Associated issues

Work
Most people with angina can return to work once their symptoms are under control. However, this depends on the type of angina you have, the severity of your symptoms and the nature of your job.

Sex
Most people with angina continue to enjoy an active sex life. In general, if you can briskly climb two flights of stairs without having any angina symptoms, then sex should not bring on an angina attack. You should follow the same simple rules as for any exercise: if you are becoming severely breathless or are developing a bad chest pain, slow down or rest for a few minutes. Taking a glyceryl trinitrate tablet before having sex will usually prevent an attack.

Driving
If your angina is well controlled you should have no restrictions on driving. You may need to inform your licensing authority and insurance company. If you drive a heavy goods vehicle or a bus, you may need to give up these licences. Your doctor will be able to give you advice about this.

Travel and holidays
Holidays are important and recommended for everyone. Air travel should not be a problem but if you suffer from breathlessness, you should consult your doctor. You should avoid holidays at high altitudes, especially if you have angina that is brought on easily, or if you suffer from breathlessness.

Here are a few simple tips for stress-free travel:

• Plan your journey carefully and allow plenty of time
• Avoid rushing or carrying heavy luggage
• Take plenty of rests