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What is coronary artery disease? A Mayo Clinic cardiologist explains.Coronary artery disease: Angioplasty or bypass surgery?.Calcium supplements: A risk factor for heart attack?.
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Talk with your doctor about stress-reduction techniques. Avoiding stress is easier said than done, but try to find ways to relax. Get treatment for conditions that can increase your risk of angina, such as diabetes, high blood pressure and high blood cholesterol. Ask your doctor what a healthy weight is for you. If you're overweight, find a way to achieve and maintain a healthy weight by balancing what and how much you eat with how much physical activity you get. If your angina is brought on by exertion, pace yourself and take rest breaks. Talk to your doctor about starting a safe exercise plan. Include a variety of fruits and vegetables, whole grains, lean meats, and low-fat dairy products in your diet. Eat a healthy diet with limited amounts of saturated fat, trans fat, salt and sugar. If you need help quitting, talk to your doctor about smoking cessation therapies. You can reduce or prevent angina by reducing your heart disease risks factors, including: Regardless of which angina treatment you choose, your doctor will recommend that you make heart-healthy lifestyle changes. This typically requires getting five one-hour treatments a week for seven weeks. Air pressure causes the cuffs to inflate and deflate in time to your heartbeat. For this therapy, large cuffs are wrapped around your legs. A stent coated with medication can help prevent this.Įnhanced external counterpulsation (EECP) therapyĮECP therapy might be recommended for some people whose angina doesn't improve with other treatments. You can generally return to work or your normal routine soon after the angioplasty and stent procedure.Īngioplasty and stenting involve some risks, including a risk of the blockage re-forming. This procedure can take 30 minutes to several hours, and you'll probably remain in the hospital at least overnight. He or she might then insert a small metal tube (stent) to keep the artery open. Your doctor inflates the balloon to widen the artery. It can also be used as a substitute if your symptoms don't improve with the other medications.Īngioplasty, also known as percutaneous coronary intervention, increases blood flow through a blocked artery and decreases angina.ĭuring an angioplasty (AN-jee-o-plas-tee), your doctor threads a tiny, deflated balloon attached to special tubing up through an artery, generally in your groin, to your narrowed coronary artery. This anti-angina medication might be prescribed with other angina medications, such as beta blockers. This increases blood flow in your heart, reducing or preventing angina.
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Also called calcium antagonists, these drugs relax and widen blood vessels by affecting the muscle cells in the arterial walls. They might also help your body reabsorb cholesterol that has accumulated in the buildup of fats (plaques) in your artery walls, helping prevent further blockage in your blood vessels. Statins lower blood cholesterol by blocking a substance your body needs to make cholesterol. They help your heart beat more slowly and with less force, decreasing the effort your heart makes and easing the angina pain. These block the effects of the hormone epinephrine, also known as adrenaline.
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There are also long-acting nitrate pills and skin patches. Nitrates in pills or sprays act quickly to relieve pain during an event. Often used to treat angina, nitrates relax and widen your blood vessels, allowing more blood to flow to your heart muscle. Aspirin and other anti-platelet medications reduce the ability of your blood to clot, making it easier for blood to flow through narrowed heart arteries. Several medications can improve angina symptoms, including:
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