Angina Management: How Long Until Discharge and Recovery

When experiencing angina, it is typically necessary to be hospitalized for thorough evaluation and treatment. Once symptoms are well-controlled and follow-up tests show positive results, most patients can be discharged within approximately 10 to 15 days.

Criteria for Hospital Discharge

One of the key indicators of recovery is a normal electrocardiogram (ECG), particularly the absence of ST-segment depression and T-wave inversion. These ECG changes often signal myocardial ischemia and their normalization suggests improvement in heart function.

Blood Test Results

In addition to ECG findings, blood tests are crucial. Serum cardiac enzyme levels, such as troponin and creatine kinase-MB (CK-MB), should return to normal ranges. Elevated levels of these enzymes may indicate heart muscle damage, so their decline is a reassuring sign of recovery.

Imaging Assessments

Coronary computed tomography angiography (CTA) may also be used to evaluate the condition of the coronary arteries. A noticeable reduction in luminal narrowing suggests that blood flow to the heart has improved, which supports the decision for discharge.

Post-Discharge Care and Medication

After being discharged, patients are generally advised to continue taking prescribed medications to prevent recurrence. These often include vasodilators such as isosorbide mononitrate and antiplatelet agents like aspirin. Adherence to medication is essential for long-term heart health.

Follow-Up and Prevention

Regular follow-up appointments with a cardiologist are important to monitor progress and adjust treatment plans if necessary. Maintaining a heart-healthy lifestyle—such as eating balanced meals, engaging in moderate physical activity, and avoiding smoking—is also vital.

In conclusion, while the average hospital stay for stable angina is around 10 to 15 days, full recovery depends on consistent follow-up care and lifestyle modifications. By staying proactive about cardiovascular health, patients can significantly reduce the risk of future cardiac events.