How is CAD treated?
Most people who have CAD take medicine to help control their condition. Medicines called beta-blockers, calcium channel blockers and nitrates can help relieve angina. Taking low-dose aspirin every day can reduce the chance of a second heart attack in people who have already had one. Your doctor will tell you whether you should take any of these medicines.
What about surgery?
Angioplasty is a surgical treatment for CAD. Angioplasty uses a tiny balloon to push open blocked arteries around the heart. The balloon is inserted in an artery in the arm or leg. A small metal rod called a stent might be put into the artery where the blockage was to hold the artery open.
Another surgical treatment for CAD is bypass surgery. Pieces of veins or arteries are taken from the legs and sewn into the arteries of the heart to bring blood past a blockage and increase the blood flow to the heart. Bypass surgery is usually done when angioplasty isn't possible or when your doctor feels it's a better choice for you.
Are there side effects and other risks to the treatment of CAD?
All medicines may have side effects. Aspirin may cause upset stomach. Nitrates may cause a flush (redness in the face) and headaches. Beta-blockers cause tiredness and sexual problems in some patients. Calcium channel blockers may cause constipation and leg swelling. Fortunately, most patients don't have side effects from these medicines. If you have side effects after taking a medicine, tell your doctor.
Surgery, such as angioplasty or bypass surgery, also has potential risks. The major risks can include heart attack, stroke or even death. These are rare and most patients do well. After angioplasty, you can usually expect to return to your previous activity level, or even a better activity level, within a few days. It takes longer (a few weeks or months) to recover from bypass surgery.
How do I know which treatment is right for me?
Your doctor will help you decide which treatment is best for you.
Does CAD ever go away?
CAD doesn't go away, but by working with your doctor, you can live longer and feel better.
Written by familydoctor.org editorial staff