New or worsening Prinzmetal's angina requires urgent treatment.

Initial treatment of Prinzmetal's angina in the emergency department includes:

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

Key steps in the treatment for Prinzmetal's angina include:

• Early treatment with aspirin
• Timely decision whether to provide:
• Coronary artery bypass surgery
• Treatment with beta-blocker medication
• Treatment with nitrates
• Treatment with calcium channel blockers
• Continued aspirin therapy after hospital discharge
• Smoking cessation counseling
• Cardiac rehabilitation program

The long-term treatment of Prinzmetal's angina may include:

• Angioplasty for coronary artery disease
• Bypass surgery for coronary artery disease
• Prinzmetal's 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:

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