Note: These treatments are recommended for stable angina. Unstable angina is an unpredictable condition, and not proven to respond to the treatments listed below.
CoQ10 is a substance involved in the production of energy. It works as an electron carrier in the mitochondria of cells. It is considered to be very close in action as Vitamin E, and can protect against several forms of heart disease.
Dose: 120 mg (or more) per day.
This non-essential amino acid (it can be made by the body) is used by the cells to release energy from fat. It transports fatty acids into mitochondria, the powerhouses of cells in the heart. It is useful for people with stable angina, as it may help with exercise ability.
Dose: 1 gram (or more) per day
Hawthorne (Crataegus oxycantha)
Hawthorne leaves, berries and flowers contain flavonoids known as oligoeric proanthocyanidins which have antioxidant activity. It also increases blood flow to the heart enhancing the hearts use of oxygen. Hawthorne is best used long term.
Dose: 250-500 mg a day, best used long term
Magnesium therapy is a must for any heart condition. Magnesium deficiency may be a contributing factor for spasms that occur in coronary arteries, particularly in variant angina.
Dose: 400-800 mg a day
Vitamin E is a general term for a chemical class known as the tocopherols and tocotrienols. These compounds are antioxidant and can help reduce the oxidation process that occurs with atherosclerotic plaques, and they can increase the viscosity of the blood and improve blood flow. They seem to better in a combination of mixed tocopherols instead of alpha tocopherol, which most vitamin supplements consist of alone.
Dose is 400-800 IU a day
Nitroglycerin and similar drugs cause dilation of arteries by interacting with nitric oxide, a potent stimulus for dilation. Nitric oxide is made from arginine, a common amino acid.
Dose: 1-3 grams a day
Fish oil, which contains the fatty acids known as EPA and DHA, has been studied in the treatment of angina. In some studies, enough fish oil to provide a total of about 3 grams of EPA and 2 grams of DHA has reduced chest pain as well as the need for nitroglycerin.
Dose: 5 grams total omega-3 a day
Also called ajuna, this plant is an Ayurvedic herb. It has been studied for the treatment of stable angina, with results showing a reduction in chest pain and blood pressure
Dose: 1-3 grams a day