How is coronary atherosclerosis treated?
Coronary atherosclerosis is treated generally through the following three aspects: The first aspect is general preventive measures, which include four sub-aspects. First is actively controlling risk factors related to the disease, such as hypertension, hyperglycemia, hyperlipidemia, and obesity. Second is a reasonable diet, controlling the total caloric intake in the diet to reach a normal weight range, which can be simply measured using BMI, or waist circumference, with over 80 cm in females and 85 cm in males being considered overweight. Third is appropriate physical labor and sports activity. Fifth, rational arrangement of work and life, advocating quitting smoking and limiting alcohol, regular work schedules, maintaining an optimistic and pleasant mood, avoiding emotional excitement and excessive fatigue, balancing work and rest, and ensuring adequate sleep. Medicinal treatment includes five items: one is adjusting blood lipids, commonly using statin drugs; second look at antiplatelet drugs, such as aspirin and clopidogrel; third involves thrombolysis or anticoagulation, for instance, warfarin and low molecular weight heparin; fourth involves using drugs that improve myocardial remodeling and prognosis, such as valsartan and ACE inhibitors; additionally, there is treatment for ischemic symptoms, and if angina occurs, nitrate drugs like nitroglycerin can be used, as well as others like metoprolol. Lastly, the third major category is interventional and surgical procedures. If there is significant coronary artery narrowing, greater than 90%, procedures like stent placement or coronary artery bypass surgery can be performed. These three major aspects comprise the treatment of coronary atherosclerosis.
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