New or worsening angina requires urgent treatment.

Initial treatment of angina in the emergency department includes:

• Cardiac monitoring
• Oxygen therapy
• Intravenous fluids
• Medications for angina
• Blood pressure monitoring

Key steps in the treatment for angina include:

• Early treatment with aspirin
• Timely decision whether to provide:
• Thrombolytic medications
• Angioplasty
• Coronary artery bypass surgery
• Treatment with beta-blocker medication
• Treatment with ACE inhibitor medication
• Continued aspirin therapy after hospital discharge
• Continued beta-blocker therapy after hospital discharge
• Smoking cessation counseling
• Cardiac rehabilitation program

The long-term treatment of coronary artery disease and angina may include:

• Angioplasty for coronary artery disease
• Bypass surgery for coronary artery disease
• Angina clinical trials

Angina Severity	Treatment Options
Stable / mild or moderate	Control of cardiac risk factors; drug therapy
Unstable / mild to moderate	Hospitalization; control of cardiac risk factors; drug therapy
Unstable / severe symptoms	Drug treatment; angioplasty; coronary artery bypass grafting

For more information:

• Acute coronary syndrome treatment
• Heart Attack treatment
• Coronary artery disease treatment