What is angina and how is it treated? 

I have mitral and tricuspid regurgitation, a congenital murmur, sinus tachycardia, a couple of times heart went into afib, and low blood pressure. I am 41. Never smoked any tobacco, never took alcohol, never touched a drug. I manage with a healthy lifestyle. One day a heart doctor will probably have to save my life. If I could choose the dr. it would definitely be Dr. Gupta. He is outstanding.

Thank you for making your videos and putting them on RU-vid. I'm a 71 year old male. I have stable angina, I've had it for almost 8 years now and it was pretty bad when it first showed up. I was pretty disappointed with myself for allowing this to happen, I knew better. Instead of stents or by-pass I did a life style change, started walking (short painful walks at first but things got better and better), started riding a bike after a couple of years, lost weight (80 lbs) and completely changed my diet. I'm getting along pretty well now, ride the bike when the weather allows, my dog and I walk a mile most every day. I carry nitro tablets and use one when needed which might be twice a week or once month or I can just rest a bit and the angina passes rather quickly. Stress, yes that can set angina off with me, sometimes cold weather, full stomach, more than normal exertion, pretty typical things from what I've read. Interesting to think, my dog and I have walked a couple of thousand miles, a mile or two at a time in the past 7.5 years and I've ridden my bike at least that far and probably more. When all this started I remember seeing a big wall chart in the cardiologist's office showing how the smaller blood vessels enlarge over time to compensate for the blockages of the major ones and at that time I thought, that's what I'll try to do, so far it seems to have worked.

Thank you for mentioning diet, exercise, stopping smoking, stress management. I’m hearing a lot about whole food mostly plant based diet being good for prevention of heart disease and cancer. We have such an unhealthy culture in the US these days. Everywhere I look I see so much obesity and sedentary people. Thank you for your great videos! You’re smart and handsome! I love your voice too and could listen to you for hours!

Totally irrelevant but I swear you get more handsome every video!! Plus you are an incredibly knowledgeable cardiologist and educator. You have quite honestly made my life so much better over the years (I have PACs/PVCs). Thank you for all you do for all of us.

The production of your videos is getting MUCH better doctor.

WOW. What a fine description of angina and the treatments. You are clearly a very bright, caring fellow and physician. I am the kind of patient who wants to know what the processes are that I am experiencing. At moving toward 81 and in good health, this proactive interest in my own health has been a great benefit. My docs know how I am, and they indulge me. Thank you very much, sir.

Recently found you. Appreciate your method of explaining issues. Thank you for treating your viewers like intelligent people.

Very Well done! One of the often overlooked responsibilities in a busy healthcare practice is educating patients…without talking down to them or ignoring the stress caused by fear.

Dr. Gupta all your videos are always enlightening and easily assimilated. They are compassionate and devoid of ego. You speak to us not above us. The knowledge you so generously impart is life enhancing and life saving and for that I am filled with gratitude.

Thank you for reading the original paper out loud .

This has to be the best cardiology video I've seen done in a way even I can understand my condition.

Sanjay, you were made for your shirts and they were made for you! They enhance your beauty and you enhance theirs. Softens (and sometimes, distracts) the technical and complicated information you're trying to relay to us. Thanks for sharing 💓!

wow that last part you told 'bout formations of tiny vessels and rerouting that block, that's actually the body's very little own way and saying "i want to live some more" and like that tree forming roots 'round some concrete surroundings. i don't know how that really works but I can only imagine so cute.

A wonderful description Dr, thank you so very much indeed.

Thank you for explaining on the video what angina is. My doctor never told me as much as you have done and I’m very grateful to you for doing so. Thank you and may you long keep helping us all understand what’s happening to us. Brilliant video.

The Dr gave me spray today I was feeling nervous anx scared to use it! You have made me feel at ease. Such an informative calming video. Thank You very much! 🙏

Great description and examples and also what to do about it. I had an angiogram due to abnormal stress test and unexplained discomfort on left side. I was fortunate that I had no blockage but am being treated with a beta blocker and statin for high blood pressure and cholesterol . Love to watch your videos, thank you Dt. Gupta.

You are giving the most useful advice and greatly appreciated

Thank you for the exclamation and simplifying it.

Great video as always Dr. Gupta! And may I also add, love the shirt!! Hope all is well.

Fantastic presentation, thank you for your time doctor.

Very good video! As a nurse, I feel that I get so much good advise here to pass on to my patients. Like the fact that modest exercise can create new collateral blood vessels. Thank you for continuing to educate us!

This is so enlightening. I was diagnosed with angina with my old cardiologist and he put me on all the mess you talked about. Than he said l had heart failure but it turned out to be afib. Now trying to lose weight. Since covid l gained weight and going through a divorce. You are such a blessing. Praying for your dad.

