How to Manage Angina Triggered by Stress and Anger

Angina, a common symptom of coronary artery disease, can often be triggered by physical exertion or emotional stress such as anger. When anger or emotional excitement leads to angina, it is crucial for the individual to stop any physical activity immediately and find a calm and quiet environment to relax.

Immediate Steps to Take

One of the most effective immediate treatments for angina is the sublingual administration of nitroglycerin. This medication helps dilate the coronary arteries, improving blood flow to the heart muscle and reducing ischemia. Alongside nitroglycerin, beta-blockers can be used to lower heart rate, reduce the force of heart contractions, and decrease the overall workload on the heart.

Long-Term Management Options

If the angina is caused by significant narrowing of the arteries due to atherosclerosis, interventional procedures such as angioplasty or stenting may be recommended. These procedures can help restore adequate blood flow to the heart and reduce the frequency and severity of angina episodes.

Non-Invasive Treatment Alternatives

In addition to traditional medical treatments, non-invasive therapies like enhanced external counterpulsation (EECP) have shown promising results in managing various types of angina. EECP works by improving circulation to the heart muscles and can be particularly beneficial for patients who are not candidates for invasive procedures.

Preventive Lifestyle Changes

To prevent future episodes of anger-induced angina, it's important to adopt heart-healthy lifestyle changes. These include regular physical activity, a balanced diet, adequate sleep, and stress management techniques such as meditation, deep breathing, or counseling. Learning how to manage emotions effectively can significantly reduce the risk of angina flare-ups.