15 Ways to Treat Coronary Heart Medically

Heart Attact Treatment
Coronary heart disease is the terminology used for the condition where there is accumulation of fat plaques in large blood vessels, especially the coronary arteries of the heart that can cause heart attacks. Coronary artery itself serves to channel oxygen and nutrients to the heart itself, the pile of fat plek is able to disrupt the flow of blood that carries oxygen and nutrients. The accumulation of fatty plaques occurs not in a short time but takes years.

Fat plaque is able to harden or rupture. Hardening of fatty plaques is capable of causing narrowing of the coronary arteries. Rupturnya or the release of fat plek is also capable of causing the formation of bloodshed. These large blood vessels, especially large ones, can block the flow of blood in the coronary arteries that over time can also harden and constrict coronary arteries.

There are several risk factors that can cause coronary heart disease. There are 3 types of risk factors, here is the explanation:

1. Risk Factors that Can not Be Changed

There are several risk factors that can not be changed:

    Generally people who die of coronary heart disease aged 65 years and over.
    Gender. Men are more at risk for coronary heart disease than women even after they have menopause
    Someone whose parents suffer from coronary heart disease have a greater risk of coronary heart disease than those who do not suffer from coronary heart disease.

2. Risk Factors that Can Be Modified or Controlled

There are several risk factors that can be modified or controlled:

    High blood pressure
    High cholesterol levels
    Physical activity is lacking
    Obesity and excess weight
    Diabetes Mellitus (DM)

3. Other Risk Factors

There are several other risk factors that contribute to coronary heart disease:

    Food and nutrition

How To Treat Coronary Heart Disease

Coronary heart disease can be treated effectively with a combination of lifestyle changes, medications and in some cases surgery. With proper handling the symptoms of coronary heart disease can be reduced and heart function can be increased. Here is how to treat coronary heart medically:

1. Lifestyle Changes

Lifestyle changes are the main thing because unhealthy lifestyle is a risk factor that causes the occurrence of coronary heart disease. Lifestyle changes will reduce the risk of subsequent episodes of coronary heart disease. Here is a lifestyle change that is done to deal with coronary heart disease:

    Healthy Foods for the Heart

(Read : 15 Heart Healthy Food List and Also Good For Diet )

Changes in diet should be done primarily to reduce fat, because coronary heart disease occurs due to a pile of fat plaques that are generally saturated and trans fats. Saturated fats and trans fats increase blood cholesterol levels. The main source of saturated fat is meat. While trans fats come from butter, various cakes, creams and also in animal fats.

But not all fat is avoided, there are unsaturated fats that can lower cholesterol levels such as avocado, corn, beans, peanut butter, salmon, tofu, and others. In addition to fats should be avoided foods and drinks that high sugar levels are generally in fast food. Also sodium levels should be maintained to reduce blood pressure. Most importantly, alcohol consumption should be avoided. Foods that should be eaten are fish such as salmon, tuna. Fruits such as apples, bananas, oranges, pears. Vegetables such as broccoli, spinach, carrots.

    Physical Activity

Active physical activity can reduce the incidence of coronary heart disease. In addition regular exercise can reduce other coronary heart disease risk factors such as reducing cholesterol levels, reduce blood pressure and reduce excess weight. Try exercising with moderate intensity for 150 minutes or 2.5 hours per week or severe exercise for 75 minutes. The recommended exercise is aerobic exercise such as brisk walking, jogging, swimming, gymnastics and cycling.

    Keeping Healthy Weight

Maintaining a healthy weight is very important and able to reduce the incidence of coronary heart disease. We recommend that BMI (body mass index) or BMI (body mass index) is achieved is 18.5-24.9. How to calculate BMI is weight in kg divided by height in squared meters or kg / m². Maintaining weight can be done with a good diet and good physical activity as well.

    Managing Stress

There are many ways to manage stress such as meditation, physical activity, relaxation therapy, vent, and stress management programs. Stress is one of the most common triads of heart attack events. Stress is also sometimes poorly managed such as overeating, smoking and even drinking alcohol.

    Quit smoking

Cigarettes is one of the risk factors that cause coronary heart disease. Quitting smoking in addition to reducing the risk of heart disease also helps the body better in many aspects.

2. Drugs

There are several drugs that can be used to reduce the risk of coronary heart disease. Medicines are generally used after lifestyle modification is not optimum. But relying on drugs without changing lifestyles will not yield any results, therefore despite the wide selection of medicines that can be used, lifestyle modifications are also kept. Here is a selection of drugs commonly used to control risk factors for coronary heart disease:


Antiplatelet is a medicine that reduces blood stains. Blood stomach can occur from the ruptures of fatty plaque, blood vessels can close the blood vessels that can cause coronary heart disease. Who is responsible for the occurrence of blood is a platelet or blood platelets. Therefore, antiplatelet is one way of treating coronary heart medically that can be used. However, antiplatelet can cause severe bleeding because it will block the action of platelets in the event of injury to other blood vessels. Therefore you should use antiplatelet as recommended by doctor. Common antiplatelet examples are low grade aspirin and clopidogrel.


