Treatment FAQ

what is the treatment for a blocked coronary artery

by Nya Stanton PhD Published 3 years ago Updated 2 years ago
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Coronary angioplasty and stent placement.
A tiny balloon is inflated to help widen the blocked artery and improve blood flow. A small wire mesh tube (stent) may be placed in the artery during angioplasty. The stent helps keep the artery open. It lowers the risk of the artery narrowing again.
May 25, 2022

Medication

Procedures

Self-care

Nutrition

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How do you unblock your coronary arteries?

Eat a heart-healthy dietAdd more good fats to your diet. Good fats are also called unsaturated fats. ... Cut sources of saturated fat, such as fatty meat and dairy. Choose lean cuts of meat, and try eating more plant-based meals.Eliminate artificial sources of trans fats. ... Increase your fiber intake. ... Cut back on sugar.

How serious is a blocked coronary artery?

A complete blockage of blood flow can cause a heart attack. Coronary artery disease often develops over decades. Symptoms may go unnoticed until a significant blockage causes problems or a heart attack occurs. Following a heart-healthy lifestyle can help prevent coronary artery disease.

What are three different ways to fix a coronary artery that is blocked?

TreatmentCoronary angioplasty. A “balloon” is inserted into the artery through a catheter (a long, narrow, flexible tube) and then inflated to enlarge the passage through the artery. ... Atherectomy. ... Coronary artery bypass surgery (or coronary artery bypass graft).

Can you fix a blocked artery without surgery?

Through angioplasty, our cardiologists are able to treat patients with blocked or clogged coronary arteries quickly without surgery. During the procedure, a cardiologist threads a balloon-tipped catheter to the site of the narrowed or blocked artery and then inflates the balloon to open the vessel.

Can blocked arteries be treated with medication?

In serious cases, medical procedures or surgery can help to remove blockages from within the arteries. A doctor may also prescribe medication, such as aspirin, or cholesterol-reducing drugs, such as statins.

Can you live a long life with CAD?

Coronary Artery Disease (CAD) is treatable, but there is no cure. This means that once diagnosed with CAD, you have to learn to live with it for the rest of your life. By lowering your risk factors and losing your fears, you can live a full life despite CAD.

How much blockage requires a stent?

“For a cardiac stent procedure to qualify as a medical necessity, it is generally accepted that a patient must have at least 70% blockage of an artery and symptoms of blockage,” Justice Department attorneys wrote.

Which artery is the most common to have blockage?

Importance in cardiovascular diseases: The LAD artery is the most commonly occluded of the coronary arteries. It provides the major blood supply to the interventricular septum, and thus bundle branches of the conducting system.

Is there a drug that removes plaque from arteries?

29, 2020, by the European Heart Journal. The findings may explain why the drug, icosapent ethyl (Vascepa), lowers the risk of heart attack and stroke by 26% in people at high risk for those serious problems. The study included 80 people with fatty plaque in the arteries of the heart (coronary artery disease).

What is the least invasive treatment for coronary artery disease?

Angioplasty. A coronary angioplasty is a type of minimally invasive procedure to treat CAD. For this procedure, a heart doctor threads a small tube, called a catheter, through an artery in your groin or arm.

What percentage of artery blockage requires surgery?

If a carotid artery is narrowed from 50% to 69%, you may need more aggressive treatment, especially if you have symptoms. Surgery is usually advised for carotid narrowing of more than 70%. Surgical treatment decreases the risk for stroke after symptoms such as TIA or minor stroke.

Can an artery be unblocked without a stent?

The largest research study of its kind has found that drugs can be just as effective as stents and surgery for treating blocked arteries. Results of the study, sponsored by the National Heart, Lung, and Blood Institute, were released on November 16.

Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Alternative Medicine

Medically reviewed by
Dr. Kabir Sethi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Adopting a healthy lifestyle is the primary treatment option that can be combined with medications and procedures.
Medication

Cholesterol lowering drugs: To reduce blood cholesterol levels. The range of medications may include statins, niacin, fibrates and bile acid sequestrants.

Atorvastatin . Fluvastatin . Niacin . Fenofibrate . Gemfibrozil . Cholestyramine . Colesevelam


Anticoagulants: To reduce thickness of blood and prevent blood clots. Aspirin may also be prescribed to prevent blood clots.

Warfarin . Heparin


Beta blockers: To reduce blood pressure and heart rate.

Acebutolol . Atenolol


Nitrates: Controls chest pain by temporarily dilating arteries and allowing for better blood flow.

Nitroglycerin


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

Enalapril . Lisinopril


Angiotensin II receptor blockers (ARBs): To reduce blood pressure.

Irbesartan . Losartan

Procedures

Angioplasty and stent placement: The narrowed or blocked artery is opened using a thin tube. A stent is left in the artery to keep it open. Usually recommended if medications does not help improve the symptoms.

Coronary artery bypass graft (CABG): Vein or artery from other parts of the body (usually taken from thigh, arm or mammary vein) is used to bypass a blocked or narrowed artery.

Self-care

Always talk to your provider before starting anything.

  • Quit smoking and alcohol.
  • Monitor blood sugar and cholesterol levels.
  • Monitor your blood pressure regularly.
  • Manage stress.
  • Maintain the recommended weight.

Nutrition

Foods to eat:

  • Fat-free or low-Fat foods: e.g. low-Fat milk
  • Foods rich in omega-3 fatty acids: e.g. salmon, tuna, trout
  • Fruits such as apples, bananas, oranges, pears, prunes
  • Legumes like kidney beans, lentils, chickpeas, lima beans
  • Vegetables like broccoli, cabbage, carrots.
  • Whole grains: e.g. oatmeal, brown rice, corn tortillas
  • Foods containing mono- and polyunsaturated fats: e.g. avocados, corn, sunflower, olive oils, walnuts, peanut butter, tofu

Foods to avoid:

  • Foods rich in saturated fat and trans fat like palm and coconut oils, red meat

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.

Preparing For Your Appointment

  • To diagnose coronary artery disease, a health care provider will examine you. You'll likely be asked questions about your medical history and any symptoms. Blood tests are usually done to check your overall health.
See more on mayoclinic.org

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