Can coronary artery disease to be treated with only medication and exercise?

Doctor's Answers 1

Yes, coronary artery disease can be treated with lifestyle changes - exercise along with diet/stopping smoking/losing weight and reducing stress.

However in certain kinds of coronary disease (may need both a coronary angiogram and nuclear scan) where there is a severe blockage which is causing impairment of blood flow to a significant part of the heart muscle, it maybe advisable to proceed with heart stent or bypass surgery to prevent a heart attack with poor outcomes including mortality.

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How do cardiologists diagnose postpartum SCAD (spontaneous coronary artery dissection), and how will it affect me in future?

Hi there I am sorry to hear of your experience. SCAD or spontaneous coronary artery dissection does sound likely given that it occurred 10 days postpartum (SCAD more likely to occur in the last trimester & in the last 4 weeks post delivery). ECG changes and raised troponin would be classed as Acute Coronary Syndrome (ACS) secondary to SCAD.

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Answered By

Dr Nandakumar Ramasami

Cardiologist

What are the best treatment options for blocked heart vessels?

There are essentially 3 treatments for blocked heart vessels – ie Medical therapy Angioplasty or stents, and Bypass surgery However which of these options is most suitable for yourself depends on the presence of the blockages, their severity and location. In addition other factors such as Diabetes, high blood pressure and high cholesterol also play a part. It is important that lifestyle changes always accompany all of the above three options. Medical therapy is usually recommended when there are mild fatty thickening in the arteries.

Photo of Dr Nandakumar Ramasami

Answered By

Dr Nandakumar Ramasami

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