{"id":191,"date":"2014-11-30T14:42:54","date_gmt":"2014-11-30T19:42:54","guid":{"rendered":"http:\/\/www.mynutriguide.com\/?p=191"},"modified":"2020-07-11T10:41:32","modified_gmt":"2020-07-11T14:41:32","slug":"angina-pectoris","status":"publish","type":"post","link":"https:\/\/glutenfreeworks.com\/health\/angina-pectoris\/","title":{"rendered":"Angina Pectoris"},"content":{"rendered":"<h2>What Is Angina Pectoris?<a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/Heart_coronary_artery_lesion1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-5299\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/Heart_coronary_artery_lesion1-300x291.jpg\" alt=\"Coronary Artery Lesion\" width=\"243\" height=\"236\" srcset=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/Heart_coronary_artery_lesion1-300x291.jpg 300w, https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/Heart_coronary_artery_lesion1.jpg 617w\" sizes=\"auto, (max-width: 243px) 100vw, 243px\" \/><\/a><\/h2>\n<p style=\"text-align: justify\"><span class=\"dropcap\">A<\/span>ngina pectoris, or simply angina, is a coronary syndrome characterized by an oppressive substernal pain (pain under breastbone) or pressure brought on by exertion and relieved by rest that results from failure of coronary arteries to deliver adequate oxygen to heart tissue due to ischemic heart disease.<\/p>\n<p style=\"text-align: justify\"><strong>Q:<\/strong> Why do coronary arteries fail to deliver\u00a0adequate oxygen to heart tissue?<\/p>\n<p style=\"text-align: justify\"><strong>A:<\/strong>\u00a0Coronary arteries are the blood vessels that serve the heart. In angina, these vessels fail to deliver adequate oxygen to heart tissue because they\u00a0<span style=\"line-height: 1.5em\">are narrowed or blocked by fatty buildups, called atherosclerotic\u00a0plaques or by a blood clot which impair their ability<\/span><span style=\"line-height: 1.5em\">\u00a0to carry adequate blood that carries the oxygen. D<\/span><span style=\"line-height: 1.5em\">iseased\u00a0<\/span><span style=\"line-height: 1.5em\">coronary arteries<\/span><span style=\"line-height: 1.5em\">\u00a0cannot deliver adequate oxygenated blood pumped by the heart to its own muscle cells.<\/span><\/p>\n<p style=\"text-align: justify\">The heart is a muscular organ that is working all the time without rest, so it needs a constant supply of oxygen. When heart muscle has to work harder, it needs more oxygen. Lack of oxygen causes pain which makes the affected person stop activity and rest.<\/p>\n<p style=\"text-align: justify\"><span style=\"line-height: 1.5em\">Angina can be stable or unstable. Unstable angina is much more serious and can be life-threatening.<\/span><\/p>\n<ul class=\"cp_bullet red\">\n<li style=\"text-align: justify\"><strong>Stable angina<\/strong>\u00a0produces predictable pain and responds to rest and\/or medication. It is less serious than unstable angina but can be very painful or uncomfortable. Anything that makes the heart muscle need more oxygen can cause an angina attack in someone with heart disease, including: smoking, cold weather, exercise, emotional stress, obesity, and large meals.\u00a0Other causes of angina include: abnormal heart rhythms (usually ones that cause the heart to beat quickly), anemia, coronary artery spasm, heart failure, heart valve disease, and hyperthyroidism (overactive thyroid).<a href=\"#footnote_1_191\" id=\"identifier_1_191\" class=\"footnote-link footnote-identifier-link\" title=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmedhealth\/PMH0001247\/\">1<\/a><\/li>\n<li style=\"text-align: justify\"><strong>Unstable angina<\/strong> produces unpredictable pain that may occur at rest, lasting more than 20 minutes. It is more severe than stable angina and less responsive to medication. Atherosclerosis is by far the most common cause of unstable angina. Oxidized low-density lipoprotein, so-called bad cholesterol, and oxysterols play an important role in atherogenesis, the development of atherosclerosis.\u00a0Coronary arteries that are narrowed by atherosclerotic plaques can rupture causing injury to the coronary blood vessel resulting in blood clotting which blocks the flow of blood to the heart muscle.\u00a0Blood clots may form, partially dissolve, and later form again and angina can occur each time a clot blocks blood flow in an artery.\u00a0People with unstable angina are at increased risk of having a heart attack.