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Peer-reviewedCC BYFrontiers in cardiovascular medicine

Living with angina: rethinking angina management in ANOCA through lived experience.

  • Sarena La1,2,3
  • Sarah Brown4
  • Cindy McCall5
  • Annette Pompa6
  • Rosanna Tavella1,2,3
  • Sivabaskari Pasupathy1,2,3
  • John F Beltrame1,2,3
6 affiliations
  1. 1School of Medicine, College of Health, Adelaide University, Adelaide, SA, Australia.
  2. 2Department of Cardiology, Central Adelaide Local Health Network, Adelaide, SA, Australia.
  3. 3Basil Hetzel Institute for Translational Health Research, Adelaide, SA, Australia.
  4. 4International Heart Spasms Alliance, London, United Kingdom.
  5. 5International Heart Spasms Alliance, Gold Coast, QLD, Australia.
  6. 6International Heart Spasms Alliance, Catasauqua, PA, United States.
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Abstract

Angina with non-obstructive coronary arteries (ANOCA) is an important cause of chronic angina and reduced quality of life. Despite advances in diagnostic testing and growing recognition of coronary vasomotor disorders, many of those living with ANOCA continue to experience ongoing symptoms despite treatment. The existing literature largely focuses on diagnostic methods and pharmacological management, while comparatively little attention has been paid to the lived experience of symptom control. The objective of this perspective paper, produced with the co-founders of the International Heart Spasms Alliance, is to explore angina management in ANOCA through the lens of lived experience and patient advocacy. Key challenges include the substantial impact of chronic angina on daily life, difficulties identifying effective therapies, the need to adapt to a new normal, reliance on self-management strategies, uncertainty surrounding acute symptom escalation, and the importance of support and validation. Improved angina management in ANOCA requires a holistic and individualised approach that combines mechanism-based treatment, multidisciplinary support, and meaningful incorporation of lived perspectives into clinical care and research. Successful angina management should be measured not only by symptom reduction, but also by improvements in quality of life and overall wellbeing.

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Cite

BibTeXRIS
BibTeX
@article{la2026living,
  title = {{Living with angina: rethinking angina management in ANOCA through lived experience.}},
  author = {Sarena La and Sarah Brown and Cindy McCall and Annette Pompa and Rosanna Tavella and Sivabaskari Pasupathy and John F Beltrame},
  journal = {Frontiers in cardiovascular medicine},
  year = {2026},
  month = oct,
  doi = {10.3389/fcvm.2026.1956191},
  url = {https://europepmc.org/article/MED/42898678},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Living with angina: rethinking angina management in ANOCA through lived experience.
AU  - Sarena La
AU  - Sarah Brown
AU  - Cindy McCall
AU  - Annette Pompa
AU  - Rosanna Tavella
AU  - Sivabaskari Pasupathy
AU  - John F Beltrame
PY  - 2026
DA  - 2026/10/05
JO  - Frontiers in cardiovascular medicine
DO  - 10.3389/fcvm.2026.1956191
UR  - https://europepmc.org/article/MED/42898678
AB  - Angina with non-obstructive coronary arteries (ANOCA) is an important cause of chronic angina and reduced quality of life. Despite advances in diagnostic testing and growing recognition of coronary vasomotor disorders, many of those living with ANOCA continue to experience ongoing symptoms despite treatment. The existing literature largely focuses on diagnostic methods and pharmacological management, while comparatively little attention has been paid to the lived experience of symptom control. The objective of this perspective paper, produced with the co-founders of the International Heart Spasms Alliance, is to explore angina management in ANOCA through the lens of lived experience and patient advocacy. Key challenges include the substantial impact of chronic angina on daily life, difficulties identifying effective therapies, the need to adapt to a new normal, reliance on self-management strategies, uncertainty surrounding acute symptom escalation, and the importance of support and validation. Improved angina management in ANOCA requires a holistic and individualised approach that combines mechanism-based treatment, multidisciplinary support, and meaningful incorporation of lived perspectives into clinical care and research. Successful angina management should be measured not only by symptom reduction, but also by improvements in quality of life and overall wellbeing.
SN  - 2297-055X
ER  -