Triggers and signs of angina

Avoid situations that bring on angina

After a few episodes of angina, you and the person in your care will become familiar with what usually triggers symptoms. If physical exertion is a trigger, figure out what level of activity brings on angina, then remind him to stop before symptoms begin. Or if he feels chest pain while walking, have him stop and rest or take nitroglycerin or whatever emergency medication he's been prescribed.

Emotional stress like anger or anxiety can also trigger an angina episode. Help him avoid situations that might get him worked up. If stressful situations are unavoidable, talk to his doctor about ways to help him cope.

Look out for signs of worsening CAD

You should be concerned if his angina episodes:

• Occur more frequently
• Last longer
• Feel more severe
• Happen without the usual trigger (for example, without physical exertion)
• Aren't relieved by rest or emergency medication like nitroglycerin

These changes may indicate that he's at a very high risk for heart attack. If you notice any of these changes, call 911.