Angina causes chest pain due to reduced oxygen supply to the heart, known as ischemia. This ischemia is most often due to spasm or constriction of the blood vessels that supply the heart muscle itself (the coronary arteries). When there is a lack of oxygen to the muscles of the heart, it does not function optimally in terms of pumping out an adequate blood supply to the rest of the body. Read on to further explore the symptoms, causes and supplements that can support angina.
What Are Symptoms of Angina?
Angina may feel like pressure or squeezing. Angina pain may spread to the shoulders, neck, arms, or back, similar to heart attach. For the most part, Angina is not so much a disease in and of itself, but rather a symptom of or precursor to Coronary Heart disease (CHD) or Coronary Artery Disease (CAD).
These occur when plaques build up inside the walls of the coronary arteries, obstructing the flow of oxygen-rich blood to the heart. When these plaques build up and form clots, they can obstruct blood flow completely, leading to what we refer to as a heart attack or myocardial infarction (MI). Angina does not always lead to a heart attack. There are degrees of severity in terms of angina. People with angina should take symptoms seriously. Angina predicts future heart attack risk and requires lifestyle changes.
What Are The Different Types of Angina?
Angina severity varies and can become unpredictable. Stable angina ocurs during specific activities and follows predictable patterns. For example, one may have angina symptoms during moderate or intense cardiovascular exercise. Medications can effectively manage stable angina. Nitroglycerin may help prevent symptoms during known triggers. Lifestyle changes may provide early benefits.
Unstable Angina is undoubtedly a red flag and should require more immediate and serious attention. Unstable angina can be an unexpected worsening of stable angina. It does not follow any particular pattern and can happen just as often at rest as it does during exercise. The pain associated with unstable angina tends to be more severe in nature and does not always respond to Nitro. Unstable Angina is a significant predictor of future heart attack; in fact, most individuals should consider this a heart attack or medical emergency until a doctor can verify otherwise.
Variant (or Prinzmetals) Angina occurs most commonly when you are at rest, usually overnight. It is also quite severe, but does respond to medication. It is rarer than the other two forms and is not usually a sign of heart attack risk on its own.
Microvascular Angina, usually a symptom of Coronary Microvascular Disease, instead of CHD, is also somewhat less common. It can also be more severe and usually lasts longer than other types of Angina. Medications can effectively manage stable angina. Nitroglycerin may help prevent symptoms during known triggers. Lifestyle changes may provide early benefits. Medication may not work for all angina types. Some forms do not involve coronary artery plaques or blockages.
How Can I Suport Angina With Supplements?
Angina is usually acutely treated with nitrates, such as nitroglycerin. Nitro works by opening or dilating the coronary arteries to allow more blood to flow through. It usually comes in sublingual tablets or sprays that are fast-acting. People using nitrates often take breaks from medication. The body may become less responsive with continued use.
Some individuals use calcium channel blockers or beta blockers to lower heart rate and reduce heart strain. Blood thinners may also prevent coronary artery clots.
Risk Factors and Dietary Modifications
Some common risk factors for angina include being male (angina seems to have a better prognosis in women), having diabetes, excessive alcohol use, a family history of CAD and stroke, high blood pressure, high salt intake, obesity, poor cholesterol profile, smoking and low levels of physical activity. High stress and anxiety can also be risk factors.
As you can see, there are a lot of lifestyle factors that one can work with to minimize risk. The first would of course be weight loss and increasing mild to moderate physical activity, as long as there are no heart related symptoms. Exercise remains important but should begin slowly under healthcare supervision. Reduce sugar, salt, and processed foods while increasing fruits, vegetables, water, and fiber. This will not only help with weight loss, but also should prevent cholesterol levels from rising, or lower an already low to moderate risk cholesterol profile.
For diabetics, exercise and a better diet leading to weight loss also mean better blood sugar control and less risk of diabetes related complications. Add some raw garlic and onion to your meals. Eating them raw or at least cooked as little as possible helps these agents to retain their medicinal properties, which include lowering total cholesterol and triglycerides, while increasing HDL, as well as discouraging platelet formation.
Cutting down on alcohol and quitting smoking will also help to improve almost all measures of health within the body, including and especially cardiovascular health.
Heart Supporting Supplements to Reduce Angina Risk
If you are hoping to avoid the aforementioned medications, you may also want to introduce one or two well-researched and effective natural supplements into your new heart healthy routine. There is a lot to choose from. Talk to your Naturopath or healthcare provider to find the few that are most right for you.
Some options include amino acids, such as carnitine and arginine. The diet provides L-Carnitine mainly through red meat, which many heart-healthy diets limit. For this reason, deficiencies in both vegetarians and health-conscious individuals are not uncommon. L-Carnitine may reduce angina severity, ischemic cardiovascular events, and cholesterol levels.
Arginine may improve exercise capacity and provide anti-atherogenic, ischemic, and antithrombotic benefits.
Hawthorne is another amazing cardiovascular support herb. Hawthorne may help regulate blood pressure and reduce angina-related pain and chest tightness.
Garlic supplements may help lower cholesterol and blood pressure. These factors influence coronary artery disease risk.
Coenzyme Q10 may improve exercise capacity and reduce chest pain episodes in stable angina.
High-dose fish oil may reduce angina attacks, lower triglycerides, and improve exercise tolerance.
Magnesium may support treatment for unstable angina and acute myocardial ischemia.
Most of the acutely used treatments deal with IV magnesium,although oral supplementation may be useful long-term for the prevention of acute episodes.








































