CAD may not be found until after angina appears or a heart attack occurs.
The goals of treatment include:
Slow or stop growth of plaque in blood vessels. Decrease build-up if possible.
Decrease risk of complications like blood clots or heart attack.
Relieve symptoms if there are any.
Options to help reach these goals include:
Diet and exercise can play a role in heart and blood vessel healthy. Goals may include
Heart healthy diet:
Limit saturated and trans fats, red meat, and processed meats.
Increase fruits, vegetables, fish, and fiber.
Limit or avoid alcohol. This means no more than 2 drinks per day for men and no more than 1 per day for women.
30 to 60 minutes of physical activity on most days.
Reach and keep a healthy weight.
Smoking can also make plaque worse. It also increases risk of heart disease. There are many tools to help quit.
Medicine can help to manage issues that can make CAD worse. It can also help decrease the risk of complications. Options include:
Statin therapy—to help manage cholesterol
Ace inhibitors or Beta blockers—may help to prevent angina and lower the risk of heart attack
Antiplatelet (aspirin or other)—to decrease risk of blood clots
Early care may decrease damage to the heart. Routine follow-up care will be part of the care plan. Other steps that may be recommended include:
Control of your high blood pressure—may include medicine
Diabetes care plan—high blood glucose can damage blood vessels
Flu shot every year
Depression, anxiety, and stress can occur with CAD. Talk to your doctor if you need help. There are also programs to help you make heart-healthy changes. It includes help with your food and activity plans.
Surgery may be needed to remove very bad blocks. Options include:
Coronary artery bypass grafting
(CABG)—Part of a blood vessel is taken from other areas of the body. It is then placed near the blockage. The blood can then flow around the block through this new path.
Boden WE, O'Rourke RA, Teo KK, et al. Optimal medical therapy with or without PCI for stable coronary disease. N Engl J Med. 2007;356:1503-1516.
Coronary artery disease–Coronary heart disease. American Heart Association website. Available at:http://www.heart.org/HEARTORG/Conditions/More/MyHeartandStrokeNews/Coronary-Artery-Disease---Coronary-Heart-Disease_UCM_436416_Article.jsp#.WblGd7KGNQI. Accessed September 13, 2020.
Coronary artery disease (CAD). EBSCO DynaMed website. Available at: http://www.dynamed.com/topics/dmp~AN~T116156/Coronary-artery-disease-CAD. Accessed September 13, 2020.
Explore coronary artery disease. National Heart, Lung, and Blood Institute website. Available at: https://www.nhlbi.nih.gov/health/health-topics/topics/cad. Accessed September 13, 2020.
Management of stable angina. DynaMed website. Available at: http://www.dynamed.com/topics/dmp~AN~T114265/Management-of-stable-angina. Accessed September 13, 2020.
9/29/2016 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T113766/Coronary-artery-disease-possible-risk-factors: Batelaan NM, Seldenrijk A, Bot M, van Balkom AJ, Penninx BW. Anxiety and new onset of cardiovascular disease: critical review and meta-analysis. Br J Psychiatry. 2016;208(3):223-231.
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