What position is recommended to help a patient with angina?

• A. Lie flat.
• B. Sit reclined with the body in the W position.
• C. Stand upright.
• D. Sit with legs crossed.

Answer: (B)

When angina occurs, the aim is to lessen the heart’s workload and improve oxygen delivery to the heart muscle. Positioning can influence breathing effort and venous return, both of which affect how hard the heart has to work. Sitting in a reclined, supported position with the body in the W position helps by keeping the chest open for easier breathing while reducing the strain on the heart. This posture avoids the added preload that lying flat can produce and keeps the patient comfortable and stable while anticipating further care. It also allows quick access to any prescribed angina medication and makes monitoring easier. Lying flat can worsen symptoms by increasing venous return, standing upright can be uncomfortable and taxing on the heart, and crossing the legs doesn’t aid breathing or circulation in this context.