Coronary heart disease (CHD) is a narrowing of the small blood vessels that supply blood and oxygen to the heart.
Angina is chest pain or discomfort that most often occurs when you do certain activities or feel stressed. Angina is caused by poor blood flow through the blood vessels of the heart muscle.
If you have high blood pressure, diabetes, or high cholesterol, your health care provider may advise keeping your:
Some of the risk factors for heart disease that you CAN control are:
.If you drink alcohol, limit yourself to no more than 1 drink a day for women, 2 for men. Drinking more than this does more harm than good. Avoid or reduce stress as much as you can.
Good nutrition is important to your heart health, and it will help control some of your risk factors for heart disease.
Your health care provider may prescribe medicine to treat CHD, high blood pressure, diabetes, or high cholesterol levels. These may include:
To reduce your risk of a heart attack, your health care provider may also advise you to take aspirin, clopidogrel (Plavix), or prasugrel (Effient) every day. These can help prevent blood clots that could cause a heart attack from forming in your arteries.
Follow your health care provider's directions carefully to keep your heart disease and angina from getting worse.
Create a plan with your doctor for managing your angina. Your plan should include:
Know what can make your angina worse, and try to avoid these things. For example, some people find that cold weather, exercising, eating large meals, or getting upset or stressed worsens their angina.
Gaziano JM, Ridker PM, Libby P. Primary and secondary prevention of coronary heart disease .In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: ATextbook of Cardiovascular Medicine. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 49.
Mosca L, Benjamin EJ, Berra K, et al. Effectiveness-Based Guidelines for the Prevention of Cardiovascular Disease in Women--2011 Update: a guideline from the American Heart Association. Circulation. 2011;123(11);1243-1262.
Updated by: Michael A. Chen, MD, PhD, Assistant Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, Washington. David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2013, A.D.A.M., Inc. Duplication for commercial use must be authorized in writing by ADAM Health Solutions.