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Angina Pectoris

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Question: What precautions should be taken by a person suspected for Angina Pectoris? After a maximal exercise test, and due to mild chest pain, I am suspected for Angina Pectoris, apparently difficulty in oxygen supply to the heart due to partial blockage of one or more of the arterial paths. I will be apparently proceeding to angiographical test, but I am using medications such as metoprolol, nitroglycerin tablets, and aspirin in light dose. What are the most serious precautions that I may take in order to avoid a probable anginal attack? Professional advice appreciated.

Answer: Angina occurs when there is a mismatch between the supply of blood to the heart and the demand of the heart (how hard it is working). You have to listen to your body regarding the activities you can tolerate. If you get chest pain or shortness of breath, this is an indication that your activity is more than your heart can handle. It takes a different amount of activity to produce angina in different patients. So activity must be individualized. It sounds like you are getting an appropriate evaluation and are being treated with the most appropriate medications. While you are awaiting evaluation you should take it easy activity wise. Limit the amount of heavy exercise, lifting etc. Most importantly listen to your body and stop when you get chest pain or shortness of breath. Take your nitroglycerin every five and if you are still having pain after 2 doses call 911. Most importantly you should ask your doctor this, because he/she is most familiar with your case. I hope this helps.

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