So which angina treatment is better — angioplasty and stenting or medications?
Your medical condition will determine whether having angioplasty and stenting or taking medications will work better for you. Talk to your doctor about which angina treatment is best for your situation. Consider this:
- People who have angioplasty and stenting first may feel better quicker. For example, their chest pain may decrease quicker than those who just take medication.
- People who take only medications for angina may not feel better as quickly, but medications require no recovery time and are less expensive than angioplasty and stenting. If you choose to take medications to treat your angina, it's important that you take them exactly as your doctor says so that you get the most benefit.
What if your angina treatment doesn't work?
If you try medication and lifestyle changes first, but they don't relieve your angina, angioplasty and stenting may be another option. In some cases coronary bypass surgery may be needed. It might be reasonable to try more-conservative steps first — medications and lifestyle therapy — before considering angioplasty and stenting or other treatments.
Research is ongoing in new therapies and medications to treat angina. Discuss with your doctor if other therapies may be appropriate for you.
Talk to your doctor if you're concerned that medications or stents aren't controlling your angina. Remember that with any treatment plan, lifestyle changes are important.
April 06, 2016
- What is angina? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/angina. Accessed Jan. 25, 2016.
- Prinzmetal's or Prinzmetal angina, variant angina and angina inversa. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HeartAttack/SymptomsDiagnosisofHeartAttack/Prinzmetals-or-Prinzmetal-Angina-Variant-Angina-and-Angina-Inversa_UCM_435674_Article.jsp#.VqfpH9hIjmI. Accessed Jan. 25, 2016.
- Microvascular angina. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HeartAttack/SymptomsDiagnosisofHeartAttack/Microvascular-Angina_UCM_450313_Article.jsp#.Vqfpt9hIjmI. Accessed Jan. 25, 2016.
- Unstable angina. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HeartAttack/SymptomsDiagnosisofHeartAttack/Unstable-Angina_UCM_437513_Article.jsp#.Vqfp79hIjmI. Accessed Jan. 25, 2016.
- Angina pectoris (stable angina). American Heart Association. http://www.heart.org/HEARTORG/Conditions/HeartAttack/SymptomsDiagnosisofHeartAttack/Angina-Pectoris-Stable-Angina_UCM_437515_Article.jsp#.VqfqINhIjmI. Accessed Jan. 25, 2016.
- Kannam JP, et al. Stable ischemic heart disease: Overview of care. http://www.uptodate.com/home. Accessed Jan. 25, 2016.
- Angioplasty and vascular stenting. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?pg=angioplasty. Accessed Jan. 25, 2016.
- Fihn SD, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: Executive summary. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation. 2012;126:3097.
- Levin T, et al. Stable ischemic heart disease: Indications for revascularization. http://www.uptodate.com/home. Accessed Feb. 1, 2016.
- Simons M, et al. New therapies for angina pectoris. http://www.uptodate.com/home. Accessed Feb. 17, 2016.
- Mankad R (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 16, 2016.