Treatment FAQ

what is the treatment for atherosclerosis

by Dulce Schumm Published 2 years ago Updated 2 years ago
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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.Mar 16, 2021

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

Treatment for atherosclerosis may include lifestyle changes, medicine, and surgery. Lifestyle changes You can change some risk factors for atherosclerosis such as smoking, high cholesterol levels, high blood sugar (glucose) levels, lack of exercise, …

Self-care

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 …

Nutrition

Calcium channel blockers lower your blood pressure and treat a range of heart problems. They will also relieve any pain caused by atherosclerosis. Medications for high blood pressure. People with high blood pressure are at risk for atherosclerosis. Blood pressure medication will help prevent or reduce instances of atherosclerosis.

What you can do to prevent atherosclerosis?

“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.

What is atherosclerosis and how you can prevent it?

May 13, 2021 · Once symptoms of atherosclerosis-related organ damage develop, the specific treatment depends on the organ involved: Heart — Treatments for coronary artery disease include medications to manage symptoms of angina (nitrates, beta-blockers, calcium channel blockers) and prevent heart attacks ( aspirin and beta-blockers); balloon angioplasty often with wire …

What is the difference between PVD and atherosclerosis?

What can be done to prevent atherosclerosis?

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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 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

What are the main causes of atherosclerosis?

Atherosclerosis is thickening or hardening of the arteries caused by a buildup of plaque in the inner lining of an artery. Risk factors may include high cholesterol and triglyceride levels, high blood pressure, smoking, diabetes, obesity, physical activity, and eating saturated fats.

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

Is there a drug that removes plaque from arteries?

A new drug designed for tackling cancer and diabetes has been found to melt away fat that clogs up arteries. Researchers from the University of Aberdeen claim that just a single dose of the new drug Trodusquemine can completely reverse the effects of Atherosclerosis.Nov 3, 2017

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...

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 three symptoms of atherosclerosis?

If you have atherosclerosis in the arteries leading to your brain, you may have signs and symptoms such as sudden numbness or weakness in your arms or legs, difficulty speaking or slurred speech, temporary loss of vision in one eye, or drooping muscles in your face.Mar 16, 2021

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.

What is the difference between a healthy artery and an atherosclerotic artery?

A healthy artery is like a clean pipe: It has a smooth lining and is free of blockages that interfere with blood flow. Atherosclerosis is the buildup of cholesterol-filled deposits called plaque on the inner walls of arteries. Plaque narrows the vessels and slows down blood flow.

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 result of platelets from the bloodstream gathering at the site?

Whatever causes the initial damage, the result is that platelets from the bloodstream gather at the site, soon to be joined by a gruel-like mixture of cholesterol and other fats, calcium deposits, and cell debris. Cells from the wall of the artery gradually surround the mixture.

What happens to the white blood cells in the artery wall?

Cells from the wall of the artery gradually surround the mixture. 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.

What is the name of the blood vessels that deliver blood to all parts of the body?

That blood is delivered to all parts of the body through blood vessels called arteries.

How to reduce risk of atherosclerosis?

Lose extra pounds and maintain a healthy weight. If you're overweight, losing even just a few pounds can reduce your risk of high blood pressure and high cholesterol, two of the major risk factors for developing atherosclerosis. Ask your doctor what your target weight should be. Eat healthy foods.

What is the best test for atherosclerosis?

High levels of blood sugar and cholesterol raise your risk of atherosclerosis. A C-reactive protein (CRP) test also may be done to check for a protein linked to inflammation of the arteries. Electrocardiogram (ECG or EKG). This simple and painless test records the electrical signals in your heart. Exercise stress test.

How to tell if you have atherosclerosis?

This test can tell if you have atherosclerosis in the arteries in your legs and feet. During an ABI test, your doctor compares the blood pressure in your ankle with the blood pressure in your arm. An abnormal difference may be a sign of peripheral vascular disease, which is usually caused by atherosclerosis.

What is the C scan?