<a href=\"#footnote_2_191\" id=\"identifier_2_191\" class=\"footnote-link footnote-identifier-link\" title=\"http:\/\/www.heart.org\/HEARTORG\/Conditions\/HeartAttack\/SymptomsDiagnosisofHeartAttack\/Unstable-Angina_UCM_437513_Article.jsp#\">2<\/a><\/li>\n<\/ul>\n<h2>What Is Angina In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p><!--more--><\/p>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong>Relationship between angina pectoris and celiac disease.<\/strong>\u00a0Angina pectoris is a serious cardiovascular disorder associated with celiac disease.<\/li>\n<li style=\"text-align: justify\"><strong>Relationship between angina pectoris and death in celiac disease. <\/strong>Cardiovascular disease is the most common cause of death in patients with celiac disease.\u00a0Chronic inflammation in the general population is a major risk factor for ischemic heart disease. Many patients with celiac disease have been exposed to long-term inflammation in the bowel both before and after diagnosis of celiac disease.<\/li>\n<li style=\"text-align: justify\"><strong>Relationship between angina pectoris and diet.\u00a0<\/strong>Roughly 17% of the patients with celiac disease have low dietary adherence.\u00a0Low dietary adherence is associated with persistent inflammation and therefore might explain the increased risk of ischemic heart disease observed in patients with celiac disease.<a href=\"#footnote_3_191\" id=\"identifier_3_191\" class=\"footnote-link footnote-identifier-link\" title=\"Ludvigsson JF, James S, Askling J, Stenestrand U, Ingelsson E. Nationwide cohort study of risk of ischemic heart disease in patients with celiac disease.&nbsp;Circulation. 2011 Feb 8;123(5):483-90. doi: 10.1161\/CIRCULATIONAHA.110.965624.\">3<\/a><\/li>\n<\/ul>\n<h2>How Prevalent Is Angina In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p style=\"text-align: justify\">The largest study to date on ischemic heart\u00a0disease (IHD) risk in celiac disease, with almost 1000 deaths from IHD during follow-up,\u00a0examined the risk of IHD incidence in individuals with\u00a0celiac disease\u00a0based on small intestinal histopathology (biopsy). Reseachers found that individuals with celiac disease or small intestinal inflammation have a 19% increased risk of IHD. A positive association between latent celiac disease (non-inflammatory) and IHD was not found.<a href=\"#footnote_3_191\" id=\"identifier_4_191\" class=\"footnote-link footnote-identifier-link\" title=\"Ludvigsson JF, James S, Askling J, Stenestrand U, Ingelsson E. Nationwide cohort study of risk of ischemic heart disease in patients with celiac disease.&nbsp;Circulation. 2011 Feb 8;123(5):483-90. doi: 10.1161\/CIRCULATIONAHA.110.965624.\">3<\/a><\/p>\n<h2>What Are The Symptoms Of Angina?<\/h2>\n<p>Angina pectoris is marked by these symptoms:<\/p>\n<ul class=\"cp_bullet red\">\n<li>Pain or pressure in the chest which may radiate down the arm or into the jaw, shoulders or neck, lasting more than 20 minutes. Unstable angina frequently develops in the morning.<\/li>\n<li><span style=\"line-height: 1.5em\">May be accompanied by shortness of breath, nausea or vomiting, sweating, anxiety or fear.<\/span><\/li>\n<li>Pulmonary edema develops in unstable angina without treatment.<\/li>\n<\/ul>\n<h2>How Does Angina In Celiac Disease and\/or Gluten Sensitivity Develop?<\/h2>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\">Unstable angina pectoris results from inadequate blood flow and oxygenation to heart tissue due to atherosclerosis. However, atherosclerosis develops in arteries that are hardened by sustained high homocysteine levels in the bloodstream. \u00a0Elevated homocysteine, a transient amino acid, directly results from nutritional deficiencies of vitamin B12, folate, pyridoxine (vitamin B6), and EPA omega-3 fatty acid.<\/li>\n<\/ul>\n<ul class=\"cp_bullet red\">\n<li style=\"text-align: justify\">Chronic selenium and vitamin E deficiencies are associated with inflammation and increased risk for cardiovascular disease. All these deficiencies are common in celiac disease.<\/li>\n<\/ul>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\">Stable angina results from inadequate oxygenation to the heart in these conditions:<\/li>\n<\/ul>\n<ul class=\"cp_bullet red\">\n<li>Anemia which limits the ability of blood to carry oxygen.<\/li>\n<li>Anxiety which constricts vessels thereby limiting their ability to transport oxygenated blood.<\/li>\n<li>Stress which increases the demand for oxygen.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\">Does Angina Respond To Gluten-Free Diet?