Blokage in artary. I have to do now?

 coronary artery disease (CAD), the arteries that supply blood and oxygen to your heart muscle grow hardened and narrowed.  You may try treatments such as lifestyle changes, medicines, and angioplasty, a procedure to open the arteries. If these treatments don't help, you may need coronary artery bypass surgery. The surgery creates a new path for blood to flow to the heart. The surgeon takes a healthy piece of vein from the leg or artery from the chest or wrist. Then the surgeon attaches it to the coronary artery, just above and below the narrowed area or blockage. This allows blood to bypass (get around) the blockage. Sometimes people need more than one bypass. The results of the surgery usually are excellent. Many people remain symptom-free for many years. You may need surgery again if blockages form in the grafted arteries or veins or in arteries that weren't blocked before. Lifestyle changes and medicines may help prevent arteries from becoming clogged again.

In general every patient who has a significant blockage in the heart or has a history of heart attack should be on at least 4 types of medications 1) antiplatelets which increase the clotting time of blood and decrease chances of future heart attacks and Re-stenosis of the stent . initially you are kept on two types of antiplatelets and depending upon your disease and your progress your then shifted to single antiplatelet after 6 months or 1 year.  Eg: ecosprin, clopidogrel, Prasugrel, brillianta 2) Statins - are cholesterol lowering medications which are supposed to again prevent future heart attacks.  Eg. Tonact / atorvas 3) ARB / ACE Inhibitors - which help decreasing pressure on the heart and prevents remodeling injuries. eg. Cardace / telma 4) Beta Blockers - They decrease the heart rate thereby reducing the work load on the heart and decrease BP also.  eg. Atenolol / Betaloc / metolar  usually all post angioplasty patients are kept on at least these 4 types of medications and depending upon the side effects and contraindications of medications are changed and slowly over period of time the dosage of these medications are decreased depending upon the recovery Get back to me with the reports for a detailed consultation.   Watch these simple explanatory videos for underlying the problem. Copy the link address to your browser 1) Chest pain - must know https://youtu.be/xzunqxm3g1y 2) Heart failure https://youtu.be/rgn3ez7ckhc https://youtu.be/j2llmrwox94 3) Three things to do in chest pain - https://youtu.be/v7glvnwnldg 4) Difference between heart attack and heart blocks vs heart failure https://youtu.be/x5fdpt2by3i Don't forget to share and subscribe the channel - Dr. EDUCATION. Please do share your feedback on the below link. Your opinion is valuable. http://prac.to/idax Regards Dr. Paramjeet Singh MBBS, DIP. CARDIOLOGY (LONDON), FICC. CONSULTANT CARDIOLOGIST YASHODA SUPERSPECIALITY HOSPITAL

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