The image on the right shows a coronary calcium scan (C). Depending on the results of the physical exam, your doctor may suggest one or more tests, including: Blood tests. Your doctor will order blood tests to check your blood sugar and cholesterol levels.

What does a doctor do when you have a whooshing sound?

Your doctor will perform a physical exam and ask questions about your personal and family health history. You may be referred to a doctor that specializes in heart diseases (cardiologist). Your doctor may hear a whooshing sound (bruit) when listening to your arteries with a stethoscope.

What is a heart scan?

A heart scan (coronary calcium scan) provides pictures of your heart's arteries. Doctors may use this test to look for calcium deposits in the coronary arteries that can narrow your arteries and increase your heart attack risk. The image on the left shows where the heart is located in the body ...

How to reduce the risk of heart disease?

Regular exercise improves blood flow, lowers blood pressure, and reduces your risk of conditions that increase the risk of atherosclerosis and heart disease. Aim to exercise at least 30 minutes most days of the week. If you can't fit it all into one session, try breaking it up into 10-minute intervals.

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 does a surgeon treat atherosclerosis?

Surgical procedures used to treat atherosclerosis include: Angioplasty In angioplasty, a surgeon inserts a narrow tube into the blocked or narrowed artery and passes a second tube containing a deflated balloon tip through it. The balloon is then inflated, which pushes the blockage open against your artery walls.

What are the medications that help reduce cholesterol?

Cholesterol Medication Drugs known as statins and fibrates can reduce your LDL (low-density lipoprotein, or "bad") cholesterol, which can help stop or even reverse the buildup of plaque in your arteries. In addition to regulating your cholesterol, statins can help stabilize the lining of your heart arteries and prevent atherosclerosis.

How to control risk factors for atherosclerosis?

You can help control risk factors for atherosclerosis and heart disease — such as your weight, blood pressure, and blood cholesterol and glucose levels — by focusing on eating certain foods while avoiding others.

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.

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 are some medications that can be used to treat atherosclerosis?

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 examples of antiplatelet medicines. Anticoagulants.

What are the causes of atherosclerosis?

Key points of atherosclerosis 1 Atherosclerosis is thickening or hardening of the arteries caused by a buildup of plaque in the inner lining of an artery. 2 Risk factors may include high cholesterol and triglyceride levels, high blood pressure, smoking, diabetes, obesity, physical activity, and eating saturated fats. 3 Atherosclerosis can cause a heart attack, stroke, aneurysm, or blood clot. 4 You may need medicine, treatments, or surgery to reduce the complications of atherosclerosis.

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 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 procedure called when a blocked artery is shaved away?

A small balloon is inflated inside the blocked artery to open the blocked area. Atherectomy. The blocked area inside the artery is shaved away by a tiny device on the end of a catheter. Laser angioplasty.

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 is a bypass created?

During the surgery, a bypass is created by grafting a piece of a healthy vein from elsewhere in the body and attaching it above and below the blocked area of a coronary artery. This lets blood flow around the blockage. Veins are usually taken from the leg or from the chest wall.

How to treat atherosclerosis?

In some rare cases, we may recommend surgical intervention. Atherosclerosis has to be extremely aggressive and severe for us to recommend surgery. Typically, this only happens in life or death situations. The surgeries your doctor may recommend include: 1 Stent placement. A stent may be placed in the block artery to help direct blood flow. 2 Endarterectomy. This is when your arteries are manually unblocked, and the deposits are surgically removed. This is usually done for arteries located in or around your neck, however it can technically be performed anywhere in the body. 3 Fibrinolytic therapy. This is similar to an endarterectomy, except it’s when a blood clot is surgically removed. Blood clots can also be treated with certain medications.

Is atherosclerosis a death sentence?

It’s not a death sentence by any means. If you suspect you may have atherosclerosis, please see your licensed physician as soon as possible. While treatment is available, it’s important to act quickly, and make sure you’re making the right lifestyle changes as soon as you’re able to. Call us at South Florida CardioVascular Specialists for a free consultation and learn if our atherosclerosis treatment is right for you.