<\/h2>\n<p style=\"text-align: justify\">Overall diet content is very important. Large meals and rich foods should be avoided.<\/p>\n<p style=\"text-align: justify\">A meta-analysis (examination) of 9 cohort studies observed a protective effect of fruits and vegetables by means of their protective constituents such as potassium, folate, vitamins, fiber, and other phenolic compounds in the risk of developing coronary heart disease and stroke. The study consisted of 91,379 men, 129,701 women, and 5,007 coronary heart disease (CHD) events. The risk of CHD was decreased by 4% for each additional portion per day of fruit and vegetable intake and by 7% \u00a0for fruit intake.<a href=\"#footnote_4_191\" id=\"identifier_5_191\" class=\"footnote-link footnote-identifier-link\" title=\"Dauchet L1, Amouyel P, Hercberg S, Dallongeville J. Fruit and vegetable consumption and risk of coronary heart disease: a meta-analysis of cohort studies. J Nutr. 2006 Oct;136(10):2588-93.\">4<\/a><\/p>\n<h2 style=\"text-align: justify\">6 Steps To Improve\u00a0Angina\u00a0\u00a0Related to Celiac Disease and\/or Gluten Sensitivity:<\/h2>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><em><span style=\"color: #800000\"><span class=\"dropcap\"><strong>1<\/strong><\/span><\/span><strong><span style=\"color: #800000\">Remove the Trigger. Maintain a Strict, Nutritious Gluten Free Diet:<\/span><\/strong><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<b>Treatment<\/b>. This condition responds to the complete elimination of gluten, which is the required treatment that improves both angina and gut health.<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Gut health is the foundation to restore ALL health. Restored health will enable you to maintain a strict gluten free diet, just as other life tasks will be easier.<\/li>\n<li>A strict gluten free diet means removing 100% of wheat, barley, rye and oats from the diet.<\/li>\n<li>Cutting out bread and other obvious sources of gluten is not good enough for recovery. Even 1\/8th teaspoon of flour or bread crumb is enough to sustain the inflammation that is damaging your small intestine, causing increased permeability (leaky gut) and allowing undigested gluten to enter your body where it can damage structures and function, and instigate immune inflammatory responses.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Correct Your Individual Nutritional Needs.<\/strong><\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Eat foods that can replenish missing nutrients. Find them under\u00a0NUTRIENT DEFICIENCIES.<\/li>\n<li>Take nutritional supplements as needed.\u00a0Find them under\u00a0NUTRIENT DEFICIENCIES.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Recovery<\/strong>. You should begin to feel better within a week and notice more energy as inflammation subsides and the \u00a0absorbing cells that make up the surface lining of your small intestine are better able to function.<\/p>\n<ul class=\"cp_bullet green\">\n<li style=\"text-align: justify\">Intestinal lining cells are replaced every 5 days. The healing process is like sunburn where the damaged surface layer of skin sloughs off and is replaced with new normal cells.<\/li>\n<li style=\"text-align: justify\">Leaky gut normally resolves in two month after starting a gluten free diet and brings about a big improvement in health. Improvement in intestinal permeability precedes morphometric recovery (cell appearance and structure) of the small intestine in celiac disease.<a href=\"#footnote_5_191\" id=\"identifier_6_191\" class=\"footnote-link footnote-identifier-link\" title=\"Cummins AG, Thompson FM, Butler RN, et al. Improvement in intestinal permeability precedes morphometric recovery of the small intestine in coeliac disease.&nbsp;Clinical Science. Apr 2001;100(4):379-86.\">5<\/a><\/li>\n<li style=\"text-align: justify\">The intestinal lining may take up to a year to heal.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000\"><span class=\"dropcap\"><strong>2<\/strong><\/span><\/span><strong><span style=\"color: #800000\">\u00a0Reduce Inflammation. Foods to Eat and Foods Not to Eat:<\/span><\/strong><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\">Because gluten is inflammatory, eliminate OTHER inflammatory foods from your diet to reduce an additive effect to gluten. At the same time, try to eat foods that reduce inflammation (anti-inflammatory).