Angina

Angina is a heart condition that occurs when the coronary arteries that bring oxygen-rich blood to the heart muscle are clogged with a fatty substance called plaque. A person with angina often experiences pressure or pain that comes and goes in the chest. Angina is a warning sign that the heart isn't getting the oxygen it needs.

Angina can feel similar toa heart attack. However, unlike a heart attack, the pain from usually goes away in 15 minutesor less with rest or with the use of nitroglycerin prescription medication that comes tablets, or as a spray. Angina may be brought on by exertion, a large meal, emotional upsets, smoking or other triggers. It can also strike when you are resting.

Know the Signs of Angina

Angina can cause any of the following symptoms:

• a crushing, squeezing, burning pain in the chest

• a feeling of pressure or heaviness in the chest

• pain radiating to jaw, arms, neck, and/or back

If you feel any of these symptoms and the pain goes away within 15 minutes of rest, you may have angina. If you've never had this type of pain before, don't try to diagnose yourself. Call your health care provider right away for advice. If your provider wants to see you right away, ask a friend or relative to drive you there.

Call your provider's office immediately if your attacks become more frequent, last longer, or feel different or more painful than normal, or if chest pain wakes you from sleep. Talk with your provider if you find you're having angina after expending less effort than usual.

Use Medicine Effectively

If you take medicine for angina, take it as directed and be sure you understand the possible side effects and what to do about them. Don't allow yourself to run out of medicine. Keep nitroglycerin tablets in their original container. Check the expiration date. If you have questions about medication, talk with your provider or pharmacist.

Self-Care Steps for Angina

The following steps are usually recommended for angina. Keep in mind that your doctor knows you and understands your medical needs. Therefore, it is more important to follow your doctor's advice than these guidelines.

• Sit down before taking medicine - nitroglycerin can occasionally cause light-headedness. You must let nitroglycerin tablets dissolve completely under your tongue; do not swallow tablets. If you use nitroglycerine spray, take one spray on or under your tongue.

• If you still have chest pain after 5 minutes, take another tablet, or spray inside your cheek again.

• If after another 5 minutes you are still having chest pain, take a third dose of nitroglycerin. Remember to let the tablets dissolve completely.

• After 3 doses of nitroglycerin over a 15-minute period, your chest pain should be relieved. If chest pain continues, you could be having a heart attack and should call 911.