Before an individual treatment plan can be created, an accurate diagnosis is required. A cardiac catheterization allows the coronary arteries, including possible constrictions, to be radiographed. If a relevant vascular calcification is detected, there are basically three treatment options. All three treatments can improve the circulation of the heart muscle and improve physical performance, improve the angina pectoris and thus the quality of life. The therapy should also reduce the risk of heart attack and the associated mortality risk.
Three ways of treatment
The three options for treatment of chest tightness (angina pectoris) include:
- The drug therapy is intended to bring to an end acute symptoms and to prevent or at least slow down the progression of the disease. Important active ingredients are nitrates ("nitro" can bring an acute attack to dissipate in a few minutes as a spray or zerbißkapsel), beta-blockers and calcium channel blocker.
- The expansion of individual constrictions of the coronary arteries by balloon catheter as part of the cardiac catheterization, thereby possibly inserting a stent.
- a bypass operation
Which form of therapy is appropriate, must be decided by the specialist in each case.
Regardless of the stage of the disease, control of the so-called risk factors for vascular disease is required. Specifically, this means nicotine abstinence, low-salt diet for high blood pressure, low-sugar diet for diabetes mellitus, low-fat diet for lipid metabolism disorders and low-fiber diet for gout. In most cases, the mentioned dietary measures must be supported by medication.
In addition, weight regulation, regular exercise and reduction of mental stress factors are recommended. In the case of genetic susceptibility to cardiovascular disease, special attention should be paid to additional, treatable risk factors.