Why does the heart weaken when you have atherosclerosis?

Atherosclerosis can become a serious condition: the heart may weaken because of a lack of oxygen, and the cholesterol buildup can rupture, damaging the walls of the artery. However, treatment options can vary and it's important to find a doctor who understands how to treat atherosclerosis at the root of the problem.

What happens when cholesterol builds up in the walls of the arteries?

When cholesterol and other debris collect in the walls of your arteries, they harden, reducing blood flow to the heart. When this series of events occurs in the coronary artery, doctors call the plaque accumulation coronary atherosclerosis, or coronary artery disease. Atherosclerosis can become a serious condition: the heart may weaken because of a lack of oxygen, and the cholesterol buildup can rupture, damaging the walls of the artery.

What is the procedure called when a patient doesn't respond to medicine?

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.

Why do doctors put stents in harder places?

And doctors can now put the stents in harder-to-reach places than ever before, both because of improved materials and new techniques for insertion.

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 goal of a chemical heart rate test?

The goal of the test is to get the rate to reach about 85 percent of what’s normal for the patient’s age group. While the patient exercises, doctors look for changes in the electrocardiogram.

Is it better to reduce risk factors for atherosclerosis?

The patient isn’t dictated to, Dr. Cleman says. “You’re still the boss.". Still, when it comes to atherosclerosis, reducing all possible risk factors is better than treating the condition itself. “You want to not smoke, keep your blood pressure and cholesterol controlled, and exercise,” he says.

What is the treatment for atherosclerosis?

Abdomen — When atherosclerosis narrows arteries that supply the bowel, the patient may be treated with balloon angioplasty with or without stents or a bypass arterial graft. Legs — The mainstays of treatment for peripheral artery disease are quitting smoking, exercise (usually a walking program), and aspirin.

What are the factors that increase the risk of atherosclerosis?

Factors that increase your risk of developing atherosclerosis include: High level of blood cholesterol (hypercholesterolemia), especially LDL ("bad cholesterol) Low level of HDL ("good cholesterol") High levels of C-reactive protein, a marker for inflammation. High blood pressure (hypertension) Diabetes.

What is the term for the narrowing of the arteries?

Atherosclerosis is a narrowing of the arteries that can significantly reduce the blood supply to vital organs such as the heart, brain and intestines. In atherosclerosis, the arteries are narrowed when fatty deposits called plaques build up inside. Plaques typically contain cholesterol from low-density lipoproteins (LDL), ...

What is the underlying medical problem in most patients with any of the following illnesses?

This is because atherosclerosis is the underlying medical problem in most patients with any of the following illnesses: Coronary artery disease — In this chronic (long-lasting) disease, atherosclerosis narrows the coronary arteries, the arteries that supply blood to the heart muscle.

What causes pain in the legs when exercising?

Legs — Narrowing of the leg arteries from atherosclerosis is known as peripheral artery disease. It can cause cramping pain in the leg muscles, especially during exercise. If narrowing is severe, there may be pain at rest, cold toes and feet, pale or bluish skin and hair loss on the legs.

What is the main cause of death and disability in industrialized nations, including the United States?

As a result, the organ supplied by the blocked artery starves for blood and oxygen. The organ's cells may either die or suffer severe damage. Atherosclerosis is the main cause of death and disability in industrialized nations, including the United States.

What is it called when symptoms disappear?

If symptoms completely disappear within an hour or a bit longer, the episode is called a transient ischemic attack (TIA). When atherosclerosis completely blocks the brain arteries and/or the above symptoms last longer, it's generally called a stroke.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

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.

Alternative Medicine

  • Your doctor will perform a physical exam and ask questions about your personal and family health history. You may be referred to a doctor that specializes in heart diseases (cardiologist). Your doctor may hear a whooshing sound (bruit) when listening to your arteries with a stethoscope. Depending on the results of the physical exam, your doctor may suggest one or more tests, inclu…
See more on mayoclinic.org

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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