<\/p>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Here Are Major Inflammatory Food Types That Reduce Healing<\/strong>:<\/p>\n<ul class=\"cp_bullet red\">\n<li style=\"text-align: justify\"><strong>Damaging Foods<\/strong>. In susceptible persons, includes corn, dairy (cow), and soy. Lactose, the sugar in any animal milk disrupts intestinal permeability causing leaky gut.<a href=\"#footnote_6_191\" id=\"identifier_7_191\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">6<\/a><\/li>\n<li style=\"text-align: justify\"><strong>Allergenic Foods<\/strong>. Includes foods that trigger the immune sytem to produce IgE antibodies. Allergy testing is the usual way to discover these offending foods.<\/li>\n<li style=\"text-align: justify\"><strong>Shelf Stable Processed Foods.\u00a0<\/strong>Includes any that contain additives and preservatives. Look for them on the nutrition label of the box or package. Additives and preservatives also disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_6_191\" id=\"identifier_8_191\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">6<\/a><\/li>\n<li style=\"text-align: justify\"><strong>Fats.<\/strong>\u00a0Limit deep fried foods, trans-fats, saturated fats (animal fat\/butter), and EXCESSIVE omega-6 fatty acid oils like corn oil. Rancid fats, sodium caprate (a medium chain fat), and sucrose monester fatty acid (a food grade surfactant) induce significant disruption of the intestinal barrier that causes leaky gut.<a href=\"#footnote_6_191\" id=\"identifier_9_191\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">6<\/a>.<\/li>\n<li style=\"text-align: justify\"><strong>Excessive Refined White Flours\u00a0<\/strong>(bran layer removed)<strong>.\u00a0<\/strong>Includes\u00a0products made from them such as cookies, bread, cakes, pies.\u00a0Bran contains the vitamins and minerals that metabolize grains and slows the otherwise rapid entry of sugar from their digestion into the bloodstream.\u00a0Also disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_6_191\" id=\"identifier_10_191\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">6<\/a><\/li>\n<li style=\"text-align: justify\"><strong>Refined Sugars.\u00a0<\/strong>\u00a0Includes white sugar, corn fructose and high fructose corn syrup.<\/li>\n<li style=\"text-align: justify\"><strong>Certain Spices<\/strong>. Includes paprika and cayenne pepper which disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_6_191\" id=\"identifier_11_191\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">6<\/a><\/li>\n<li style=\"text-align: justify\"><strong>Alcohol and Caffeine<\/strong>. Disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_6_191\" id=\"identifier_12_191\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">6<\/a>\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Here Are Important Anti-Inflammatory Food Types to Promote Health<\/strong>:<\/p>\n<ul class=\"cp_bullet green\">\n<li style=\"text-align: justify\"><strong>Fruits<\/strong>.\u00a0Contain ample amounts of vitamins, minerals and phytochemicals which are\u00a0naturally occuring components in plants that detoxify toxins, carcinogens (reducing the risk by 50%) and mutagens.<\/li>\n<li style=\"text-align: justify\"><strong>Non-Starchy Vegetables.<\/strong>\u00a0Support intestinal integrity and provide ample amounts of vitamins, minerals and phytochemicals. Includes lettuce, kale, onion, broccoli, garlic, and others.<\/li>\n<li style=\"text-align: justify\"><strong>High Quality Complex Carbohydrates<\/strong>. Provide vitamins, minerals, and fiber while boosting serotonin levels to help you relax and feel calm. Includes whole grains, legumes, and root vegetables such as carrots, parsnips, sweet potatoes, turnips, red beets, and others.<\/li>\n<li style=\"text-align: justify\"><strong>Antioxidants<\/strong>. Protect the body from inflammatory oxidant molecules that continually occur and\u00a0help us handle stress and reduce irritability. Includes vitamin C-containing foods such as lemon, grapefruit, apricot, Brussels sprouts and strawberries, and others. Also, includes vitamin E-containing foods such as\u00a0nuts, seeds, avocado, olive oil, and others. Cocoa is good, too.<\/li>\n<li style=\"text-align: justify\"><strong>Omega-3 Fatty Acids<\/strong>. Balance opposing omega-6 fatty acids and bad fats. Fish sources includes tuna, salmon, cod, and others. Plants sources include flax, chia seeds, canola oil, and others.<\/li>\n<li style=\"text-align: justify\"><strong>Probiotics.\u00a0<\/strong>Supply normal microbes needed for colon health and health of the body such as these fermented foods: yogurt, kefir, and unpasteurized apple cider vinegar.