Stable angina: What to know

The article is consulted professionally by Dr. Department of Cardiovascular Surgery – Thoracic, Share99 Central Park International Health Hub.

A stable angina although it cannot endanger the life of the person, it can be a warning sign of myocardial infarction. Therefore, learning about stable angina as well as signs and directions for treating stable angina is very important and necessary.

1. What is stable angina?

Stable angina appears when the heart muscle is not given the sufficient amount of oxygen-rich blood needed to function normally. At this time, the heart will have to work more, beat faster and stronger when the patient tries to do something or in an excessive state of stress. In the long run, this can lead to a risk of life-threatening myocardial infarction.

2. Causes of stable angina

The cause of stable angina is mainly the atherosclerosis plaques that cause the vessels to narrow, causing blood flow to the heart muscle cells to decrease. The formation of blood clots can also be the cause of clogging of blood vessels and causing the person to have angina.

In addition, a number of factors that are indirect causes of patients at risk of stable angina include:

  • Smoking: The nicotine found in tobacco will facilitate cholesterol accumulation on the vessel wall, causing atherosclerosis.
  • Diabetes: When you have diabetes, your blood cholesterol levels increase, which increases the rate of coronary atherosclerosis and leads to a heart attack.
  • High blood pressure: People with high blood pressure will have increased blood pressure on the artery city, causing the arteries to damage and increasing the rate of arteriosclerosis.
  • Dyslipidemia: When you have dyslipidemia, high levels of saturated fats and cholesterol increase the risk of angina and heart attack.
  • Family history of heart disease: if a family member has coronary artery disease or has a heart attack, you are also at increased risk for angina.

Stable angina: What to know

Family history of heart disease: if a family member has coronary artery disease or has a heart attack
  • Age: Men over the age of 45 and women over 55 are at risk of stable angina.
  • Obesity :Obese people are at increased risk for angina and cardiovascular disease compared to the average person.
  • Sedentous: In people who are lazy, lazy to exercise, sports, there is a high likelihood of hypercholesterolemia, increased risk of obesity, hypertension, decreased ability to circulation of blood in the vessels.
  • Stress: Excessivestress or anger can increase blood pressure and increase the risk of a stable angina.

3. How does stable angina manifest?

When the angina is stable, the patient will feel pain in the chest such as being squeezed, repressed. The pain can spread from the chest to the neck, arms and shoulders.

In stable angina, patients may also show signs such as nausea, fatigue, shortness of breath, dizziness, cold sweats … The pain will only appear when the person is trying to do something. Signs of stable angina are usually temporary, for about 15 minutes and gradually decrease with rest or use of medications for angina.

4. Stable levels of angina

According to the Canadian Heart Association – CCS, stable angina is divided into 4 levels, the higher the level, the more dangerous the disease and the more it affects the life of the patient, namely:

  • Level 1: At this level, normal physical activity will not be able to cause angina, it only appears when the person is very physically active.
  • Level 2: Angina occurs when the person climbs stairs >1 floor, or walks longer than 2 blocks, it is necessary to slightly limit normal physical activity.
  • Level 3: Angina when walking 1 to 2 blocks long or climbing high, it is necessary to significantly limit the usual physical activity.
  • Level 4: Angina even with mild work, when light physical exertion, normal physical activity can also cause pains.

5. What to do with stable angina?

The appearance of stable angina pectoral pain means that the heart muscle is suffering from anemia, therefore, the patient needs to quickly take the following steps:

  • Step 1: Rest, stop all the work you're doing, rest in a half-seated position, knees raised, loosen the clothes you're wearing, and keep your body warm.
  • Step 2: In the case of having used previous dilated drugs, it is possible to continue to relieve the pain by using it.

Stable angina: What to know

Use of vascular relaxes
  • Step 3: If you have used a dilated drug where the angina is stable with no signs of remission, then after 20 minutes it is necessary to go to the emergency immediately because there is a high risk of myocardial infarction.

6. Treatment and prevention of stable angina

Stable angina if not treated promptly and methodily, can cause patients to experience dangerous complications such as heart failure,myocardial infarction, stroke.

  • Stable treatment of angina:

The drug has the effect of dilating coronary arteries, improving blood flow to the heart muscle and helping to reduce the burden on the heart. In addition, patients can also be prescribed drugs to treat risk diseases such as blood fat reduction drugs, antitension drugs, anti-blood clots …

  • Prevention of stable angina:

In parallel with the use of therapeutic drugs, in order to prevent angina stability, it is necessary to:

  • Adjust your lifestyle accordingly, work, rest properly.
  • Say no to tobacco, limit the use of alcohol, beer, coffee and stimulants.
  • Monitor and control blood pressure, weight, blood fat, blood glucose well.
  • Build a full and healthy nutrition with plenty of greens and fresh fruits, limit the use of foods rich in fats, reduce sweetness.
  • Practice physical exercise and sports every day for about 30 minutes with gentle sports, suitable for your fitness.
  • Avoid stress, anxiety, stress; rest in mode mode mode mode mode, get enough sleep.

When the signs of angina are stable, the patient should see a doctor to find out the cause of this phenomenon and take reasonable interventions. Share99 International Health Hub is the right choice for examining and treating cardiovascular diseases, including angina.

Here, a team of professional, experienced and well-trained doctors will examine, diagnose and advise patients using advanced and modern methods; modern and advanced technological equipment, ensuring the most accurate results.

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE


  • Stable angina discrimination – unstable
  • Unstable angina: What to know
  • Causes, ways to prevent coronary artery disease

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


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