Group statin drugs are used to reduce blood cholesterol levels. As previously mentioned high cholesterol levels are one of the risk factors for coronary heart disease. But this drug will be more effective can be combined with a healthy diet. Group statin drugs are not used for eating well because it will reduce the action of drugs. Therefore it should be combined with a healthy diet as well. Examples of statin drugs are atorvastatin and simvastatin.
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Beta-blockers are commonly used to prevent angina and handle high blood pressure. Group beta-blockers work in blocking the heart's beta receptor that reduces heart rate and increases blood flow. One example of beta-blockers is atenolol.


Nitrate is used to dilate blood vessels. Therefore nitrate is a drug that can be used as a way of treating coronary heart medically. Nitrate is available in several preparations such as tablets, sprays and skin patches. Nitrate works by relaxing the blood vessels so the bloodstream will flow more smoothly and reduce blood pressure and relieve pain. Nitrate has several side effects such as headache, redness in the skin. Nitrate is usually used when an attack

    ACE (Angiotensin-Converting Enzyme) Inhibitors

ACE inhibitors are a class of drugs commonly used to treat high blood pressure. ACE inhibitors work by inhibiting angiotensin I into angiotensin II which is responsible for increasing blood pressure and constriction of blood vessels. There are several side effects of ACE inhibitors such as dry cough. One example of the drug is lisinopril. B

    Angiotensin II Antagonist Receptors

Angiotensin II receptor antagonist has a working principle similar to ACE inhibitors. ACE inhibitors are used to prevent the formation of angiotensin II, angiotensin II receptor antagonist acts as an angiotensin II receptor but the effect is different from the common angiotensin II receptor. Possible side effects are dizziness. One example of the drug is valsartan.

    Calcium Channel Blockers

Calcium channel blockers, as the name suggests, work to prevent or block calcium ions, especially to enter the heart and blood vessel walls that produce lower blood pressure, allowing the blood vessels to relax and widen. Possible side effects are headache and red cheeks. One example of the drug is amlodipine.


Diuretics work by increasing urinary expenditure. This is good for the heart because the volume of body fluids will decrease including blood and make the heart work lighter. However, there are dangerous side effects depending on the type of diuretics such as hyperkalemia or hypokalemia are harmful to the heart because it can cause arrhythmia. One example of the drug is loperamide. All of the above drugs have indications and side effects of each, therefore should be discussed first with a doctor who should be taken any drug drugs.

3. Operation

Surgery is one way to treat coronary heart medically. Generally surgery is used when the narrowing of blood vessels due to fat deposits or when symptoms are not able to be controlled with lifestyle changes and medications, procedural intervention or surgery is needed to open a constriction of blood vessels or need to bypass blocked blood vessels. Here are the surgical options used to treat coronary heart disease:

    Percutaneous Coronary Intervention

Percutanepus coronary intervention is simply the use of stents. Stents are placed in the arteries to open them open. Percutaneous coronary intervention has other names such as coronary angioplasty, percutaneous transluminal coronary angioplasty, or balloon angioplasty. Angioplasty itself is the terminology used to balloon the balloon to open narrowed arteries or blocked arteries. Prior to the operation, an assessment is needed to ensure that the operation can be performed. The procedures performed to assess arteries are cardiac catheterisation and coronary angiography.

The catheter is inserted through a blood vessel on the thigh or hand using an X-ray as a guide. Then after reaching the target injected contrast medium to produce a picture of blood vessels, the image is called an angiogram. It also needs to be checked for blood and other general health checks to ensure surgery. Also do not eat and drink 6 hours before surgery. The operating procedure itself is done in the chatetersasi laboratory, not in the operating room.

The room is equipped with X-ray. Generally takes 30 minutes to 2 hours. The operation begins with a small incision on the skin on the thigh or arm to insert the sheat to open during the procedure. The catheter is inserted through a sheat and guided up to the intended artery. Thin and flexible cables are inserted through the catheter. A small sausage-shaped balloon is inserted into the cable in the narrowed area and inflated for 20-30 seconds. Stent installation will be adjusted to the balloon and open when the balloon is developed. The stents are then left in the arteries when the balloon is deflated and removed. Then after that will be checked the blood vessels by entering the contrast whether it can cross the arteries or not. Typically hospitalization is required 1-2 days after stent installation.

    Coronary Artery Bypass Graft

Coronary artery bypass graft is one operation that can be done to treat coronary heart disease. This operation is performed by taking blood vessels from other parts of the body, usually from the chest, legs, or arms, and mounted above or below the narrowed or blocked arteries, these blood vessels are called grafts. The operation takes 3-6 hours.

The number of blood vessels to be installed depends on the severity of coronary heart disease suffered and how many blood vessels are narrowed, therefore the angiogram performed before the surgery is done. The operation is performed in an unconscious state alias using general anesthesia. The first thing to do is take the blood vessels that will be installed in the heart. Then after that is menginsisi chest and open the sternum bone and mengasses your heart.

During the operation the heart will be stopped temporarily and blood is passed using the heart-lung bypass machine. Then the graft will be installed to divert the blood vessels around the blocked artery. After all the graft has been installed, the heart will restart by using controlled electic shock. Then the chest will be closed again with stitches and permanent metal wires.

Thus information on how to treat coronary heart medically. Before cure, better prevent. So keep your lifestyle healthier, to avoid various diseases.

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