What happens if angina is untreated? Unstable angina is chest pain that occurs at rest or with exertion or stress. If left untreated, unstable angina can lead to heart attack, heart failure, or arrhythmias (irregular heart rhythms). These can be life-threatening conditions. How long can angina last? Microvascular angina is caused when the tiny blood vessels that feed your heart don't function properly. Pain is more severe and can last longer than stable angina, sometimes 30 minutes or more. Pain is unpredictable. It can happen during exercise or while resting. What is the main cause of angina? The most common reason a patient complains of angina is because of narrowed coronary arteries caused by atherosclerotic heart disease (ASHD). Cholesterol plaque gradually builds on the inner lining of a coronary artery, narrowing its diameter and decreasing the amount of blood that can flow past the blockage.
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