I Recover From My Heart Attack?
What Are the Warning Signs of Heart Attack?
What Are Heart Disease and Stroke?
What is Metabolic Syndrome?
What is Peripheral Vascular Disease?

Stroke, Recovery and Caregiving
Hemorrhagic Stroke
Ischemic Stroke
Stroke, TIA and Warning Signs
What Are the Warning Signs of Stroke?
Stroke Risk Factors
Lifestyle Changes to Prevent Stroke
Stroke Diagnosis
Complications After Stroke
Changes Caused by Stroke
Emotional Changes After Stroke
Feeling Tired After a Stroke
Stroke and Aphasia
Stroke and Rehabilitation
Stroke Family Caregivers
How Should I Care for Myself as a Caregiver?

Treatment, Tests and Procedures
What is Cholesterol-Lowering Medicine?
What is High Blood Pressure Medicine?
What Are Anticoagulants and Antiplatelet Agents?
How Do I Manage My Medicines?
What Is an Implantable Cardioverter Defibrillator?
What Is a Pacemaker?
What Is Coronary Angioplasty?
What is a Stent?
What is Coronary Bypass Surgery?
What is a Coronary Angiogram?
How Can I Recover From Heart Surgery?
What is Carotid Endarterectomy?

Healthy Lifestyle and Risk Reduction
How Can I Manage My Weight?
How Can Physical Activity Become a Way of Life?
Why Should I Be Physically Active?
How Do I Follow a Healthy Diet?
How Can I Cook Healthfully?
Why Should I Limit Sodium?
How Do I Understand "Nutrition Facts" Labels?
How Can I Quit Smoking?
How Can I Manage Stress?
How Can I Make My Lifestyle Healthier?
How Can I Monitor My Cholesterol, Blood Pressure and Weight?