Postprandial angina pectoris

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

Postprandial angina pectoris is anginal chest discomfort that occurs following meals. It is thought to be due to an increase in vascular tone or a reduction in coronary blood flow.

Pathophysiology

• Any type of angina can occur after meals as a result of increased coronary vascular tone and a decrease in coronary blood flow. However, postprandial angina occurs during physical activity after meals because of an associated increase in myocardial oxygen demand.

• Postprandial angina is almost always associated with significant atherosclerotic coronary artery disease.

Diagnosis

Symptoms

Postprandial angina occurs during physical activity after meals.

Treatment

The treatment is the same as chronic stable angina.