Treatment FAQ

what is the treatment for a blocked right coronary artery

by Prof. Aditya Quigley Published 2 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 serious is a blocked right coronary artery?

A completely blocked coronary artery will cause a heart attack. The classic signs and symptoms of a heart attack include crushing chest pain or pressure, shoulder or arm pain, shortness of breath, and sweating. Women may have less typical symptoms, such as neck or jaw pain, nausea and fatigue.

What are the 2 ways to treat a blockage in the coronary artery?

One is medication; two is PCI - Percutaneous Coronary Intervention, or Angioplasty; and three is CABG or Coronary Artery Bypass Graft surgery. There are a variety of medications that help you live more comfortably and be able to be more active if your blocked artery is causing symptoms.

What happens if one coronary artery is blocked?

When one or more of the coronary arteries suddenly becomes completely blocked, a heart attack (injury to the heart muscle) may occur. If the blockage occurs more slowly, the heart muscle may develop small collateral blood vessels (or detours) for other coronary arteries to reroute the blood flow, and angina occurs.

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 a blocked artery 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.

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.

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.

What percentage of artery blockage requires a stent?

β€œFor 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.

Where is the right coronary artery?

The right coronary artery (RCA) is one of two main coronary vessels that supply the myocardium (the other being the left coronary artery). It originates from the right aortic sinus of the ascending aorta and runs in the right part of atrioventricular groove (coronary sulcus) wrapping around the right side of the heart.

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.

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.

Can you live a normal life with blocked arteries?

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.

Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

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.

Alternative Medicine

Preparing For Your Appointment

  • Treatment for coronary artery disease usually involves lifestyle changes such as not smoking, eating healthy and exercising more. Sometimes, medications and procedures are needed.
See more on mayoclinic.org

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