Angina
Why get checked?
Discover the stories of other people living with angina, like you.
What do I need to pay attention to?
The risk factors1
The following factors play an important role in a person’s chances of developing angina. You may have one or more but don’t worry, you can be proactive by making lifestyle changes.
 High heart rate. 
 Diabetes. 
 Family history of heart disease. 
 Unhealthy diet. 
 High blood pressure. 
 Obesity. 
 Lack of exercise. 
 Excessive alcohol consumption. 
 High cholesterol. 
 Increasing age. 
 Emotional stress. 
 Smoking. 
The possible complications1,2
Angina pain or discomfort caused by angina may interfere with some of your daily activities and require rest. Beyond that, angina is dangerous; the most serious complication that can occur is a myocardial infarction, also called heart attack, which can lead to cardiac arrest. This is why it is important to listen carefully to your doctor’s recommendations and to make some lifestyle changes.
 Risk factors 
 (Lack of exercise, smoking, diabetes, high blood pressures, etc) 
 Imbalance between O2supply and demand 
 Myocardial infarction 
 (cardiac arrest) 
 Heart failure 
 Reduction in the diameter of the artery due to fatty deposits or spasms 
 Myocardial ischemia 
 Arrhythmias 
 Risk factors 
 (Lack of exercise, smoking, diabetes, high blood pressures, etc) 
 Reduction in the diameter of the artery due to fatty deposits or spasms 
 Imbalance between O2supply and demand 
 Myocardial ischemia 
 Myocardial infarction 
 (cardiac arrest) 
 Arrhythmias 
 Heart failure 
How is angina diagnosed?1
 Electrocardiogram 
 Measures your heart’s activity to see if your heart is functioning properly 
 Echocardiogram 
 Produces images of your heart to check if your heart is damaged 
 Stress test 
 To see your heart’s response while you exercise 
 Blood tests 
 To check for some specific proteins that are released in your blood when your heart is suffering 
 Chest X-rays 
 Takes images of your heart and lungs to see if how you feel is caused by other conditions 
 Coronary angiography 
 Takes a series of images of your coronary vessels in your heart to analyze the state and level of obstruction 
 Cardiac computerized tomography 
 Imaging test where you lie in a doughnut-shaped machine that will take pictures of your heart and chest 
 Cardiac magnetic resonance imaging 
 Imaging test where you lie in a tube-like machine that will create detailed pictures of your heart and blood vessels 
Your doctor may diagnose angina based on:
 A physical exam. 
 Your symptoms. 
 Your risk factors. 
 Your family’s medical history. 
Did you know?
 43% 
 of patients have underrecognized angina.3 
What should I ask my doctor?4
Use this checklist to help you prepare for your next doctor visit.
- What treatments are available and what do you recommend?
- What’s the most likely cause of my symptoms?
- How often do I need to have a follow-up visit with you about angina?
- What websites do you recommend visiting? What foods should I eat or avoid?
- Are there any brochures or other printed materials that I can take home with me?

References
4
ESC Working Group on Cardiovascular Pharmacotherapy. How to prepare your medical visit: advice for angina patients. Suresnes, France: Servier; 2020.