Angina

Also called Angina pectoris or Stable angina

Angina is chest pain or discomfort that happens when the heart muscle does not get enough blood, usually because the coronary arteries have narrowed. It is typically brought on by exercise or stress and settles with rest or medicine. It is not a heart attack, but it is a sign that the heart may be at risk.

Last updated Nov 9, 2026

What it is

Stable angina follows a predictable pattern. Unstable angina, which comes on at rest or gets suddenly worse, needs emergency assessment.

Treatment includes medicines to relieve and prevent attacks, medicines to lower the risk of heart attack, lifestyle changes, and sometimes procedures such as stents or bypass surgery.

Common signs

  • Tight, heavy or dull pain in the chest
  • Pain spreading to the arm, neck, jaw or back
  • Brought on by effort, cold or stress, easing within minutes of rest
  • Breathlessness

How it is usually diagnosed

  • ECG and blood tests
  • CT coronary angiography or a stress test
  • Sometimes an invasive coronary angiogram

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • ECG and stress test reports
  • Angiography reports, including any stents placed
  • A list of medicines, including your spray or tablets for attacks
  • Cholesterol and blood pressure results over time
  • Cardiology letters

Questions to ask your doctor

  • How narrow are my arteries, and do I need a procedure?
  • How should I use my GTN spray, and when should I call for help?
  • What level of exercise is safe for me?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Chest pain at rest, pain lasting more than 15 minutes, or pain not eased by your spray: call 112
  • Chest pain with sweating, sickness or breathlessness

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources