Stress as a provoking factor of vasospastic angina.

Angina pectoris is a clinical manifestation of ischemic heart disease, and one of its forms is vasospastic angina, which is characterized by episodes of coronary vessel spasm. Unlike stable angina, where ischemia is caused by atherosclerosis, the vasospastic form is more often associated with functional disorders of vascular tone. Emotional stress, as one of the most important factors, can significantly exacerbate vessel spasms, triggering disease exacerbations. The aim of this study was to investigate the role of stress as a trigger for vasospastic angina based on patient questionnaires. The study revealed that stressful situations not only increase the frequency of attacks but may also accelerate the development of vascular disturbances in the long term. The obtained data confirm the need to integrate innovative stress management methods, such as neurobiological training, into the treatment and prevention program of vasospastic angina. Additionally, it was found that psycho-emotional support for patients with vasospastic angina significantly improves their clinical outcomes, reducing the need for medication therapy.