Treatment for CHD

Ultimate choice of therapy or treatment by doctors is usually based on severity of disease upon diagnosis. Nonetheless, patients are often recommended to improve personal lifestyle and habits such as healthy diet, daily exercises and avoidance from smoking.

Current treatments for CHD include:

  1. Drug Treatment

    At initial stages, patients are usually placed under medical treatment using aspirin or nitroglycerin tablets to relieve symptoms.
  2. Coronary Angioplasty

    Commonly known as Percutaneous Coronary Intervention (PCI), the procedure involves an incision made either near the wrist or inner groin area, followed by introduction of a sheath via either femoral or radial approach, positioning of a guide wire, engagement of a balloon catheter to open the narrowed artery as preparation for implantation of a coronary stent which is a metallic coil that helps support and keep the artery open.
    Compared to coronary bypass surgery, PCI is much less invasive and only local anesthesia is needed.
  3. Coronary Artery Bypass Graft Surgery

    An operation involving thoracotomy which often requires a segment of the patient’s vessel (i.e. saphenous vein, left/right internal mammary artery or radial artery) to be extracted and used as a bridged channel from the aorta to the distal part of the diseased coronary artery. In general, such highly traumatic operation is indicated for patients with comparatively more severe disease (e.g. stenosis involving the left main trunk in the left coronary artery, or multi-vessel disease)