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Chest Pain (Angina)

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What is it?

Angina is chest pain caused by reduced blood flow to the heart muscles, typically due to narrowed or blocked coronary arteries. It can be a symptom of coronary artery disease (CAD).

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What are the symptoms?

  • Pain or pressure in the chest, often triggered by physical exertion or stress

  • Pain radiating to the shoulders, arms, neck, or jaw

  • Shortness of breath

  • Dizziness or lightheadedness

  • Fatigue

  • Sweating

What else could it be? (Differential diagnosis)

  • Heart attack

  • Gastroesophageal reflux disease (GERD)

  • Panic attacks

  • Musculoskeletal pain (e.g., rib fractures)

  • Pericarditis (inflammation of the heart’s outer lining)

What are the aggravating factors?

  • Physical exertion

  • Stress or emotional distress

  • Cold weather

  • Heavy meals

  • Smoking

  • High blood pressure or high cholesterol

What types of food are helpful?

  • Heart-healthy diet: Focus on fruits, vegetables, whole grains, and lean proteins.

  • Omega-3 fatty acids: Found in fish like salmon and mackerel, they help reduce      inflammation and improve heart health.

  • Limit saturated fats: Cut back on red meat, dairy, and processed foods to reduce cholesterol levels.

Sample Recipe: Grilled Chicken with Quinoa and Vegetables

  • Ingredients: Chicken breast, quinoa, zucchini, bell peppers, olive oil.

  • Directions: Grill chicken and serve with quinoa and sautéed vegetables for a heart-healthy, balanced meal.

What are the traditional treatments?

  • Medications: Nitroglycerin to relieve pain, beta-blockers, or calcium channel blockers to control heart rate.

  • Lifestyle changes: Reducing stress, improving diet, and quitting smoking.

  • Coronary angioplasty: A procedure to open up blocked arteries.

  • Bypass surgery: In severe cases, surgery may be needed to bypass blocked arteries.

What are the natural and alternative treatments?

  • Garlic: Has been shown to help lower cholesterol levels and support heart health.

  • Coenzyme Q10 (CoQ10): May help improve heart function and reduce symptoms of angina.

  • Magnesium: Can help relax blood vessels and improve blood flow, potentially relieving      angina symptoms.

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