Thank you for this very informative video, it really helps me to understand what is going on with my husbands heart issues.

Thank you very informative, sent this to my friend who is waiting for a stent. You explain things so well, nice accent. Very polite.

This is a truly excellent video. Dr. Gupta has explained everything so well and so clearly. I very much appreciate this: I have learned a lot from this video. Thank you so much!

Really you are so lovely not only as doctor but as motivator, philosopher , truly your videos give confidence

Thank you so much for your channel Dr. Gupta. Your calm manner reduces my anxiety.

so easily explained. u r the top doc ❤👍

Great great advice doc ,thank u so much

Wonderful and helpful presentation.

Thank you for sharing, this was an helpful topic and im going to share it with families and friends

Thank you for such an informative video.

Thank you Sanjay. Very clearly explained. My angina progressed very quickly as you described from pain with moderate exercise to pain from just walking within a week. I had an angiogram and had a 97% blockage in my L.A.D. which I learnt was quite serious. I had a stent inserted. The procedure was amazing and potentially life saving. Your engine analogy was quite good. My engine was in pretty good condition but there was a fuel blockage!

This was so enlightening. I am pretty certain I have experienced angina, on several occasions when I have not been exercising for several years, and then started to exercise again. This must have happened to me at least 4 times in the most recent 15 years. Eventually after a few weeks of exercise, I find that the pain in the chest during exercise decreases, almost as if a blockade causing the constriction goes away. And because of this awesome explanation in this video, I can now appreciate that what may have occured was the collateral creation of new blood vessels which eased the flow of blood. Dr Sanjay Gupta - you deserve a place in heaven, for the good you have done to people like me, to take away our fear and replace it with understanding, and corrective action. I have recently also resumed my Magnesium supplementation and my exercise regime, over the recent month. Now I understand so much more about what is needed to maintain good health, I will never stop these good lifestyle habits. I have also cut out almost all processed food, adding just a bit of shop bought mayonnaise to make my boiled vegetables more palatable. York Cardiology is one of the best resources on health in the world. Thank you ever so much, for this xhaustive explanation about angina and its treatment.

What a wonderful doctor!

Outstanding information very well explained. Thank you so very much.

Excellently you have explained the problem 👍

Thank you Dr great health tips very helpful to us God bless you 🙏❤️

Explains in a very good manner. Very useful.

Once again Dr. Gupta, thank you so much for your excellent explanations and advice. I cannot express the relief of the knowledge that you impart to your patients!

Very informative one of the best explanation given .I love this doctor's analogy from this description I can now understand the nature of the angina I had recently thank you Dr .

Thank you Your talk and explanation is very informative and practical. Nobody comes to earth 100% perfect. Be blessed with joy and happiness. Rushen,Trishen and Suminthra Oojugir Kwa Zulu Natal South Africa

Excellent analysis.

It's really informative..thank you Soo much sir...

Thanks for educating us

An excellent informative video. My dad was diagnosed with Angina after getting a shocking news at his age 67. He spent 7 days in the ICU and was prescribed CIPLAR and in worst cases Sorbide nitrate to be placed under the tongue. After watching your video I realize this was of course Stable Angine because he continued to live a healthy life till he expired at age 97. There was never an occasion requiring another hospitalisation or any invasive or non invasive surgery. I feel his stable angina condition never became critical and reamined as it is due to his healthy lifestyle. Walking, eating a vegetarian diet, Pranayam which is a breathing exercise, never smoked and never consumed alcohol.

Thank you for a truly great explanation, I will share this video as it should help a lot of people.

Hello dr. New to your channel. Informative and comprehensive. Thanks n hi from japan.

This video was done 1 year ago and looking on youtube the other videos are all a number of years old. Please tell me you are ok and still practicing medicine as you are a godsend to people who recognise their symptoms only through your time and patience to explain. My best wishes to you and hope you and your family are well.

amazing explanation doctor, thank you.

very very clear thank you!!!!!

Great informational video -- provided enough knowledge to be able to speak some what intelligently to my doctor.

Great advice sir

Thanks very much.

I'm 41 and was diagnosed with FH over a decade ago. I currently have unstable angina. My angiogram has revealed 5 blockages ranging from 70% to 90% on my left side so to speak. I was initially suggested CABG due to the area of blockages but requested specialised stenting instead. I am due for the procedure in 2 weeks. I am on a cocktail of medication some of which include nitrates, beta blockers and Aspirin currently which has helped alot. Please take care of yourselves folks.