<\/li>\n<li style=\"text-align: justify\"><strong>Prebiotics\/ High Fiber Foods<\/strong>. \u00a0Food with fiber keeps our population of colonic microbes healthy.<\/li>\n<li style=\"text-align: justify\"><strong>Protective Herbs and Spices<\/strong>. \u00a0See below #6 below for examples.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000\"><strong><span class=\"dropcap\">3<\/span>\u00a0Information Sheet You Can Take to Your Doctor or Other Health Professional:<\/strong><\/span><\/em><\/li>\n<\/ul>\n<p>Click here.<\/p>\n<p>&nbsp;<\/p>\n<ul class=\"cp_check green\">\n<li><span style=\"color: #800000\"><strong><em><span class=\"dropcap\">4<\/span>\u00a0Manage Your Medications\u00a0Safely<\/em>:<\/strong><\/span><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t\n<p>Certain prescription drugs cause nutritional deficiencies that promote angina. Ask your doctor or pharmacist about this possible adverse effect.\u00a0<strong>Do not stop prescribed medications without supervision.<\/strong><\/p>\n<p>This is not a complete listing.<\/p>\n<p><strong>FEMALE HORMONES<\/strong>\u00a0disrupt intestinal permeability.<\/p>\n<ul class=\"cp_bullet blue\">\n<li>Oral Contraceptives (Norinyl\u00ae, Ortho-Novum\u00ae, Triphasil\u00ae, and others) deplete Vitamin B6, Vitamin B12, Folic Acid, Selenium.<\/li>\n<li>Oral Estrogen\/Hormone Replacement (Evista\u00ae, Prempro\u00ae, Premarin\u00ae, Estratab\u00ae and others) deplete\u00a0Vitamin B6, Vitamin B12, Folic Acid.<\/li>\n<\/ul>\n<p><strong>DIURETICS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Loop Diuretics (Lasix\u00ae, Bumex\u00ae, Edecrin\u00ae) depletes\u00a0Vitamin B6.<\/li>\n<li>Potassium Sparing Diuretics (Midamor\u00ae, Aldactone\u00ae, Dyrenium\u00ae and others) deplete\u00a0Folic Acid.<\/li>\n<\/ul>\n<p><strong>DIABETIC DRUGS\u00a0<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Metformin\u00ae depletes\u00a0Folic acid, Vitamin B12.<\/li>\n<\/ul>\n<p><strong>CARDIOVASCULAR DRUGS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Antihypertensives (Catapres\u00ae, Aldomet) deplete\u00a0Vitamin B6.<\/li>\n<\/ul>\n<p><strong>ANTI-INFLAMMATORIES<\/strong>\u00a0&#8211; Disrupt Intestinal permeability.<\/p>\n<ul class=\"cp_bullet blue\">\n<li>Corticosteroids (Prednisone, Medrol\u00ae, Aristocort\u00ae, Decadron) deplete Vitamin B6, Vitamin B12, Folic Acid, Selenium.<\/li>\n<li>NSAIDS (Motrin\u00ae, Aleve\u00ae, Advil\u00ae, Anaprox\u00ae, Dolobid\u00ae, Feldene\u00ae, Naprosyn\u00ae and others) deplete\u00a0Folic acid.<\/li>\n<li>Aspirin and Salicylates deplete\u00a0Folic acid.<\/li>\n<\/ul>\n<p><strong>ANTICONVULSANTS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Phenobarbital and Barbituates; and Dilantin\u00ae, Tegretol\u00ae, Mysoline\u00ae, Depakane\/Depacon\u00ae deplete\u00a0Folic Acid, Vitamin B12, Selenium.<\/li>\n<\/ul>\n<p><strong>MAJOR TRANQUILIZERS<\/strong>\u00a0<b>\u00a0<\/b><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Thorazine\u00ae, Mellaril\u00ae, Prolixin\u00ae, Serentil\u00ae and others\u00a0deplete\u00a0Vitamin B12.<\/li>\n<\/ul>\n<p><strong>ANTIBIOTICS \u00a0<\/strong>disrupt intestinal permeability.<\/p>\n<ul class=\"cp_bullet blue\">\n<li>Gentomycin, Neomycin, Streptomycin, Cephalosporins, Penicillins\u00a0deplete\u00a0B Vitamins.<\/li>\n<li>Tetracyclines deplete Vitamin B6.<\/li>\n<\/ul>\n<p><strong>ANTACIDS \/ ULCER MEDICATIONS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Pepcid\u00ae, Tagamet\u00ae, Zantac\u00ae deplete Folic Acid, Vitamin B12.<\/li>\n<li>Magnesium and Aluminum Antacid preparations (Gaviscon\u00ae, Maalox\u00ae, Mylanta\u00ae) deplete Folic Acid, Vitamin B12.<\/li>\n<li>Prevacid\u00ae, Prilosec\u00ae\u00a0depleteVitamin B12.<\/li>\n<li>Alka Seltzer\u00ae, Baking Soda deplete\u00a0Folic Acid.<\/li>\n<\/ul>\n<p><strong>CHOLESTEROL DRUGS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Colestid\u00ae and Questran\u00ae Folic acid, Vitamin B12.<\/li>\n<\/ul>\n<p><strong>ANTIVIRAL AGENTS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Zidovudine (Retrovir\u00ae, AZT and other related drugs) deplete Vitamin B12.<\/li>\n<\/ul>\n<p><strong>ANTI-DEPRESSANTS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Adapin\u00ae, Aventyl\u00ae, Elavil\u00ae, Pamelor\u00ae, and others\u00a0deplete these nutrients: Vitamin B12.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000\"><strong><span class=\"dropcap\">5<\/span>Nutritional Supplements To Help Correct Deficiencies:<\/strong><\/span><\/em><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t\n<ul class=\"cp_bullet orange\">\n<li style=\"text-align: justify\">Multivitamin\/mineral combination once a day is useful to improve overall nutrient levels. This is a safe dose, but always check with your doctor to avoid interactions with medications.