ways to beat... ANGINA

PREVENT:

Angina occurs when the arteries supplying blood to the heart are narrowed or hardened, causing a tight chest pain which spreads to the arm and neck. Last week, the efficiency of one of the most common treatments for angina was thrown into question by a major study. Coronary angioplasty – in which a metal rod, or stent, is used to widen the artery – was found to be no better than a dummy procedure at improving symptoms in 200 stable angina patients. Those whose condition is stable are often advised to opt for non-surgical treatments instead. Coronary angioplasty is more likely to be effective at preventing heart attacks or strokes in those with unstable, unpredictable angina.

TREAT:

Several lifestyle and drug-based treatments are recommended for treating stable angina which usually flares up during periods of physical exertion or stress. Drug treatments that increase the blood supply to the heart include glyceryl trinitrate, beta-blockers and calcium blockers. Statins, which reduce blood cholesterol, and blood-thinning aspirin are also recommended for reducing symptoms. Adopting a healthy diet, low in saturated fat and salt, regular exercise and cutting out smoking and alcohol have been proven to prevent symptoms.

DON’T BOTHER:

Invasive surgeries using coronary stents are not always effective at treating stable angina. Dr Mike Knapton, associate medical director at the British Heart Foundation, says: ‘It’s most useful in emergency situations involving patients with inflamed arteries, and can prevent heart failure.’