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Best Angina Treatment In Delhi NCR.

angina treatment and cure
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What is Angina?

Angina, also known as angina pectoris, is a clinical condition characterized by chest pain or discomfort resulting from temporary myocardial ischemia. Although pharmacological treatment and surgical procedures are primary modes of management, physiotherapy—particularly through cardiac rehabilitation—plays a vital role in preventing recurrence, enhancing functional endurance, and improving quality of life. This article explores the underlying mechanisms, signs and symptoms, and physiotherapy strategies for managing angina.

Categories of Angina
  1. Stable Angina: Predictable and consistent chest pain induced by exertion or stress, relieved with rest or nitroglycerin.
  2. Unstable Angina: A more dangerous form with sudden onset, often occurring at rest, and requiring emergency attention.
  3. Variant (Prinzmetal’s) Angina: Arises due to spasms in the coronary arteries, typically occurring at rest.
  4. Microvascular Angina: Involves dysfunction in the heart’s smaller vessels, more frequently seen in women.
Symptoms and Clinical Presentation
  • Sensation of pressure or heaviness in the chest (usually central)
  • Pain radiating to the jaw, neck, shoulder, or arm
  • Often triggered by exertion, large meals, or emotional stress
  • May include breathlessness, cold sweats, fatigue, or nausea
Role of Physiotherapy in Angina Care

Physiotherapists contribute significantly during Phase I (in-hospital rehabilitation) and Phase II (supervised outpatient programs). The goals are to reduce modifiable risk factors, improve cardiovascular endurance, and foster psychological well-being.

  • Functional capacity assessments (e.g., 6-minute walk test, treadmill protocols)
  • Monitoring vitals: heart rate, blood pressure, and oxygen saturation
  • Identifying risk contributors like obesity, inactivity, and poor cardiovascular fitness

Physiotherapeutic Interventions

  • Aerobic Conditioning
  • Activities: Brisk walking, cycling, treadmill sessions
  • Frequency: 3–5 sessions per week
  • Intensity: 40–70% of HRR or moderate exertion (Borg Scale 11–14)
  • Duration: 20–60 minutes, beginning gradually and progressing as tolerated

Resistance Exercises

  • Intensity: Light-to-moderate (30–50% of one-repetition max)
  • Target: Major muscle groups
  • Frequency: 2–3 times a week

Note: Contraindicated in cases of unstable angina

Breathing Techniques

  • Diaphragmatic breathing and pursed-lip breathing
  • Beneficial for anxiety relief and associated respiratory challenges

When to Avoid Exercise

  • Active or unstable angina symptoms
  • Resting systolic BP > 200 mmHg or diastolic > 110 mmHg
  • Recent heart attack without physician approval
  • Uncontrolled cardiac arrhythmias or heart failure

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