Is the angina severe?

Angina pectoris is a common cardiovascular condition that causes significant pain and distress to affected patients. Most patients with angina experience a sensation of pressure, tightness, or crushing pain behind the sternum and in the throat. Some individuals may only report chest tightness. So, how serious is angina?

How serious is angina?

Angina is a serious condition because its onset indicates severe myocardial ischemia—namely, inadequate blood supply to the heart muscle. Typically, coronary artery stenosis must exceed 75% before angina symptoms manifest. Therefore, once angina occurs, it warrants prompt attention and active treatment. Dietary management should include a low-salt, low-fat diet; smoking cessation; moderation or avoidance of alcohol; and strict control of risk factors such as hypertension, diabetes mellitus, and hyperlipidemia.

Patients require long-term oral administration of antiplatelet agents (e.g., aspirin) and statins (e.g., atorvastatin or rosuvastatin) to inhibit platelet aggregation, promote plaque regression, prevent progression of coronary artery disease, and reduce the risk of myocardial infarction. Dual antiplatelet therapy (DAPT) is also recommended—combining aspirin with either clopidogrel or ticagrelor. In selected cases, percutaneous coronary intervention (PCI) with stent implantation may be necessary.

If symptoms suggestive of this condition arise, prompt medical evaluation and active collaboration with healthcare providers are essential. We hope this information proves helpful to you.