Staying Active with Angina

Why should I be more active?1

Regular exercise has multiple benefits. Exercise, especially aerobic exercise, can:

  • Strengthen your heart and cardiovascular system
  • Reduce your heart disease risk factors, such as high blood pressure and being overweight
  • Improve your circulation and help the body use oxygen better
  • Help reduce stress, tension, anxiety, and depression
  • Improve your sleep
  • Make you look fit and feel healthy

Afraid to Get Started? You Are Not Alone.

  • 74% of patients say they are afraid to exercise after experiencing a cardiac event2
  • 85% of patients say they would exercise if they knew their angina medication could be used as a preventive measure before exercise2

Nitrolingual® Pumpspray improves exercise tolerance, while addressing the acute symptoms of angina pectoris. 3

In a study of patients who had previously experienced a cardiac event (n=51), Nitrolingual Pumpspray 0.4mg:

  • Increased time-to-onset of angina versus placebo spray
  • Increased maximum exercise duration versus placebo spray

Some Physical Activity Is Better Than None. 4

Consider the Following Questions When Choosing a Physical Activity: 1

  • What physical activities do I enjoy?
  • Do I prefer group or individual activities?
  • What programs best fit my schedule?
  • Do I have physical conditions that limit my choice of exercise?
  • What goals do I have in mind? (losing weight, strengthening muscles or improving flexibility, for example)

For most health outcomes, additional benefits occur as the amount of physical activity increases through higher intensity, greater frequency, and/or longer duration.

What Type of Activity Is Best for You?

Examples of Aerobic and Muscle-Strengthening Physical Activities for Older Adults5


  • Walking
  • Dancing
  • Swimming
  • Water aerobics
  • Bicycle riding
  • Some activities of gardening
  • Tennis
  • Golf


  • Exercises using exercise bands, weight machines, hand-held weights
  • Calisthenic exercises
  • Digging, lifting, and carrying as part of gardening
  • Carrying groceries

Exercise can be divided into three basic types:1

  • Stretching
  • Cardiovascular or aerobic
  • Strengthening

How Often Should I Exercise?

30–60 minutes, 5 –7 days a week6

Consult with your physician before engaging in a physical activity to ensure it is safe and appropriate for your condition based upon a risk assessment.

What Is Holding You Back?

Barriers Solution Examples
Time Make being active a priority.
Find some flex time in the mornings or evenings.
Disability Consult with your physician or nurse to find out what activities would be best to get you started.
Access to Cardiac Rehab Center Walk the dog around the neighborhood.
Find alternatives to traditional exercise.
No Activity Buddy Join your local Cardiac Rehab Center.
Lack of Motivation Choose an activity that you enjoy.
Find an activity buddy.
Afraid Start slowly to build your confidence and fitness level.


1 Cleveland Clinic, Diseases and Conditions, Activity Guidelines: activity_guidelines.aspx; accessed on 10/10/11.
2 Data on file at Espero Pharmaceuticals.
3 Thadani U, Wittig T. A randomized, double-blind, placebo-controlled, crossover, dose-ranging multicenter study to determine the effect of sublingual nitroglycerin spray on exercise capacity in patients with chronic stable angina. Clinical Medicine Insights; Cardiology. 2012; 6:87-95.
4 2008 Physical Activity Guidelines for Americans, US Department of Health and Human Services,; accessed on 11/03/11.
5 2008 Physical Activity Guidelines for Americans, US Department of Health and Human Services,; accessed on 11/03/11.
6 World Heart Federation and the Preventive Cardiovascular Nurses Association, Sidney C. Smith, Jr. et al. AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: A guideline from the American Heart Association and American College of Cardiology Foundation. J Am Coll Cardiol. Published online Nov 3, 2011; doi:10.1016/j.jacc.2011.10.824.

Indications and Usage:

Nitrolingual Pumpspray is indicated for acute relief of an attack or prophylaxis of angina pectoris due to coronary artery disease.

Ask your healthcare professional if Nitrolingual Pumpspray is right for you.