Treatment FAQ

what is the treatment of atherosclerosis?

by Kayleigh Little Published 3 years ago Updated 2 years ago
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Medication

Mar 24, 2022 · Medicines often used to treat atherosclerosis or related conditions are listed below. ACE inhibitors and beta blockers help lower blood pressure and lower the heart's workload. Anti-platelet or anti-clotting medicines may help reduce risk of complications for some people who have atherosclerosis. Aspirin is not recommended for most people.

Procedures

Jun 28, 2018 · 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...

Self-care

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.

Nutrition

Feb 13, 2017 · In mice models it has been reported that anacetrapib attenuates atherosclerosis not by increasing HDL-C but rather by decreasing LDL-C by CETP inhibition and by a CETP independent reduction of plasma PCSK-9 level [ 30 ]. The REVEAL study, a very large phase 3 RCT with anacetrapib, is still underway and its results are expected in 2017 [ 31 ].

How do you treat 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.

How to cure arteriosclerosis?

Pharmacologic treatment of atherosclerosis: beyond lipid-lowering therapy Increased proliferation of intimal smooth muscle cells (SMCs), resulting in myointimal hyperplasia and luminal narrowing, is a characteristic of the early phase of atherogenesis.

How to treat atherosclerotic disease?

Mar 24, 2022 · Atherosclerosis develops slowly as cholesterol, fat, blood cells and other substances in your blood form plaque. When the plaque builds up, it causes your arteries to narrow. This reduces the supply of oxygen-rich blood to tissues of vital organs in the body. Normal artery and an artery with plaque buildup. Atherosclerosis can affect most of ...

How should an atheromatous aorta be treated?

Atherosclerosis is a type of arteriosclerosis caused by a build-up of plaque in the inner lining of an artery. (Arteriosclerosis is a general term for thickening or hardening of the arteries.) Plaque is made up of deposits of fatty substances, cholesterol, cellular waste products, calcium, and fibrin, and can develop in medium or large arteries.

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How is atherosclerosis treated and prevented?

Exercise regularly. Regular aerobic exercise can help fight atherosclerosis by reducing the amount of fat in your blood, lowering your blood pressure and cholesterol, and controlling your weight. It's never too late to start exercising. Brisk walking, swimming, and bicycling are good choices.

Is there any cure for atherosclerosis?

There are not currently any treatments that can reverse atherosclerosis, but the healthy lifestyle changes suggested above may help stop it getting worse.

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

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 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

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 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

How do you remove plaque from your aorta?

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.Nov 16, 2020

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 best treatment for atherosclerosis?

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.

How to prevent atherosclerosis?

Quitting smoking is the best thing you can do to keep your arteries healthy and prevent atherosclerosis complications. Exercise most days of the week. Regular exercise improves blood flow, lowers blood pressure, and reduces your risk of conditions that increase the risk of atherosclerosis and heart disease.

Why do you need a stress test for exercise?

Because exercise makes your heart pump harder and faster than it does during most daily activities, an exercise stress test can reveal problems within your heart that might otherwise be missed. If you're unable to exercise, you may be given a medication that mimics the effect of exercise on your heart. Echocardiogram.

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 ...

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.

How to control blood pressure and cholesterol?

Eat healthy foods. A heart-healthy diet full of fruits, vegetables and whole grains — and low in refined carbohydrates, sugars, saturated fat and sodium — can help you control your weight, blood pressure, cholesterol and blood sugar. Try substituting whole-grain bread in place of white bread.

Can you eat before a blood test?

When you make the appointment, ask whether there's anything you need to do in advance, such as restrict your diet. Many blood tests, including cholesterol and triglycerides, require that you avoid eating and drinking for a certain amount of hours before the tests.

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 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 happens if an artery is blocked?

In either case, the artery can be blocked, cutting off blood flow. If the blocked artery supplies the heart or brain, a heart attack or stroke occurs. If an artery supplying oxygen to the extremities (often the legs) is blocked, gangrene, or tissue death, can result.

What causes plaque in the heart?

Where plaque develops, and the type of artery affected, varies with each person. Plaque may partially or totally block blood flow through large- or medium-sized arteries in the heart, brain, pelvis, legs, arms or kidneys. This can lead to conditions such as: 1 Coronary heart disease (plaque in arteries in or leading to the heart) 2 Angina (chest pain from reduced blood flow to the heart muscle) 3 Carotid artery disease (plaque in neck arteries supplying blood to the brain) 4 Peripheral artery disease, or PAD (plaque in arteries of the extremities, especially the legs) 5 Chronic kidney disease

What happens when plaque builds up?

As plaque builds up, the wall of the blood vessel thickens. This narrows the channel within the artery – reducing blood flow. That lessens the amount of oxygen and other nutrients reaching the body. Watch an animation about atherosclerosis.

Can plaque break off?

A piece of plaque can break off and be carried by the bloodstream until it gets stuck. And plaque that narrows an artery may lead to a blood clot (thrombus) that sticks to the blood vessel’s inner wall. In either case, the artery can be blocked, cutting off blood flow.

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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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