<\/li>\n<li style=\"text-align: justify\">100% of the B vitamins, or as prescribed by a doctor. About\u00a0B Vitamin Complex supplements: \u00a0some labeling can be confusing, for example, &#8220;B 100&#8221; does not mean 100%. If the ingredient list shows\u00a0\u00a0an excessive amount like\u00a03000% or more, look for another brand because this excessive amount will cause the loss of mineral in the urine.<\/li>\n<li style=\"text-align: justify\">Selenium as prescribed \u00a0to restore normal blood level.<\/li>\n<li style=\"text-align: justify\">EPA in fish oil preparations.<\/li>\n<\/ul>\n<p><strong>Storage Note<\/strong>:\u00a0<em>Store container tightly sealed, away from heat, moisture and direct light to avoid loss of potency. That is, in a safe kitchen cabinet &#8211; not in the bathroom or on the kitchen table<\/em>.\u00a0<em>Fish oil goes in the refrigerator<\/em>\n\t\t\t<\/div><\/div>\n<ul class=\"cp_check green\">\n<li><span style=\"color: #800000\"><em><strong><span class=\"dropcap\">6<\/span>Manage Natural Remedies:\u00a0<\/strong><\/em><\/span><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Hydration<\/strong>:<\/p>\n<ul class=\"cp_bullet green\">\n<li style=\"text-align: justify\">Eight glasses of water are recommended per day unless there is a contraindication such as kidney or heart disease. The Institute of Medicine recommends approximately 2.7 liters (91 ounces) of total water, from all beverages and foods, each day for women and 3.7 liters (125 ounces) daily of total water for men.<\/li>\n<li style=\"text-align: justify\">If you are thirsty, drink water. Add fresh, squeezed lemon to water. Lemon is anti-inflammatory, alkalizing and provides vitamin C.<\/li>\n<li style=\"text-align: justify\">Hydration Test: Urine should be pale yellow. Fingertips should be plump, without pruning but this may not be reliable when fingers are swollen with edema. Lips should be plump, without puckering. The feeling of thirst can be unreliable.<\/li>\n<li style=\"text-align: justify\">What is wrong with soda, coffee, tea, and alcohol? These drinks are dehydrating, increase acid, and deplete nutrients.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Carminatives.\u00a0<\/strong>The following \u00a0anti-inflammatory\u00a0plant sources called carminitives help heal the digestive tract. They also tone the digestive muscles which improves peristalsis, thus aiding in the expulsion of gas from the stomach and intestine to relieve digestive colic and gastric discomfort.<\/p>\n<p><strong>Carminative Food Remedies<\/strong>:<\/p>\n<ul class=\"cp_bullet green\">\n<li>Raspberry.<\/li>\n<li>Carrot is also a cleansing digestive tonic.<\/li>\n<li>Grape is also bile stimulating and a cleansing remedy for sluggish digestion and laxative.<\/li>\n<li>Redbeets also stimulate and improve digestion and are easily digested.<\/li>\n<li>Cabbage also stimulates and improves digestion and is also a liver decongestant.<\/li>\n<li>Lettuce also stimulates and improves digestion and is also an alterative, meaning it improves the function of organs involved with the digestion and excretion of waste products to bring about a gradual change.<\/li>\n<li>Potatoes are antispasmodic (due to atropine like properties) and a liver remedy.<\/li>\n<\/ul>\n<p><strong>Carminative Herb Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\">\n<li>Sage is also a digestive, astringent, bile stimulant and energy tonic that heals the mucosa. \u00a0Drink as tea or use in cooking.<\/li>\n<li>Chamomile, lemon balm, and fennel, (as a tea) also help relieve nervous tension.<\/li>\n<li>Parsley also relieves indigestion.<\/li>\n<li>Rosemary as a tea and in cooking also is a nervous system tonic for stress and fatigue, bile stimulant, and can relieve headaches and indigestion.<\/li>\n<li>Thyme is also soothing remedy useful for stimulating digestion of rich, fatty foods.<\/li>\n<\/ul>\n<p><strong>Carminative Spice Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\">\n<li>Cloves are also antispasmodic.<\/li>\n<li>Nutmeg is also useful for indigestion.<\/li>\n<li>Ginger.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Exercise Helps<\/strong>:<\/p>\n<p>Gentle exercise improves circulation and rids the body of toxins. Exercise only up to the point of pain to prevent tissue damage from lack of oxygen.