Patient's question:
My angina has been with me for over two years and hasn't improved. It's very painful, so what is the best treatment for angina?Doctor's answer:
During the relief phase of angina, it is important to prevent various triggers that may cause recurrent angina attacks. Dietary adjustments should be made, especially avoiding overeating, and quitting smoking and alcohol consumption. Additionally, other medications should be considered, primarily statins. These drugs can quickly dilate coronary arteries, reduce vascular resistance, enhance coronary blood flow, and also dilate peripheral blood vessels, decrease venous blood return, and reduce cardiac pressure. They can also help re-regulate blood lipids and prevent plaque formation.Furthermore, for the treatment of angina, minimally invasive surgery may be considered, especially in cases of severe coronary artery stenosis. Surgical coronary artery bypass grafting may also be an option. Generally, nitrate medications are used, and within 1 to 2 minutes, patients' symptoms can significantly improve, rarely lasting longer than 5 minutes.