Coronary Artery Spasm (Prinzmetal's Angina)

What is it?

Prinzmetal’s angina is a temporary spasm in the coronary arteries that can cause chest pain and discomfort, often occurring at rest.

What are the symptoms?

Chest pain or discomfort, usually at rest
Pain may last for several minutes and come and go
Pain may be associated with shortness of breath

What else could it be? (Differential diagnosis)

Stable angina
Myocardial infarction (heart attack)
Gastroesophageal reflux disease (GERD)
Pericarditis

What are the aggravating factors?

Smoking
Drug use (particularly cocaine)
Stress
Cold weather
Medications that constrict blood vessels

What types of food are helpful?

High-fiber, low-cholesterol diet: Helps prevent artery blockages.
Magnesium-rich foods: To help relax blood vessels (e.g., leafy greens, almonds, bananas).
Avoid excessive caffeine: Can aggravate spasms.

Sample Recipe: Banana and Almond Smoothie

Ingredients: Banana, almond butter, almond milk, honey, ice.
Directions: Blend together for a magnesium-rich smoothie that helps support heart health.

What are the traditional treatments?

Calcium channel blockers: To relax and widen the coronary arteries.
Nitrates: To relieve chest pain.
Aspirin: To prevent blood clotting.

What are the natural and alternative treatments?

Omega-3 fatty acids: Help prevent artery constriction (e.g., fish oil, flaxseeds).
Coenzyme Q10: May improve overall heart function and reduce spasms.

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