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Stable Angina Pectoris

Stable angina is chest pressure or discomfort that follows a reproducible exertional or emotional pattern and settles with rest or the person’s prescribed plan. New chest pain should not be self-labelled as stable angina.

Ranexa

Ranolazine

500 · 1000mg

Product indicated to support angina pectoris management and designed to relieve symptoms by modifying cardiac ionic currents.

From$1.51/ tabletView

Vastarel

Trimetazidine

20mg

Formulated to support patients with angina to address underlying metabolic myocardial ischemia.

From$1.25/ capsuleView

Key takeaways

  • Pressure may spread to an arm, jaw, back or shoulder and can accompany breathlessness, nausea or fatigue.
  • History, ECG and risk assessment guide testing for coronary disease and alternatives; a normal resting ECG does not exclude angina.
  • Treatment addresses symptom relief and cardiovascular risk, but medicine choice depends on heart rate, blood pressure, rhythm and other conditions.

Catalogue matches are not a chest-pain diagnosis or an emergency plan and do not indicate a safe antianginal combination.

What makes the pattern stable?

Similar activity tends to trigger a similar symptom that settles predictably. Cold, meals or stress may lower the threshold. More frequent, longer, more severe or resting pain represents a change and requires urgent reassessment.

How are antianginal medicines selected?

Ivabradine and ranolazine have selected roles, not universal advantages. Rhythm, interactions, kidney or liver function and ECG effects matter. Risk reduction may separately address smoking, cholesterol and blood pressure; see heart and blood pressure.

When to seek urgent care

Call emergency services for chest discomfort at rest, a new or worsening pattern, severe breathlessness, fainting, sweating or nausea, or pain that does not settle promptly according to the prescribed action plan.

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