What medication should be taken for angina?
Sep 16, 2025
Source: Cainiu Health
Dr. Ren Yi
Introduction
In general, the main causes of angina pectoris include excessive physical exertion, emotional stress, coronary atherosclerosis, coronary artery spasm, and hypertensive heart disease. Patients should follow medical advice and select appropriate medications such as nitroglycerin tablets, enteric-coated aspirin tablets, or nifedipine controlled-release tablets according to their specific conditions. In daily life, it is important to avoid excessive fatigue and emotional excitement.
Under normal circumstances, the main causes of angina pectoris include excessive physical exertion, emotional stress, coronary atherosclerosis, coronary artery spasm, and hypertensive heart disease. Patients should follow medical advice based on their specific conditions to use medications such as nitroglycerin tablets, enteric-coated aspirin tablets, or nifedipine controlled-release tablets. Detailed analysis is as follows:
1. Excessive Physical Exertion
Prolonged high-intensity physical labor or vigorous exercise significantly increases myocardial oxygen demand, exceeding the blood-supplying capacity of the coronary arteries, thus triggering angina. This is often accompanied by chest tightness and fatigue. Immediate rest is required, and sublingual administration of nitroglycerin tablets under medical guidance can dilate the coronary arteries, improve myocardial blood supply, and relieve pain.
2. Emotional Stress
Sudden strong emotions such as anxiety or anger activate the sympathetic nervous system, leading to increased heart rate and vasoconstriction, which reduce myocardial blood flow and trigger angina, often accompanied by palpitations. Calming down emotionally is essential. Under medical guidance, metoprolol tartrate tablets may be taken to slow heart rate, reduce myocardial oxygen consumption, and alleviate symptoms.
3. Coronary Atherosclerosis
Abnormal lipid levels lead to lipid deposition on the walls of the coronary arteries, forming plaques that narrow the vessels and cause insufficient myocardial blood supply, resulting in angina. Pain may radiate to the left shoulder. Under medical supervision, medications such as enteric-coated aspirin tablets and rosuvastatin calcium tablets can be used to inhibit platelet aggregation, stabilize plaques, and prevent disease progression.
4. Coronary Artery Spasm
Triggers such as cold exposure or smoking can stimulate sudden constriction of the coronary arteries, interrupting blood flow to the myocardium and inducing angina, with pain episodes commonly occurring at night. Under medical guidance, drugs like nifedipine controlled-release tablets or isosorbide mononitrate sustained-release tablets may be prescribed to dilate the coronary arteries and relieve spasms.
5. Hypertensive Heart Disease
Long-term hypertension leads to myocardial hypertrophy and increased cardiac workload, raising myocardial oxygen demand and triggering angina, often accompanied by dizziness and elevated blood pressure. Under medical supervision, medications such as valsartan capsules or amlodipine besylate tablets can be used to control blood pressure, reduce cardiac strain, and relieve symptoms.
In daily life, individuals should avoid excessive exertion and emotional excitement; quit smoking and limit alcohol intake; manage blood lipid and blood pressure levels; maintain regular sleep patterns and engage in moderate physical activity; carry emergency medication at all times; and seek prompt medical attention when discomfort occurs, thereby reducing the risk of angina attacks.
