Angina is chest pain that, depending on the nature of the condition, can seem worse after exercise or some kind of exertion. The chest pain itself is caused by a reduced flow of blood to the heart muscle, usually caused by a narrowed coronary artery. Your ability to exercise and maintain a certain level of fitness may be impeded by angina, but you and your doctor may be able to work out a plant of treatment and conditioning that addresses your chest pain and your need to exercise regularly for good health.
Types
Restricted blood flow to the heart can result in unstable or stable angina. Stable angina is chest pain that is brought on by exercise or exertion, as opposed to unstable angina, which can occur with exertion or even at rest. In both cases, the restricted flow of blood to the heart muscle results in a reduction in oxygen to the muscle tissue. Less oxygen means more discomfort or pain.
Angina and exercise
While exercise may trigger a bout of angina, the Mayo Clinic still recommends a regular regimen of exercise, though you should discuss your workout plan with your doctor or a cardiac rehabilitation specialist first. The Mayo Clinic also suggests that you be ready to take multiple breaks during your workouts to rest as angina symptoms begin.
Cardiac Rehabilitation
Learning to exercise and attain a higher level of fitness if you have a heart condition and angina should include the guidance of a cardiac rehabilitation specialist or team of specialists. Your cardiac rehab team could include doctors, nurses, psychologists, exercise specialists and nutritionists, because the program includes fitness training as well as education about diet, lifestyle changes and medication adherence.
Considerations
Angina can be triggered by more than exertion, particularly if you have unstable angina. A heavy meal, for example, can trigger a bout of angina, as can rich foods. Of course, if your goal is improved fitness, you'd probably want to stay away from a lot of heavy meals anyway. In addition, stress can trigger angina, so try to avoid situations that will cause stress or anxiety.
Warm-ups
A good warm-up before your jog or workout may help relieve angina symptoms, though doctors aren't sure exactly why or how that happens. If your routine includes a long walk at a moderate pace, make sure to warm up first, as this may allow you to walk longer and faster before any chest pain starts. It may only take a few minutes of mild calisthenics, but see what constitutes a sufficient warm-up for you to keep the angina at bay while you exercise.
