Treatment FAQ

what is the best treatment for atherosclerosis?

by Domenica Kautzer Published 3 years ago Updated 2 years ago
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Medications for treating atherosclerosis include:
  • cholesterol-lowering drugs, including statins.
  • angiotensin-converting enzyme (ACE) inhibitors, which may lower blood pressure.
  • beta-blockers, which “rest” the heart.
  • antiplatelet drugs such as aspirin to prevent blood from clotting and clogging your arteries.

Medication

Dec 10, 2014 · Treatment. The first step in fighting atherosclerosis is to keep it from getting worse. You can do this with lifestyle changes such as exercising every day; eating a heart-healthy diet; not smoking; and controlling high blood pressure, high cholesterol, and high blood sugar. Taking a low-dose aspirin every day is also important.

Procedures

May 15, 2017 · “Though bypass surgery was the treatment of choice 25 years ago,” Dr. Cleman says, these days, angioplasty has surpassed it. Newer stents use a thin polymer coating on the outside of the metal tube, which reduces the likelihood of inflammation. The polymer can release drugs, which helps with preventing the symptoms of atherosclerosis.

Self-care

Statin drugs have been shown to decrease low-density lipoprotein cholesterol and CVD morbidity as well as mortality and are therefore pivotal in CVD prevention. Despite the use of statin drugs, CVD remains a leading cause of mortality worldwide, which suggests that additional lipid-lowering therapies are warranted.

Nutrition

Mar 24, 2022 · Learn about symptoms, causes, prevention strategies, and treatments for atherosclerosis, a common condition that leads to heart disease and other health problems. It’s caused by the buildup of sticky cholesterol plaque in …

How to reverse atherosclerosis naturally?

Jan 31, 2022 · Medications for treating atherosclerosis include: Cholesterol-lowering drugs, including statins Angiotensin-converting enzyme (ACE) inhibitors, which may lower blood pressure Beta-blockers, which “rest” the heart Anti platelet drugs such as aspirin to prevent blood from clotting and clogging your arteries

What you can do to prevent atherosclerosis?

Treatments for Advanced Atherosclerosis 1. Angioplasty and Stenting. A coronary angiogram is a special X-ray test that doctors use to identify coronary artery... 2. Coronary Bypass Surgery. In bypass surgery, a surgeon "harvests" a segment of a …

Is reversing atherosclerosis possible?

Medicines that may be used to treat atherosclerosis include: Antiplatelet medicines. These are medicines used to decrease the ability of platelets in the blood to stick together and cause clots. Aspirin, clopidogrel, ticlopidine, and dipyridamole are …

What is the difference between PVD and atherosclerosis?

Jun 15, 2021 · What Is the Best Treatment for Atherosclerosis? A key part of treatment is keeping your atherosclerosis from getting worse. Remember all those modifiable risk factors we discussed? Your treatment ...

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What is the best medicine for atherosclerosis?

Statins and other cholesterol medications. Statins are commonly prescribed to lower cholesterol, improve artery health and prevent atherosclerosis. There are many other types of cholesterol-lowering medications. Another common type is a cholesterol absorption inhibitor called ezetimibe (Zetia).Mar 16, 2021

Can you live a long life with atherosclerosis?

This can lead to severe health events such as heart attack and stroke. Living healthy with atherosclerosis is possible, though, and it's important. Plaque, which is made up of fat, cholesterol and other substances, narrows the arteries and makes blood clots more likely to form.Aug 12, 2019

What foods should you avoid if you have atherosclerosis?

Your diet is an especially important factor in your risk for atherosclerosis, and heart disease generally....Avoid or limit the following items:Fatty or marbled meats.Spareribs.Chicken wings.Hot dogs and sausages.Lunchmeat.Bacon.Breaded or fried meat, fish, or poultry.Jun 27, 2018

Can atherosclerosis be cured?

