5 doctors weighed in:

Does an angioplasty cure coronary artery disease? Will I have to have repeat angioplasties, or does this procedure prevent plaque from forming again?

5 doctors weighed in
Dr. Milton Alvis Jr
Preventive Medicine

In brief: No, Symptoms; ↑Ds

Angioplasty: hydraulic expansion of narrowing; damages artery & can easily recur: reason for stents & procedure further complicates the disease process.
There has long been evidence that arterial disease is at least partially reversible, but MDs paid for treating symptoms. Optimize NMR particle test LDL ?700 nmol/L, large HDL ?9 µmol/L), HbA1c ?6.0%, 5.0% optimal, SBP ?120, ?body fat, ?activity.

In brief: No, Symptoms; ↑Ds

Angioplasty: hydraulic expansion of narrowing; damages artery & can easily recur: reason for stents & procedure further complicates the disease process.
There has long been evidence that arterial disease is at least partially reversible, but MDs paid for treating symptoms. Optimize NMR particle test LDL ?700 nmol/L, large HDL ?9 µmol/L), HbA1c ?6.0%, 5.0% optimal, SBP ?120, ?body fat, ?activity.
Dr. Milton Alvis Jr
Dr. Milton Alvis Jr
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Dr. Saurabh Gupta
Internal Medicine - Cardiology

In brief: Angioplasty

Angioplasty (stent placement) is a procedure to mechanically alleviate the obstruction in a particular area of the coronary artery.
It does not cure the underlying disease process and does not prevent other areas to develop blockages. In some circumstances the area of angioplasty (stent) may re-narrow causing the "blockage" to recur in the same area.

In brief: Angioplasty

Angioplasty (stent placement) is a procedure to mechanically alleviate the obstruction in a particular area of the coronary artery.
It does not cure the underlying disease process and does not prevent other areas to develop blockages. In some circumstances the area of angioplasty (stent) may re-narrow causing the "blockage" to recur in the same area.
Dr. Saurabh Gupta
Dr. Saurabh Gupta
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Dr. Joshua Buckler
Internal Medicine - Cardiology

In brief: Great

Great question.
No, angioplasty and stent placement are only mechanical fixes for the underlying obstruction. Only through controlling cholesterol, diabetes, high blood pressure, taking aspirin, stopping smoking, exercising, and losing weight can you prevent plaque from forming again. This is why the medications you take after angioplasty/stent placement are so very important for your long term heart health. They are really the only ways to hopefully prevent future procedures.

In brief: Great

Great question.
No, angioplasty and stent placement are only mechanical fixes for the underlying obstruction. Only through controlling cholesterol, diabetes, high blood pressure, taking aspirin, stopping smoking, exercising, and losing weight can you prevent plaque from forming again. This is why the medications you take after angioplasty/stent placement are so very important for your long term heart health. They are really the only ways to hopefully prevent future procedures.
Dr. Joshua Buckler
Dr. Joshua Buckler
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Dr. Imran Virk
Internal Medicine - Cardiology

In brief: Cure.

Cure. I am not aware of any commercially available technology/medications which cures coronary artery disease (cad).
Angioplasty is used for symptom-control related to obstruction of coronaries (severe form of cad). It is the lifestyle which prevents cad. Most of us/cardiologists think that lifetime over years can "potentially cure" cad. While you are trying to change your lifestyle, you should control cholesterol, diabetes and high blood. Avoid all forms of smoking. Increase exercise level. Keep your bmi under 22 by losing weight.

In brief: Cure.

Cure. I am not aware of any commercially available technology/medications which cures coronary artery disease (cad).
Angioplasty is used for symptom-control related to obstruction of coronaries (severe form of cad). It is the lifestyle which prevents cad. Most of us/cardiologists think that lifetime over years can "potentially cure" cad. While you are trying to change your lifestyle, you should control cholesterol, diabetes and high blood. Avoid all forms of smoking. Increase exercise level. Keep your bmi under 22 by losing weight.
Dr. Imran Virk
Dr. Imran Virk
Thank
Dr. Panayotis-Alain Efstratiou
Internal Medicine - Cardiology

In brief: The

The bad news: nothing cures coronary disease.
Once you develop "hardening of the arteries" it follows you for life. The good news: with modern management it can become a chronic stable condition. Measures to consider are smoking cessation, diet, exercise and control of high blood pressure and diabetes if present. You will need to be on many pills including a statin. Even then we are talking statistics. Modern stents for example, are 95% effective which means that some people fall in the 5% group. Doing the right things minimize your chances of having to go back in the cath lab or worse.

In brief: The

The bad news: nothing cures coronary disease.
Once you develop "hardening of the arteries" it follows you for life. The good news: with modern management it can become a chronic stable condition. Measures to consider are smoking cessation, diet, exercise and control of high blood pressure and diabetes if present. You will need to be on many pills including a statin. Even then we are talking statistics. Modern stents for example, are 95% effective which means that some people fall in the 5% group. Doing the right things minimize your chances of having to go back in the cath lab or worse.
Dr. Panayotis-Alain Efstratiou
Dr. Panayotis-Alain Efstratiou
Thank
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