Treatment of Variant Angina

Today, due to frequent late-night work and study, many people experience significant adverse effects on their physical health—including reduced immunity and disruptions to both endocrine and exocrine functions. A relatively common manifestation is angina pectoris; thus, what is the treatment for variant angina?

Treatment of Variant Angina

Treatment for variant angina includes pharmacotherapy, surgical intervention, and cardiac rehabilitation. Variant angina is caused by coronary artery spasm. If the spasm results from underlying coronary artery stenosis, coronary artery stenting is recommended. Long-term oral administration of secondary prevention medications for coronary artery disease can help alleviate coronary spasm. If angina is solely attributable to coronary artery spasm—without significant stenosis—calcium channel blockers are effective in relieving spasm. Additionally, identifying the underlying cause(s) of coronary spasm is essential. Common triggers include smoking, environmental stimuli, emotional stress, and excessive sympathetic nervous system activation.

The fundamental principles of angina management involve improving coronary blood supply, reducing myocardial oxygen demand, and treating underlying atherosclerosis. In addition to general supportive measures, treatment modalities include pharmacotherapy, interventional therapy, and surgery. Interventional therapy—currently widely used for angina—is typically performed via percutaneous transluminal coronary angioplasty (PTCA) and/or stent placement. Surgical treatment refers to coronary artery bypass grafting (CABG), reserved for patients whose symptoms persist despite optimal medical or interventional therapy.

Patients are advised to maintain a positive mood and avoid cold, spicy, or high-fat foods. We hope this information proves helpful.