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Coronary Atherosclerosis

Coronary Atherosclerosis: Risk Factors, Diagnosis, Treatments | SingHealth

Coronary Atherosclerosis - Treatments


Coronary atherosclerosis can be treated by making lifestyle changes, taking medication or through various procedures. 

Lifestyle changes
  • Exercise regularly 
  • Adopt a healthy diet 
  • Quit smoking (if you smoke)
  • Manage stress 
  • Achieve and maintain a healthy weight 
  • Keep your cholesterol, blood sugar and blood pressure levels in check 

Medication
If a patient’s condition does not improve after making lifestyle changes, medications may be prescribed. These medications generally aim to:
  • Lower blood pressure
  • Lower cholesterol levels 
  • Reuce blood-clotting

Procedures

1) Coronary angioplasty
A stent is inserted into the narrowed artery to keep it open and allow blood to flow through

A coronary angioplasty or percutaneous coronary intervention (PCI) is a minimally invasive procedure that treats severe blockages of the coronary arteries. In this procedure, a small balloon or stent is used to keep the blocked part of the artery open, allowing more oxygenated blood to flow through. The latest option within coronary angioplasty is to use stents covered with a drug (drug-eluting stents) which supposedly reduce the likelihood of re-narrowing of the arteries. 

A bypass graft vessel allows oxygenated blood to bypass the blocked arteries and restore blood flow to the heart

A coronary artery bypass grafting (CABG) is an operation where healthy veins and/or arteries are used to create new pathways for blood to flow, bypassing the narrowed arteries. It is usually recommended to patients with severe coronary atherosclerosis to relieve its symptoms. Typically, it is performed as an open-heart surgery which involves opening up the patient’s chest but recently, minimally invasive CABG methods have been introduced to reduce recovery time. 

Coronary Atherosclerosis - Preparing for surgery

Coronary Atherosclerosis - Post-surgery care

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