Bits of plaque can break loose and cause blood clots that may lead to heart attack or stroke. There is currently no cure for atherosclerosis, but the condition can be slowed with statin drugs and dietary changes.Mar 16, 2021

What dissolves artery plaque?

HDL, the “good” cholesterol, helps whisk away the LDL cells and stops plaques from forming.Nov 16, 2020

What vitamin removes plaque from arteries?

Niacin, or Vitamin B3, is the best agent known to raise blood levels of HDL, which helps remove cholesterol deposits from the artery walls.Nov 28, 2001

Which fruit is best for heart?

Berries are chock full of heart-healthy phytonutrients and soluble fiber. Try blueberries, strawberries, blackberries or raspberries in cereal or yogurt. Seeds. Flaxseeds contain omega-3 fatty acids, fiber and phytoestogens to boost heart health.Jul 12, 2019

What is the number 1 vegetable to avoid?

Strawberries top the list, followed by spinach. (The full 2019 Dirty Dozen list, ranked from most contaminated to least, include strawberries, spinach, kale, nectarines, apples, grapes, peaches, cherries, pears, tomatoes, celery and potatoes.)Mar 20, 2019

Do eggs clog arteries?

For example, egg yolks contain phosphatidylcholine, a chemical that can contribute to clogged arteries, he said. Eggs are a primary source of dietary cholesterol, but they also contain high-quality lean protein and many vitamins, the study team notes in the journal Heart.May 22, 2018

What are the 4 stages of atherosclerosis?

Atherogenesis can be divided into five key steps, which are 1) endothelial dysfunction, 2) formation of lipid layer or fatty streak within the intima, 3) migration of leukocytes and smooth muscle cells into the vessel wall, 4) foam cell formation and 5) degradation of extracellular matrix.Dec 8, 2013

What are the warning signs of atherosclerosis?

What are the symptoms of atherosclerosis?chest pain or angina.pain in your leg, arm, and anywhere else that has a blocked artery.cramping in the buttocks while walking.shortness of breath.fatigue.confusion, which occurs if the blockage affects circulation to your brain.More items...

Can magnesium reverse atherosclerosis?

Moreover, oral magnesium therapy has been shown to improve endothelial function in patients with coronary artery disease. Magnesium, which is an inexpensive, natural and rather safe element, could be useful in preventing atherosclerosis and as an adjuvant therapy in patients with clinical manifestations of the disease.

How to prevent atherosclerosis?

You can do this with lifestyle changes such as exercising every day; eating a heart-healthy diet; not smoking; and controlling high blood pressure, high cholesterol, and high blood sugar. Taking a low-dose aspirin every day is also important.

Where does atherosclerosis occur?

Atherosclerosis can occur in any artery in the body, from those nourishing the heart (coronary arteries) to those supplying the brain, intestines, kidneys, and legs. Atherosclerosis begins as microscopic damage to the inner lining of an artery wall.

Why is aspirin important?

Taking a low-dose aspirin every day is also important. By making blood less likely to clot, aspirin reduces the chances of having a heart attack among men and women with coronary artery disease or those with significant risk factors for it .

What is the body's supply of oxygen?

Every organ and tissue in the body needs a supply of fresh, oxygen-rich blood. That blood is delivered to all parts of the body through blood vessels called arteries. A healthy artery is like a clean pipe: It has a smooth lining and is free of blockages that interfere with blood flow.

What causes chest pain and angina?

The artery wall becomes inflamed; white blood cells become activated, race to the injured area, and try unsuccessfully to heal the damage. Over time, a fibrous cap forms over the fatty deposit. Even under the cap, the deposit can grow, progressively blocking blood flow and ultimately causing chest pain (angina ).

Does statin help with heart disease?

Taking a cholesterol-lowering statin can keep atherosclerosis from getting worse, and can also pull cholesterol out of artery-clogging plaque. Statins can also help stabilize atherosclerotic plaques and keep them from breaking open—the event that triggers most heart attacks and strokes.

