The following steps can help you manage CAD and angina :

Lose Excess Weight

Excess weight puts a strain on the heart muscle, which eventually can lead to angina and coronary artery disease. If you are overweight, adopt a sensible eating plan and exercise regularly to lose weight gradually, and then maintain your weight at the desired level.

Quit or Avoid Smoking

Smoking damages your blood vessels and lung tissue, reduces the amount of oxygen in your blood, and forces your heart to beat faster. Discuss with your doctor the best way to quit smoking .

Limit Fat and Cholesterol

Diets that are high in saturated fat and cholesterol increase your risk of CAD. Saturated fat and cholesterol are found in animal products, full-fat dairy products (such as milk, cream, and cheese), lard, and palm and coconut oils, among other foods. A registered dietitian can help you reduce saturated fats and cholesterol in your diet. Good dietary choices include fresh fruits and vegetable, as well as lean meats and fish—particularly fish rich in omega-3 fatty acids , such as salmon.

Limit Alcohol Intake

Alcohol intake should be limited to no more then 1 to 2 ounces a day. Small amounts of alcohol in this range may have beneficial effects such as raising your good cholesterol (HDL).

Control Blood Glucose Levels If You have Diabetes

People who have diabetes may reduce their risk of heart attack or other cardiac events if they maintain their blood glucose near normal levels. There are many other proven health benefits to maintaining tight control of blood glucose. If you have diabetes, talk to your doctor about ways to manage your blood sugar level.

Keep Homocysteine Levels Low

Homocysteine is an amino acid found naturally in the body. High levels in the blood are linked to CAD. Currently, scientists are not sure whether homocysteine is a cause of CAD, or just a marker. However, homocysteine levels may be reduced by an increased intake of vitamin B6 , vitamin B12 , and folic acid .

Maintain Normal Blood Pressure

High blood pressure (hypertension) is one of the most critical risk factors for angina and coronary artery disease. Hypertension causes the heart muscle to work harder. The increased strain on the heart can lead to heart failure. Discuss with your doctor the best way to reach and maintain a healthy blood pressure. If weight and salt reduction , exercise , and stress management do not sufficiently reduce your blood pressure, medication may be needed.

Exercise Regularly

For people who have not yet developed recognizable CAD, regular aerobic exercise, such as brisk walking or using a stationary bike or treadmill, is recommended. Exercise can strengthen the heart muscle and lower blood pressure and is recommended in moderation (at least 3-4 times a week for 30 minutes). However, if you already have CAD, check with your doctor before starting any new exercise program.

When to Contact Your Doctor

There are some common warning signs that may signal angina and CAD. Contact your doctor if you notice any of these symptoms:

  • Chest pain of any kind
  • Shortness of breath out of proportion to exercise or exertion
  • Increased fatigue