• Angina Pectoris; Cardiac Angina; Variant Angina; Acute Coronary Syndrome
Angina is pain that happens when the heart does not get enough oxygen. The pain is in the chest, but may also be in the shoulders, arms, neck, jaw, or back. It is usually a symptom of coronary heart disease (CHD). CHD happens when blood vessels to the heart become narrow or blocked. Angina usually occurs when the heart is working hard, such as during exercise, but it can also occur at random.
Treatment begins with lifestyle changes to slow CHD and reduce angina symptoms. Medications are also used to decrease the heart’s need for oxygen or increase its supply of oxygen. Surgery may be done to open or bypass very blocked arteries. Angina is serious because it means CHD is present. This increases the risk of a heart attack. No one should self-treat for angina.
Most natural therapies are used to treat the underlying CHD. Natural therapies may also be added to standard care to manage angina symptoms. These therapies may help decrease symptoms and improve activity levels. They cannot stop an episode of angina after it starts.
The following herbs and supplements may be effective in managing symptoms of angina:
May Not Be Effective
Editorial process and description of evidence categories can be found at EBSCO NAT Editorial Process.
Herbs and Supplements to Be Used With Caution
Talk to your doctor about all herbs or supplements you are taking. Some may interact with your treatment plan or health conditions. Some supplements discussed here have certain concerns such as:
References [ + ]
A1. Yu C, Ji K, et al. Effectiveness of acupuncture for angina pectoris: a systematic review of randomized controlled trials. BMC Complement Altern Med. 2015 Mar 28;15:90.
B1. Ernst E. Chelation therapy for coronary heart disease: An overview of all clinical investigations. Am Heart J . 2000;140:4-5.
B2. Knudtson ML, Wyse DG, Galbraith PD, et al. Chelation therapy for ischemic heart disease: a randomized controlled trial. JAMA . 2002;287:481-486.
B3. Anderson TJ, Hubacek J, Wyse DG, et al. Effect of chelation therapy on endothelial function in patients with coronary artery disease: PATCH substudy. J Am Coll Cardiol . 2003;41:420-425.
Herbs and Supplements
C1. Bartels GL, Remme WJ, Holwerda KJ, et al. Anti-ischaemic efficacy of L-propionylcarnitine—a promising novel metabolic approach to ischaemia? Eur Heart J. 1996;17:414-420.
C2. Shechter M, Bairey Merz CN, et al. Effects of oral magnesium therapy on exercise tolerance, exercise-induced chest pain, and quality of life in patients with coronary artery disease. Am J Cardiol. 2003 Mar 1;91(5):517-521.
Last reviewed February 2019 by EBSCO NAT Review Board
Eric Hurwitz, DC