Thank you for important info

Thank you so much for the info 🙏

Yeah, this is really helpful I just discovered I have LVH after some proper ECG test and I'm still very young I feel bad but with this you put out it's good for me to manage my life. I pray that I could reverse it on time just to live a good life. Thank you sir God will strengthen you ❤️

Very good explanation of angina and blockage of the heart arteries. Also how the angina is temporarily fixed to allow more blood flow.

thanks u dr ...very interesting advice 🤔

Thank you very informative, I have been an enthusiastic cyclist and walker for many years, but this year my performance has dropped off, I thought it was just my age, I'm 64, but a few months ago I experienced chest pain within 3 miles of a cycle ride, since then I have been diagnosed with angina and have stopped working and exercising. Yesterday I had an angiagram with results that showed 2 arteries partially blocked and 1 almost fully blocked. I am waiting for my consultant to decide what to do next. I have been prescribed 6 different tablets to control it. I will take your advice and start some gentle exercise again taking my gtn spray with me. As a note I have been under a lot of pressure at work and as you say it could have been a contributing factor.

Thanks dr gupta sir very wide knowledge on angina symptoms treatment as well precUtions worth keeping record 07/02/2020

Could you make a video on supplements that are great for your heart!,,

Thank you.

as I'm 83 you explained a lot !

My mum and all her family had this . I am out of breath and have pain in my chest . But I have chronic asthma and arthritis . My uncle was one of the first to have a triple bypass in the UK . I may try taking pomegranate juice they day that defines your arteries .

I really enjoy your You Tube videos. There very plain and concise. And easy to understand. Wish we had more Doctors like you here in the states. But I am blessed with a great doctor. Keep up the good work . Your awesome 😊

Beautiful.

Thank you so much ❤

Your videos are very helpful. By seeing your videos,it helps me a lot . Whatever fear I have , it goes away . I have angina . I get chest pain sometimes, I used to wonder whether it is reflux or chest related . Now I understand.This video has helped a lot . Thank you.

Perfect explanation for Angina. I don't get pain just get the urge to burp after doing exercise. I am on the mentioned Meds. Should I take Magnesium as well? If only all doctors were like you what a wonderful world it would be...

Best!

Thank you so much for ALL your superb and informative videos on the different medical presentations very precise and simply demonstrated in layman's terms. I am a stable angina patient since 2003 and have never had any problems. My lifestyle is full of continuous travel adventures mainly in India. Last year I was white water rafting in the Himalayas and included some trekking at age 80 years. This year at age 81 I went on yet another adventure in India visiting villages riding a motorcycle and had planned on gong white water rafting however, Covid 19 put an end to all my plans and I have been in Lockdown housebound for eight months, the good news I got a flight back home to the UK tomorrow. As a matter of interest to anyone reading my post, I am on Lispirnel, Asprin, and Simvastatin.

Very nice 👌

Thanks for a wonderful description, which a layman such as me can understand. With life style changes & medication (Deplat & Met XL,ofcourse without Statins)), is it possible to overcome the problem.Also, how long Collaterals take to develop to play effective role.

I get what seems to be Angina. It gets triggered if I get pretty irritated, or with some amount of moderate exercise, yet goes away if I stop what I'm doing within a minute or two. The odd thing is, it's not really in my chest. The best way to describe the area of pain is if you stick your thumbs in your under arms, and just move them towards your chest, it's right there. Basically, just outside of my under arms, towards my chest. Like half way between my nipples and underarm, but closer to under my arm, on both sides. The odd thing is, I only started experiencing this, some months after I quit smoking, and switched to a nicotine pouch called Zyn. I'm not saying it's related, just saying what happened and when.

Can you please find a 100% cure for pvcs/pacs already 😭 I want my life back and I have tried everything..

This worked and is working for me. Symptoms were strangulation in the middle between breast. During walk Distance about 70 yards symptoms come on. Persistent Several weeks. Stopping, sitting & standing eased strangulation pain.(rest) Did this - symptoms ceased. Taking deep breaths slowly & holding breath 5secs exhale. 10 times- rest -10 mins rest-repeat Take 5 green limes not lemon. Squeeze the lime into a half litre mug (dispose seeds only) . Put in the lime peel core together into the mug ,top up with water & consume. Keep topping the mug with water -same lime ,whenever in thirst have it through out the day. ( 24 hrs. ) No other beverages. Same process for a week. Worked for me. Give it a go . Hope it does work for you too.

I’m just watching this video. Last night I had an angina attack and it’s now starting to concern me since hearing about the different types. I’ve had my arteries check and was told 0 blockages, I did the stress test in May and everything came back normal which is giving me the idea that I may have unstable angina. My father died at age 49 (I’m 42) from a heart attack/ hypertension. I do have extreme bouts of anxiety however when I have the angina attacks I’m usually relaxed and watching tv or in bed and it causes me to wake up. I have to sit there for about 8 mins until the symptoms go away. I guess what I’m trying to figure out.. at what point do you go to the ER.. should I just take aspirin everyday? Change of diet, I get.