<\/p>\n<ul class=\"cp_bullet green\">\n<li>Walking is aerobic exercise that reconditions the whole body to improve stamina.\u00a0Read more about<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">\u00a0Exercise and Fitness<\/a>.<\/li>\n<li>Weight training builds muscle.\u00a0Read more about\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">Exercise and Fitness<\/a>.<\/li>\n<li>Stretching improves flexibilty.\u00a0Read more about\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">Exercise and Fitness<\/a>.<\/li>\n<\/ul>\n<p><strong>Note<\/strong>: Exercise is important, but the amount and type of exercise undertaken depends on your health. Your first priority is to heal. \n\t\t\t<\/div><\/div>\n<h2>What Do Medical Research Studies Tell About Angina In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<h4><strong>RESEARCH STUDY SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><b>\u201cNationwide cohort study of risk of ischemic heart disease in patients with celiac disease.&#8221;<\/b>\u00a0In this Swedish population-based cohort study, researchers examining the risk of ischemic heart\u00a0disease incidence in individuals with\u00a0celiac disease\u00a0based on small intestinal histopathology found that individuals with celiac disease or small intestinal inflammation are at increased risk of incident ischemic heart\u00a0disease. A positive association between latent celiac disease and incident ischemic heart\u00a0disease was not shown.<\/p>\n<p style=\"text-align: justify\">Ischemic heart\u00a0disease (IHD) was defined as death or incident\u00a0disease\u00a0in myocardial infarction or\u00a0angina pectoris\u00a0in Swedish national registers. In 2006 to 2008, duodenal\/jejunal biopsy data was collected on celiac disease (equal to villous atrophy; Marsh 3 in 28,190 unique individuals) and inflammation without villous atrophy (Marsh 1 to 2 in12, 598 individuals) from all 28 pathology departments in Sweden. A third cohort consisted of 3658 individuals with normal mucosa but positive celiac disease serology (Marsh 0, latent celiac disease). An increased risk of incident IHD was found in patients undergoing small intestinal biopsy that was independent of small intestinal histopathology (CD: \u00a0991 events; inflammation: 809 events; and latent CD: 62 events).\u00a0Celiac disease and inflammation were both associated with death resulting from IHD, whereas latent CD was not.<a href=\"#footnote_7_191\" id=\"identifier_13_191\" class=\"footnote-link footnote-identifier-link\" title=\"Ludvigsson JF, James S, Askling J, Stenestrand U, Ingelsson E. Nationwide cohort study of risk of ischemic heart disease in patients with celiac disease. Circulation. 2011 Feb 8;123(5):483-90. doi: 10.1161\/CIRCULATIONAHA.110.965624..\">7<\/a><\/p>\n<p style=\"text-align: justify\"><strong>\u201cCoronary atherosclerosis and oxidative stress as reflected by autoantibodies against oxidized low-density lipoprotein and oxysterosis.\u201d<\/strong>\u00a0This study investigating the relevance of oxysterols and autoantibodies against oxLDL (low density lipoprotein or so-called bad cholesterol) to coronary artery disease in 183 patients undergoing coronary angiography demonstrated oxLDL is immunogenic, and autoantibodies against oxLDL are detectable in serum. Antibodies, but not oxysterol concentrations, were significantly greater in subjects with unstable angina that with stable angina. Researchers concluded that anti-oxLDL antibody and oxysterol concentrations are associated with coronary artery stenosis, and oxidative stress may be greatly increased in unstable angina.<a href=\"#footnote_8_191\" id=\"identifier_14_191\" class=\"footnote-link footnote-identifier-link\" title=\"Yasunobu Y, Hayashi K, Shingu T, Yamagata T, Kajiyama G, Kambe M. Coronary atherosclerosis and oxidative stress as reflected by autoantibodies against oxidized low-density lipoprotein and oxysterosis. Atherosclerosis. Apr 2001;155(2):445-53.\">8<\/a><\/p>\n<ol class=\"footnotes\"><li id=\"footnote_1_191\" class=\"footnote\">http:\/\/www.ncbi.nlm.nih.gov\/pubmedhealth\/PMH0001247\/<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_1_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_2_191\" class=\"footnote\">http:\/\/www.heart.org\/HEARTORG\/Conditions\/HeartAttack\/SymptomsDiagnosisofHeartAttack\/Unstable-Angina_UCM_437513_Article.jsp#<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_2_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_3_191\" class=\"footnote\">Ludvigsson JF, James S, Askling J, Stenestrand U, Ingelsson E. Nationwide cohort study of risk of ischemic heart disease in patients with celiac disease.