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Your doctor may recommend that you adopt lifelong heart-healthy lifestyle changes, including:
• Aiming for a healthy weight. Losing just 3 percent to 5 percent of your current weight can help you manage some ischemic heart disease risk factors, such as high blood cholesterol and diabetes. Greater amounts of weight loss can also improve blood pressure readings.
• Being physically active. Routine physical activity can help manage ischemic heart disease risk factors such as high blood cholesterol, high blood pressure, or overweight and obesity for Coronary heart disease Treatment.
• Heart-healthy eating, such as the DASH (Dietary Approaches to Stop Hypertension) eating plan. A heart-healthy eating plan includes fruits, vegetables, and whole grains and limits saturated fats, trans fats, sodium, added sugars, and alcohol.
• Managing stress.Learning how to manage stress, relax, and cope with problems can improve your emotional and physical health.
• Quitting smoking. Visit Smoking and Your Heart and the National Heart, Lung, and Blood Institute’s Your Guide to a Healthy Heart. Although these resources focus on heart health, they include basic information about how to quit smoking.
Your doctor may recommend medicines to manage your risk factors or treat underlying causes of ischemic heart disease. Some medicines can reduce or prevent chest pain and control other medical conditions that may be contributing to your ischemic heart disease.
• ACE inhibitors and beta blockers to help lower blood pressure and decrease the heart’s workload.
• Calcium channel blockers to reduce blood pressure by allowing blood vessels to relax.
• Medicines to control blood sugar, such as empagliflozin, canagliflozin, and liraglutide, to help lower your risk for complications if you have ischemic heart disease and diabetes.
• Metformin to control atherosclerosis if you have diabetes for Coronary heart disease Treatment.
• Nitrates, such as nitroglycerin, to relieve or prevent chest pain from angina. Nitroglycerin dissolves under your tongue or between your cheek and gum.
• Ranolazine to treat coronary microvascular disease and the chest pain it may cause.
• Statins or non-statin therapies to control high blood cholesterol. Your doctor may recommend statin therapy if you have a higher risk for ischemic heart disease complications or stroke or if you have diabetes and are between ages 40 and 75. Non-statin therapies may be used to reduce cholesterol when statins do not lower cholesterol enough or cause side effects. Your doctor may prescribe non-statin drugs, such as gemfibrozil, ezetimibe, bile acid sequestrants, fenofibrate, alirocumab, evolocumab, or omega-3 fatty acids.
You may need a procedure or heart surgery to more advanced ischemic heart disease treatment.
• Coronary artery bypass grafting (CABG) to improve blood flow to the heart by using normal arteries from the chest wall and veins from the legs to bypass the blocked arteries,. Surgeons typically use CABG to treat people who have severe coronary artery disease in multiple coronary arteries.
• Percutaneous coronary intervention (PCI) to open coronary arteries that are narrowed or blocked by the buildup of atherosclerotic plaque. A small mesh tube called astent is usually implanted after PCI to prevent the artery from narrowing again.
• Transmyocardial laser revascularization to treat severe angina associated with ischemic heart disease when other treatments are too risky or did not work.
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