Diagnosis can be concluded with the help of ECG, stress test, echocardiography, blood tests and if necessary angiography.
- Control of Risk Factors : Quitting tobacco and moderating alcohol consumption; control of blood pressure and diabetes through change in lifestyle and medicines; proper dietary habits; regular exercise and pranayam are basic requirements.
- Medicines : Aspirin, Clopidogrel, (or Ticagrelor or Prasugrel) to him the blood, Beta Blocker medicines to make heart stable, statin to make the arteries healthy by controlling cholesterol, Nitrate and Calcium channel blockers medicines to relax and widen the arteries, ACE Inhibitor or ARB medicines to reduce the risk of heart attack and stroke.
- Angioplasty or Bypass Surgery : Such interventional or surgical treatment becomes necessary if medicines do not yield results or if there are ‘risky blocks’ in the arteries of patients.
- ECP (Enhanced Counterpulsation) : In selected patients, this treatment is used in addition to medicines to enhance efficiency of the heart, increases collateral flow and gain control over angina. This non-invasive treatment is given daily for one hour, 5 days a week and up to 4-6 weeks.
The strap similar to those used in measuring blood pressure are tied round patient’s legs and are expanded and relaxed at a regular time. This treatment is easy and riskless if applied properly. But it is not a case where there are risky blocks in patient’s arteries and if angioplasty or bypass surgery is a must based on scientific evidence, serious consequences can occur by relying on ECP only.