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You can do a lot to control cardiovascular disease. Take medication. Change your diet. Exercise. When these changes aren't enough, your doctor may recommend a stent implant or bypass surgery.
Your doctor will determine the best treatment for you based on the underlying problems, where and how severe your blockages are, and your future risks.
When atherosclerosis is identified at an early stage, medications such as nitrates, beta blockers, calcium channel blockers, aspirin, or cholesterol-lowering drugs (statins) may be prescribed. These medicines may slow the disease's progress or ease its symptoms.
Coronary artery bypass grafting, or "CABG" (pronounced "cabbage"), is a common heart procedure. A surgeon takes a section of a healthy blood vessel from your leg, chest, or arm. The vessel is then connected (grafted) to your coronary artery slightly past the site of the blockage. This creates a new path for blood to flow around (bypass) the blockage in the artery so it can get to your heart.
Patients undergoing bypass are put under general anaesthetic and are not awake during surgery. Two bypass surgical procedures for coronary artery disease are: (1) beating heart surgery and (2) arrested heart surgery.
For some patients, minimally invasive coronary artery surgery is an alternative to the CABG surgery. Three minimally invasive treatments for coronary artery disease (CAD) are coronary balloon angioplasty, stenting, and minimally invasive cardiac surgery (MICS) CABG.
In some cases, stents and balloons are used together in a procedure called stent and balloon therapy.
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