What are the treatments for atherosclerosis?

Medically Reviewed. Prescription drugs, surgery, and heart-healthy lifestyle changes are treatment options for atherosclerosis. Shutterstock (2) Atherosclerosis occurs when fat-containing deposits called plaque form in your arteries, causing them to harden and narrow. This can reduce blood flow to different areas of your body, ...

How to stop atherosclerosis?

Stop smoking. Smoking — or using tobacco in another form — damages your arteries. If you’re a smoker, quitting is the single most effective way to stop your atherosclerosis from getting worse and reduce your risk of complications, according to the Mayo Clinic. (2) Get enough exercise.

What is the best medicine for blood pressure?

Diuretics (Water Pills) Diuretics help lower your blood pressure by reducing fluid retention throughout your body. Other Drugs Your doctor may prescribe medication to control specific risk factors for atherosclerosis — like diabetes — or symptoms of atherosclerosis, like leg pain during exercise.

How does ACE inhibitor help with atherosclerosis?

Angiotensin-Converting Enzyme (ACE) Inhibitors ACE inhibitors may help slow the progression of atherosclerosis by lowering your blood pressure and relaxing your blood vessels. They also reduce your risk of having multiple heart attacks.

Does statin help with cholesterol?

In addition to regulating your cholesterol, statins can help stabilize the lining of your heart arteries and prevent atherosclerosis. Anti-Platelet Medication These drugs, which include aspirin, can reduce the risk of blood clots forming in your arteries. (2)

What is the best medicine for CAD?

Beta-Blockers Beta-blockers are widely used to treat CAD. They lower your heart rate and relax your blood vessels, which in turn lowers your blood pressure — along with your risk of a heart attack and certain heart rhythm problems. More on Heart Medications.

How to cope with stress?

Try to manage stress. Techniques like guided relaxation, deep breathing, meditation, and yoga can help you cope with stress in a healthy way. You may also find relief from stress through exercise, talking with friends and family, or visiting a mental health professional. (1,2)

What is the procedure called when you have a stent?

One common option, a stent, is simply a small tube placed inside an artery that keeps it open to blood flow. This procedure is called an angioplasty. Newer stents can include drugs that prevent the cholesterol buildup. After angioplasty , patients can usually go home the next day.

What are the factors that put people at risk?

The factors that put people at risk are smoking, high blood pressure, high cholesterol and a family history of heart disease. Obesity is another risk factor and one that’s increasingly problematic. “I’ve been seeing people younger and younger,” says Dr. Cleman.

What is the treatment for a narrowed artery?

Sometimes, though, more aggressive treatment is needed. Narrowed arteries can frequently be reopened with one of two treatments: stenting or bypass surgery. Because these atherosclerosis treatments come with risks, they are typically reserved ...

Why do you need an atherectomy?

Usually, atherectomy is used to improve the success of placing a stent. After Atherosclerosis Treatment. Stenting and coronary bypass surgery open blocked arteries, but they do nothing to prevent other atherosclerotic plaques from causing problems.

How to reduce heart disease?

Also important are three lifestyle habits proven to reduce heart disease: 1 Exercise 30 minutes most days of the week 2 Eat 5 servings of fruits and vegetables daily 3 Most of all, don't smoke

How long does it take to recover from CABG?

Although low overall, the risk of serious complications is similar to coronary stenting. The recovery time can take weeks, even months. Newer less-invasive forms of CABG, with shorter recovery times, are under evaluation. Stents vs. Surgery for Atherosclerosis Treatment.

What is CABG surgery?

Coronary artery bypass surgery -- or CABG (pronounced "cabbage") -- is the most commonly performed by pass surgery. CABG can provide relief from chest pain caused by atherosclerosis. Bypass surgery also leads to increased survival in people with diabetes or with multiple or severely blocked coronary arteries.

What is an angiogram test?

