Patient: panic, shortness of breath, chest tightness, back tightness, abdominal distension and back distension after meals, fear of disturbance and clutter, weakness of the limbs, feeling suffocated and uncomfortable in the chest with light physical work. He had an electrocardiogram, ambulatory electrocardiogram, plate test, and coronary angiography in June 2007, and the doctor diagnosed coronary spasm and unstable angina. He was discharged after hospitalization for stabilization. Now he is taking betalac, anti-cardiac pain, aspirin and musk heart pills, but recently he has developed the above symptoms again. I heard that Hersinol is effective for spasms, so I wonder if it can be taken at the same time as Betalac? Should I add a statin lipid-lowering drug? My blood lipid level is not high and my blood pressure is normal. However, the ECG is abnormal. Thank you very much! I look forward to hearing from you! Doctor: If it is determined to be coronary spasm, it is what we often call variant angina pectoris. This kind of angina is related to various factors such as endothelial inflammation and calcium overload. It is recommended that calcium antagonists (such as Tenel Heart, Cardiac Pain) be preferred, preferably with short-acting drugs (such as Cardiac Pain 10mg, taken orally three times a day) and long-acting preparations (such as extended-release Tenel Heart) at night. If this does not work, a nitrate is added. To the above treatment can be added Tongxin, larger doses of vitamin E, and must also take statin drugs. However, betalactam and aspirin may trigger this type of angina, especially high-dose aspirin, so it is recommended to switch to clopidogrel in terms of antiplatelet. If you smoke, you must quit, as smoking is the most common trigger of coronary artery spasm. I wish you good health.