CORONARY HEART
DISEASe treatment
Your treatment for
coronary heart disease depends on how serious your symptoms are and any other health conditions you have. If you are
experiencing a heart attack, for example, you may need emergency treatment.
If your healthcare provider diagnoses you
with coronary heart disease based on symptoms and tests, your treatment may
include heart-healthy lifestyle changes in combination with medicine to prevent
a heart attack or other health problems. Your provider will consider your 10-year risk calculation when deciding how best to treat your coronary
heart disease.online medicine
Heart-healthy lifestyle changes
Your provider may
recommend adopting lifelong heart-healthy lifestyle changes.
·
Aim
for a healthy weight. Losing just 3%
to 5% of your current weight can help you manage some coronary heart disease
risk factors, such as high blood cholesterol and diabetes. Greater amounts of weight loss can also improve blood pressure
readings.
·
Be
physically active. Routine physical
activity can help manage coronary heart disease risk factors such as high blood
cholesterol, high blood pressure, or overweight and obesity. Before starting
any exercise program, ask about what level of physical activity is right for
you.
·
Heart-healthy
eating may include
the DASH (Dietary
Approaches to Stop Hypertension) eating plan. A heart-healthy eating plan includes fruits, vegetables, and
whole grains and limits saturated fats, sodium (salt),
added sugars, and alcohol.
·
Manage
stress. Learning how to
manage stress, relax, and cope with problems can improve your emotional and
physical health.
·
Quit
smoking. Visit Smoking and Your Heart and Your Guide to a Healthy Heart. Although these resources focus on heart
health, they include basic information about how to quit smoking. For free help
and support to quit smoking, you can call the National Cancer Institute's
Smoking Quitline at 1-877-44U-QUIT (1-877-448-7848). Talk to your doctor if you
vape. There is scientific evidence that nicotine and flavorings found in vaping
products may damage your heart and lungs.
·
Get
enough good-quality sleep. The
recommended amount for adults is 7 to 9 hours of sleep a day.
Medicines
Some medicines can
reduce or prevent chest pain and manage other medical conditions that may
contribute to your coronary heart disease.
·
ACE
inhibitors and beta blockers help lower blood pressure and decrease how hard your heart
is working.
·
Calcium
channel blockers lower blood
pressure by allowing blood vessels to relax.
·
Medicines
to control blood sugar, such
as empagliflozin, canagliflozin, and liraglutide, can help lower your risk for
complications if you have coronary heart disease and diabetes.
·
Metformin controls plaque buildup if you have
diabetes.
·
Nitrates, such as nitroglycerin, dilate your
coronary arteries and relieve or prevent chest pain from angina.
·
Ranolazine treats coronary microvascular disease
and the chest pain it may cause.
·
Statins
or non-statin therapies control
high blood cholesterol. You may need statin therapy if you have a higher risk
of coronary heart disease or stroke or if you have diabetes and are between
ages 40 and 75.
·
Non-statin
therapies may be used to
reduce cholesterol when statins do not lower cholesterol enough or cause side
effects. Your healthcare provider may also prescribe non-statin drugs, such as
ezetimibe, bile acid sequestrants, alirocumab, or evolocumab
to lower cholesterol or gemfibrozil or fenofibrate to reduce triglycerides.
They may also recommend omega-3 fatty acids as a supplement to your healthy
diet.
Procedures
You may need a
procedure or heart surgery to treat more serious coronary heart
disease.
·
Percutaneous
coronary intervention (PCI) opens coronary arteries that are narrowed or blocked by
the buildup of plaque. A small mesh tube called a stent is usually implanted after PCI to prevent the artery from
narrowing again.
·
Coronary
artery bypass grafting (CABG) improves blood flow to the heart by using normal arteries
from the chest wall and veins from the legs to bypass the blocked arteries.
Surgeons typically use CABG to treat people who have severe coronary artery
disease in multiple coronary arteries.
·
Transmyocardial
laser revascularization or coronary endarterectomy treats severe angina linked to coronary
heart disease when other treatments are too risky or did not work.
·
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