A coronary angiogram is a special X-ray test that doctors use to identify coronary artery blockages and sometimes take action to open them up. In an angioplasty, a doctor first introduces a catheter (a narrow tube) into an artery in the leg or arm. The catheter is then moved to the area of concern.

How long does a stent last?

They are normally taken for one month up to a year depending on the type of stent. Blood pressure drugs, especially beta-blockers and angiotensin-converting enzyme (ACE) inhibitors. Also important are three lifestyle habits proven to reduce heart disease: Exercise 30 minutes most days of the week.

What are the best medications for atherosclerosis?

Medicines that may be used to treat atherosclerosis include: 1 Antiplatelet medicines. These are medicines used to decrease the ability of platelets in the blood to stick together and cause clots. Aspirin, clopidogrel, ticlopidine, and dipyridamole are examples of antiplatelet medicines. 2 Anticoagulants. Also called blood thinners, these medicines work differently from antiplatelet medicines to decrease the ability of the blood to clot. Warfarin and heparin are examples of anticoagulants. 3 Cholesterol-lowering medicines. These are medicines used to lower fats (lipids) in the blood, particularly low density lipid (LDL) cholesterol. Statins are a group of cholesterol-lowering medicines. They include simvastatin, atorvastatin, and pravastatin among others. Bile acid sequestrants—colesevelam, cholestyramine and colestipol—and nicotinic acid are other types of medicine that may be used to reduce cholesterol levels. Your doctor may also prescribe fibrates to help improve your cholesterol and triglyceride levels. 4 Blood pressure medicines. Several different groups of medicines act in different ways to lower blood pressure.

What is the best medicine to lower cholesterol?

Statins are a group of cholesterol-lowering medicines. They include simvastatin, atorvastatin, and pravastatin among others. Bile acid sequestrants—colesevelam, cholestyramine and colestipol—and nicotinic acid are other types of medicine that may be used to reduce cholesterol levels.

What is plaque made of?

Plaque is made up of deposits of fatty substances, cholesterol, cellular waste products, calcium, and fibrin. As it builds up in the arteries, the artery walls become thickened and stiff. Atherosclerosis is a slow, progressive disease that may start as early as childhood. However, it can progress rapidly.

What is the purpose of Doppler sonography?

Doppler sonography. A special probe is used to direct sound waves into a blood vessel to evaluate blood flow. An audio receiver amplifies the sound of the blood moving though the vessel. Faintness or absence of sound may mean there is a blockage.

What are some examples of antiplatelet drugs?

These are medicines used to decrease the ability of platelets in the blood to stick together and cause clots. Aspirin, clopidogrel, ticlopidine, and dipyridamole are examples of antiplatelet medicines. Anticoagulants.

What is the procedure called when you have angina?

Coronary artery bypass. Most commonly referred to as bypass surgery, this surgery is often done in people who have angina (chest pain) due to coronary artery disease (where plaque has built up in the arteries).

What happens if plaque builds up in the arteries?

Plaque buildup inside the arteries reduces the blood flow. A heart attack may occur if the blood supply is reduced to the heart. A damaged heart muscle may not pump as well and can lead to heart failure. A stroke may occur if the blood supply is cut off to the brain.

How many people have peripheral artery disease?

Peripheral Artery Disease (PAD) Approximately 6.5 million Americans who are 40 and up have peripheral artery disease (PAD), according to the Centers for Disease Control and Prevention (CDC). This occurs when atherosclerosis affects arteries other than those that deliver blood to your heart or brain.

What causes arteries to harden?

The disease is quite complex and not fully understood, but its impact is clear: Atherosclerosis causes your arteries—the tube-like blood vessels that function like interstate highways for your blood to travel throughout your body—to harden and stiffen.

What happens when blood cannot reach the brain?

