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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Angina Attacks?

I had a stent implant last October and in December I again had angina attacs. My doctor said it was unusual and does not quite know what could be causing it. I had a additional CAT last week and it showed muscle spasms after the position of the stent. any other reasons for the angina attacks, they usually happen between 6 and 10 am. Nitro does help, but do I have to take it for the rest of my life?
Mon, 1 Aug 2016
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Cardiologist,  's  Response
Hi,

This type of angina is caused by a heart vessel spasm. Usually it s diagnosed with coronary angiography with a special methods. Early morning is a common time for such angina. Treatment is with nitrates and/ or calcium channel blockers. You should initiate the treatment and it will be better if you take long lasting nitrate before going to bed and not only nitroglycerin during an angina attack. There are chances that the disease may stabilize in 6 months and you can withdraw the medication, unless there is significant blockage in coronary arteries on coronary angiography.

Take care

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What Causes Angina Attacks?

Hi, This type of angina is caused by a heart vessel spasm. Usually it s diagnosed with coronary angiography with a special methods. Early morning is a common time for such angina. Treatment is with nitrates and/ or calcium channel blockers. You should initiate the treatment and it will be better if you take long lasting nitrate before going to bed and not only nitroglycerin during an angina attack. There are chances that the disease may stabilize in 6 months and you can withdraw the medication, unless there is significant blockage in coronary arteries on coronary angiography. Take care Come back if you have any further questions