“What can I do to remove coronary heart blockages? Are there medications to reduce the blockages?” …
So you’ve done an angiogram you’ve done a hard scan and you’ve found that you have some blockages in your coronary arteries one of the most common questions people often ask me subsequently upon finding out that they are blockages is can they reverse these blockages so can calling archery blockages be reversed it’s not a simple yes or no it’s not possible to
Remove the blockages completely once you have been found to have a blockage you cannot remove it through any medical means uh you know there are no medications or tablets that can remove your blockages if you have a 50 blockage no medication is going to reduce at 50 to 0 it’s not going to clear the blockage that said there are medications which can cause the
Blood to regress meaning to reduce but in only a small proportion what we really are talking about is giving patients very high those statins or medications that will reduce the ldl studies have shown that we reduce the ldl aggressively meaning reducing cholesterol aggressively and that’s usually by means of using a statin or a drug that reduces cholesterol such
As a pcsk9 inhibitor has been shown to cause some flat regression okay there are two main types of plugs there’s the lipid-rich plaques and also the calcified plaques generally speaking the lipid rich plaques are the ones that can potentially regress if we treat them with a high dose statins and pcsk9 inhibitors which will also reduce the ldl aggressively they
Can modify content of the plaque and stabilize them and therefore reduce the risk of a heart attack it’s unlikely that medications would actually reduce progression in the calcified plaques so it’s more the lipid-rich plaques which can potentially regress but not so much the calcified plants okay so if you have a coronary blockage or a stenosis more than 70 percent
Uh that is flow limiting then obviously one way to remove the plaques would be to do an invasive procedure such as chromoandroplasty short of an endoplasty and a standing procedure there really isn’t any other medical way therapies that are available to remove these plaques the medications are very important these medications can stabilize the plaques but they
Don’t actually remove the plaques so there are actually no known therapies which can actually remove the plaque having said all that i think it is very important to consider lifestyle measures regular exercise dietary measures um and taking in the your medications regularly which includes your statins your antiplatelet therapies you know your beta blockers your
Anti-anginal medications which can all help in stabilizing these flags they may not remove it but they can certainly reduce your risk of having a heart attack in future thank you for watching i hope you liked the video if you do please don’t forget to like share and comment thank you
Transcribed from video
Is Coronary Plaque Regression Possible? By Dr. Yee kok meng
