The goal is to maximize the quantity and quality of life and prevention is the key to avoid heart disease and optimize treatment. Once plaque formation has begun, it is possible to limit its progression by maintaining a healthy lifestyle with routine exercise, diet, and by controlling high blood pressure, high cholesterol, and diabetes.
A baby aspirin may be used for its antiplatelet activity, making platelets (one type of blood cells that help blood clot) less sticky and decreasing the risk of heart attack.
Medications may be prescribed in patients with heart disease to maximize blood flow to the heart and increase efficiency of the pumping function of the heart.
Beta blocker medications help block the action of adrenaline on the heart, slowing the heart rate. These medications also help the heart beat more efficiently and decrease the oxygen requirements of the heart muscle during work.
Calcium channel blockers also help the heart muscle contract and pump more efficiently.
Nitrates help dilate arteries and increase blood flow to the heart muscle. They may be short-acting to treat acute angina symptoms or long-acting preparations may be prescribed.
Should there be significant stenosis or narrowing of the coronary arteries, angioplasty and/or stenting (described above) may be considered to open the blocked areas. These procedures are performed in conjunction with cardiac catheterization. Depending upon the patient's anatomy and the extent of the blockage present, coronary artery bypass graft surgery (CABG) may be required.