Thank you Dr. Can statins help with this condition?

Thanks

Dr. Gupta what do you think about taking the pure blacktseed oil to help with some of the health problem.

My nocturnal angina just came back last night. Ginger tea and ice footbaths tend to help.

Educating

Hello Dr. Gupta - when you have a chance, could you please explain QT Prolongation? I find it confusing and frightening. Thank you in advance for any wisdom you can share.

I’m 20 yrs old was diagnosed with type 1 diabetes didn’t take care of myself for a while bad eating habits smoking marijuana etc… now I’ve quit that and focused more on my diabetes and eating habits but once I stopped smoking I started to get heart palpitations more time I started to get weird things like chest pains usually right under my left breast bone and hands and feet get very very cold in ac temp rooms I have to sleep with a pillow under me in order to breath also I wake up with pale skin and blueish lips sometimes I’ve been to the cardiologist 4 times and er about 25 times and they all continue to tell me that it is my anxiety and I’m overthinking it to much but I fear that my life is coming to an end very shortly if I don’t do anything about it if anyone has any symptoms like mines please comment soon I’m so scared and very concerned about my health there’s also more pls helpppp:(((((((

Very interesting, I have stable angina, and at times, I hurt but not a lot.. I had a stent procedure in 2021 in my RCA, it was 98 percent blocked. and I also have a 70 which was NOT stented and is being treated with medications..My chest is not the sight of my pain, it is more in the front throat area to the right of my collarbone and right shoulder, not sure if it is even related but that is what I am thinking is angina.. will have my cardiologist check it further on my next return appt in January, until then, I will continue to walk slowly and stop if I hurt... Have a beautiful day...

I underwent bypass surgery in Feb 2019 as a consequence of Triple vessel disease. now I have developed angina and feel uncomfortable after taking 1600 or so steps. Dr has prescribed Ranozac 500 b.d! After 2 months I don't feel like before. Please advise if I have to take any other medications. (Already taking Nebistar 5, Clopitab A 150, Tonact 40, Eptus 25) pl reply. your video, is very informative and nice.

Hey doctor i have a quick question is L- Carnitine Good for the heart and angina symptoms....

Very well explained. I have a total block in my left leg all the way into my abdomen. I know I have narrowing in other blood vessels. Had the maderna vacation then started with a frozen foot changing couler. Scanning die gnosed total block.

Prinzmetal variant angina is a different form could you explain a little about this angina ?

🙂 I like all your videos the way you explain is easy for me to understand

I have CHF and Pulmonary Fibrosis....as long as I am sitting still, I can put my Oxygen on 2 liters but if I excerpt myself any at all especially walking my Oxygen level will drop from about 96% to 88%. At that point, I struggle to breath and I need to put my Oxygen up to 8 liters for a few minutes until I can compose my breathing back to a normal state. I am a 76 year old male. Is there anything I can do to help these issues?

That’s a party shirt Dr Gupta 😇

Very good video! I have a question. I know someone that has had symptoms of unstable angina for seven months. How long can they have these symptoms before something serious happens? This person is not getting any type of treatment.

Can the pain be in the left shoulder and be constant? I have trouble sleeping and it creates lots of anxiety!

Excellent informative video, well explained and explicitly presented information. However the golden question here, can Angina come without effort? Can someone have no problem jogging and working out, then out of the blues and during resting, angina pain occurs? I have been having left chest pain for a year now, it feels like a squeezing pain in the heart that is deep that comes and goes. It comes and goes throughout the year, sometimes lasting for a couple of days, lasting for seconds or minutes throughout the day yet dull pain trances remains in the background. It usually comes while resting of laying down, not while exercising. So could it be angina? could it be coronary disease related? if not, what could it be? I have had an ECG and an Echocardiogram done and both are normal. Should I get a cardiac CT scan with dye, or the chances that this pain is cardiac is far and I should just let it be and investigate elsewhere far away from the heart? I am also assuming it is not intercostal muscle pain because nothing hurts when I touch my chest and try to pinpoint the pain. it is only felt deep inside.

Please touch on variant angina, which in practice I have found is vastly overlooked thus untreated at the core cause. It can be addressed often quickly and safely via intakes such as magnesium intakes, excess fungal mycotoxin (see ergot and angina induction) intake or addressing histamine mast cell damage and/or intolerance. Thank You!

Thanks great video I have angina ..when I walked up hill ..I wondering would breathing exercises such as wim hoff method