\u00a0<i>Circulation<\/i>. 2011 Feb 8;123(5):483-90. doi: 10.1161\/CIRCULATIONAHA.110.965624.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_3_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_4_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_4_191\" class=\"footnote\">Dauchet L1, Amouyel P, Hercberg S, Dallongeville J. Fruit and vegetable consumption and risk of coronary heart disease: a meta-analysis of cohort studies. <em>J Nutr.<\/em> 2006 Oct;136(10):2588-93.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_5_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_5_191\" class=\"footnote\">Cummins AG, Thompson FM, Butler RN, et al. Improvement in intestinal permeability precedes morphometric recovery of the small intestine in coeliac disease.\u00a0<em>Clinical Science<\/em>. Apr 2001;100(4):379-86.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_6_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_6_191\" class=\"footnote\">Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.\u00a0<em>Journal of Gastroenterology and Hepatology<\/em>. 2003;18:479-91.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_7_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_8_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_9_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_10_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_11_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_12_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_7_191\" class=\"footnote\">Ludvigsson JF, James S, Askling J, Stenestrand U, Ingelsson E. Nationwide cohort study of risk of ischemic heart disease in patients with celiac disease. <i>Circulation<\/i>. 2011 Feb 8;123(5):483-90. doi: 10.1161\/CIRCULATIONAHA.110.965624..<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_13_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_8_191\" class=\"footnote\">Yasunobu Y, Hayashi K, Shingu T, Yamagata T, Kajiyama G, Kambe M. Coronary atherosclerosis and oxidative stress as reflected by autoantibodies against oxidized low-density lipoprotein and oxysterosis. <em>Atherosclerosis<\/em>. Apr 2001;155(2):445-53.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_14_191\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><\/ol>","protected":false},"excerpt":{"rendered":"<p>What Is Angina Pectoris? Angina pectoris, or simply angina, is a coronary syndrome characterized by an oppressive substernal pain (pain under breastbone) or pressure brought on by exertion and relieved by rest that results from failure of coronary arteries to deliver adequate oxygen to heart tissue due to ischemic heart disease. Q: Why do coronary &#8230;<\/p>\n","protected":false},"author":29,"featured_media":5299,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[4,779,121,105,91,119,124,54,107,122,123],"tags":[420,386,101,92,1243,1251,1904,776,1899,619,1328,324,1914,1919,545,454,1891,1905,106,1918,478],"class_list":["post-191","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-conditions-2","category-associated-disorder","category-blood-vessels","category-folic-acid","category-heart","category-omega-3-fatty-acids","category-selenium","category-cardiovascular","category-vitamin-b12","category-pyridoxine","category-vitamin-e","tag-angina-pectoris","tag-anxiety","tag-associated-disorders","tag-atherosclerosis","tag-chest-pain","tag-fear","tag-folic-acid","tag-health-conditions","tag-heart","tag-inflammation","tag-ischemia","tag-nausea","tag-omega-3-fatty-acids","tag-selenium","tag-shortness-of-breath","tag-sweating","tag-cardiovascular","tag-vitamin-b12","tag-vitamin-b6","tag-vitamin-e","tag-vomiting"],"_links":{"self":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/191","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/users\/29"}],"replies":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/comments?post=191"}],"version-history":[{"count":39,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/191\/revisions"}],"predecessor-version":[{"id":18813,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/191\/revisions\/18813"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media\/5299"}],"wp:attachment":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media?parent=191"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/categories?post=191"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/tags?post=191"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}