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  • Q&A with Australian Health Practitioners

    How do I prevent angina?

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    Angina & Heart Attack
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    • Jason Lee
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    Jason Lee

    Exercise Physiologist

    My exercise programs are derived from evidence based practice and I strongly believe in keeping track of the progress of my clients as well as … View Profile

    Angina occurs when the Rate Pressure Product (RPP) reaches a certain threshold (angina threshold). The RPP is Systolic Blood Pressure multiplied by the Heart Rate (SBP * HR). Each individuals angina threshold is different but this gives an indication of how much strain the heart is undergoing.

    Once the RPP crosses an individuals angina threshold then they will experience angina symptoms. Therefore to prevent agina one must either reduce their Heart Rate or Systolic blood pressure to ensure the RPP is below the threshold.

    To lower the Heart Rate and blood pressure, the key is to stop and rest (if you are moving about or exercising) or try to calm one self through breathing techniques (taking slow and controlled breaths).

    Some people are put on beta blocker medication to limit their maximal heart rate. A common method to reduce the blood pressure is by taking nitro-lingual spray (Glycerin Tri Nitrate). Sitting down is also a good idea to lower the blood pressure as well as breathing techniques as mentioned above.

    Rule of thumb is to try and lower stress and exertion levels to prevent angina.

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