If atherosclerosis develops in these arteries, your risk of stroke rises. Strokes occur when sufficient amounts of blood cannot reach your brain, either because your arteries have become narrowed or they’ve become blocked. Strokes cause brain cells to die.

Is high blood pressure a sign of atherosclerosis?

High blood pressure is considered a potential trigger for atherosclerosis because of the damage it can do to your arteries. When you have HBP, your arteries have to work harder to keep blood flowing. This leads to damage of blood vessels that can trigger atherosclerosis. A healthy blood pressure is 120/80 or lower. You have high blood pressure if yours measures above 130/80. If yours is too high, talk to your doctor about how best to manage it.

What happens if you have an AAA?

It develops slowly, but if an AAA bursts, the internal bleeding that results can be quickly fatal. Another worry: Blood clots that form at the site of the aneurysm can break away and travel through your blood vessels, potentially causing a harmful blockage somewhere else in the body. Every year, 200,000 Americans are diagnosed with AAA, making it the fifteenth-leading cause of death in this country, according to the Society for Vascular Surgery.

Does smoking cigarettes cause atherosclerosis?

Smoking seriously raises your risk of atherosclerosis because the toxins in cigarettes damage the lining of your arteries. If you smoke (or vape), you’ve likely already tried to quit countless times—and we know how hard stubbing out this addictive habit can be. But you don’t have to do it alone or cold turkey. Talk to your doctor about tools like nicotine patches, and check out the American Heart Association’s smoking cessation support page for help. When it comes to atherosclerosis, quitters win.

What is the cause of elevated blood pressure?

These arteries supply blood and oxygen to your kidneys. Symptoms rarely occur in the early stages of plaque buildup, a condition caused by atherosclerosis called renal artery stenosis. This will elevate your blood pressure significantly, though that, too, has no symptoms.

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Treatment

Clinical Trials

Lifestyle and Home Remedies

Alternative Medicine

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Lifestyle changes, such as eating a healthy diet and exercising, are often recommended. Management of the condition involves medications and surgery in severe cases.
Medication

Angiotensin-converting enzyme (ACE) inhibitors: Lowers blood pressure.

Benazepril . Captopril . Enalapril


Calcium channel blockers: Helps in lowering blood pressure.

Nifedipine


Diuretics: Diuretics lower blood pressure.

Indapamide


Beta blockers: Can lower blood pressure and slow down progression of atherosclerosis.

Acebutolol . Betaxolol


Statins: Lower the levels of bad cholesterol (LDL).

Atorvastatin . Fluvastatin


Anti platelet medications: Helps in reducing the formation of platelet clumps in narrowed arteries.

Aspirin


Fibrinolytic enzymes: Therapy to break the clot apart using clot-dissolving enzymes.

Streptokinase . Urokinase

Procedures

Angioplasty and stent placement: Insertion of catheters to place a stent and keep the artery open

Endarterectomy: In this procedure, fatty deposits are surgically removed from the walls of a narrowed artery.

Bypass surgery: Graft bypass using a vessel from another part of the body that helps smooth blood flow.

Self-care

Always talk to your provider before starting anything.

Eat a healthy, balanced diet, a good mix of unsaturated fats, exercise regularly, quit smoking and alcohol.

Nutrition

Foods to eat:

  • Major portion of the diet should include vegetables, beans, whole grains, and fruit.
  • Foods rich in protein and monounsaturated fatty acids.
  • Omega-3 fatty acids: fish such as sardine, salmon and grains or seeds such as flaxseed, walnuts, chia seeds.

Foods to avoid:

  • Minimize refined grains, added salt, and sweeteners.
  • Avoid foods containing trans and saturated fats.
  • Avoid foods high in salt and sugar.

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.

Preparing For Your Appointment

  • Lifestyle changes, such as eating a healthy diet and exercising, are the first treatment for atherosclerosis — and may be all that you need to treat your atherosclerosis. But sometimes, medication or surgical procedures may be needed.
See more on mayoclinic.org

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