Coronary Artery Disease (CAD): Management & Treatment Menu

How Can I Manage Coronary Artery Disease?

The management and treatment of coronary artery disease is dependent on several factors:

  • Patient quality of life
  • Risk of progression that can include sudden cardiac death
  • Amount of ischemia
  • Amount of cardiac reserve

Non-medical Treatment

  • Exercise via a gradual introduction and supervised increase will improve exercise tolerance as well as the psychological well-being that comes from it to counter depression associated with disability
  • Stress reduction

Medical Treatment

For those with stable angina and stable ischemic heart disease, medical treatment consists of:

  • Beta blockers, which reduce heart rate and contractility to lessen, delay, or avoid anginal symptoms or the crossing over the threshold of ischemia into acute coronary syndrome
  • Calcium channel blockers, in combination with beta blockers or instead of failed beta blockers, to cause coronary vasodilation and reduce contractility (work demand) of the heart
  • Nitrates, the first-line therapy for acute angina and which can also be used preventatively
  • Sodium channel blockers, to reduce ventricular tension and myocardial oxygen consumption, producing myocardial relaxation that lessens the severity and frequency of anginal symptoms

Invasive Therapies

The ischemia that results from decreased blood supply to the myometrium and one’s vulnerability to increased demand can affect one’s quality of life enough to warrant revascularization. Indications include activity limitations from CAD or with anatomical abnormalities for which medical therapy is ineffective.

Revascularization can be done via:

  • Coronary artery stenting via percutaneous coronary intervention (PCI) for single-vessel disease. Pre-stent dilation may be indicated depending on the type of stent(s) used. Adjunctive therapy requires anticoagulation therapy
  • Balloon angioplasty PCI, less used due to its need for repeated applications
  • Coronary artery bypass grafting (CABG), used for multi-vessel disease and in diabetics
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This information is provided by Vascular Health Clinics and is not intended to replace the medical advice of your doctor or healthcare provider. Please consult your healthcare provider for advice about a specific medical condition.

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