Health Advice
- Weight Management
- Quit Smoking
- Acne
- Child Health
- Pain
- Oral Care & Hygiene
- Aneurysm, abdominal aortic
- Tummy ache
- Abscess
- Periods, absent
- First aid
- Reflux
- Blackheads
- Acupuncture
- Gallbladder, inflammation
- Leukaemia, acute lymphoblastic
- Leukaemia, acute myeloid
- Addiction
- Addison's disease
- Adenoids and adenoidectomy
- Frozen shoulder
- Agoraphobia
- Air embolism
- Alcohol misuse
- Alcohol poisoning
- Alexander technique
- Rhinitis, allergic
- Indoor allergy
- Mountain sickness
- Alzheimer's disease
- Lazy eye
- Macular degeneration
- Memory loss
- Amniocentesis
- Amputation
- Motor neurone disease
- Steroid misuse
- Iron deficiency anaemia
- Vitamin B12 or folate deficiency anaemia
- Anaesthesia
- Anal fissure
- Brain aneurysm
- Angelman syndrome
- Anger management
- Angina
- Angioedema
- Arteriography
- Stent insertion
- Dog bites
- Fractured ankle
- Ankylosing spondylitis
- Anorexia nervosa
- Smell sense, loss of
- Antacid medicines
- Penicillin
- Anticoagulant medicines
- Antidepressants
- Antifungal medicines
- Antihistamines
- NSAIDs
- Antisocial personality disorder
- Hypochondria
- Anxiety disorders in children
- Stress
- Appendicitis
- Wrist, broken
- Arterial thrombosis
- Arthritis
- Asbestosis
- Asthma
- Astigmatism
- Eczema
- Atrial fibrillation
- Hearing tests
- Bird flu
- B12 vitamin deficiency
- Skin rashes in babies
- Weaning
- Lumbago (low back pain)
- Septic arthritis
- Halitosis (bad breath)
- Weight loss surgery
- Barium enema
- Bartholin's cyst
- Pressure ulcers
- Bedbugs
- Nocturnal enuresis
- Behçet’s disease
- Facial paralysis
- Tongue pain or soreness
- Prostate enlargement
- Beta-blockers
- Bicarbonate test
- Binge eating
- Biopsy
- Bipolar disorder
- Spider bite
- Eye, black
- Bladder cancer
- Cystitis
- Bladder stones
- Blisters
- Blood donation
- Blood gases test
- Blood groups
- Coughing up blood
- Semen, bloody
- Urine, blood in the
- Vomiting blood
- Septicaemia
- Hypertension
- Low blood pressure
- Blood tests
- Blood transfusion
- Blushing
- Bromhidrosis (body odour)
- Bone cyst
- DXA scan
- Bone marrow donation
- Stem cell transplant
- Borderline personality disorder
- Bottle feeding
- Botulism
- Rectal cancer
- Polyps, bowel
- Leaky gut syndrome
- Orthodontics
- Brain abscess
- Head injury, severe
- Brain tumour, benign (non-cancerous)
- Brain tumour, malignant (cancerous)
- Brain tumours
- Breast abscess
- Breast cancer
- Male breast cancer
- Screening for breast cancer
- Nipple discharge
- Mastitis
- Breast lump
- Breastfeeding
- Shortness of breath
- Osteoporosis
- Fractured collarbone
- Hip fracture
- Leg, broken
- Fractured nose
- Rib injuries
- Toe, broken
- Tooth, broken or knocked out
- Smelly feet (bromodosis)
- Bronchitis
- Teeth grinding
- Thyroid eye disease
- Bulimia
- Burns and scalds
- Heart bypass
- Caesarean section
- Food poisoning
- Cancer
- Thrush
- Thrush, men
- Thrush, oral - adults
- Thrush, oral - babies
- Carbon monoxide poisoning
- Cardiovascular disease
- Cartilage damage
- Nasal congestion
- Rib, cervical
- Smear test
- Sore lips
- Chemotherapy
- Chest infection, adult
- Chest pain
- Herpes zoster virus
- Statins
- Kidney disease, chronic
- Leukaemia, chronic lymphocytic
- Leukaemia, chronic myeloid
- Cirrhosis
- Claustrophobia
- Cluster headaches
- White coated tongue
- Gluten intolerance
- Herpes simplex virus
- Cold
- Colic
- Colostomy
- Coma
- Combined contraceptive pill
- Pneumonia
- CT scan
- Concussion
- Hole in the heart
- Heart failure
- Conjunctivitis
- Constipation
- Contact dermatitis
- Corns and calluses
- Coronary heart disease
- Vegetative state
- Topical corticosteroids
- Steroid medication
- Cosmetic surgery
- Cough
- Counselling
- Leg cramps
- Crohn's disease
- Swallowing pills (problems)
- Undescended testicles
- Lacerations
- Cystic fibrosis
- Psoriatic arthritis
- Dandruff
- Date rape drugs
- Thyroiditis
- Hearing impairment
- Dehydration
- Tooth abscess
- Teething
- Tooth decay
- Fluoride
- False teeth (dentures)
- Depression
- Dyspraxia in children
- Diabetes insipidus
- Diabetes
- Diabetic ketoacidosis
- Diabetic retinopathy
- Dialysis
- Traveller's diarrhoea
- Nutrition
- Rectal examination
- Double vision
- Nummular eczema
- Shoulder dislocation
- Diverticular disease and diverticulitis
- Lightheadedness
- Down's syndrome
- Dry eye syndrome
- Thirst
- Dyslexia
- Periods, painful
- Indigestion
- Swallowing problems
- Dyspraxia (adults)
- Swimmer's ear
- Earache
- Earwax
- Eating disorders
- Ebola virus disease
- Ectopic pregnancy
- Restless legs syndrome
- Endoscopy
- Threadworms
- Tennis elbow
- Epidural
- Epilepsy
- Watering eyes
- Nosebleed
- Impotence
- Tremor (essential)
- Ocular cancer
- Eye injuries
- Red eye
- Falls
- Family planning
- Fever, childhood
- Fibromyalgia
- Flat feet
- Wind
- Seasonal flu
- Nail patella syndrome
- Food allergy
- Foot pain
- Frostbite
- Gallstones
- Stomach removal surgery
- Gastroenteritis
- Gastritis
- Gastroparesis
- Gastroscopy
- General anaesthetic
- Genetics
- Herpes, genital
- Warts, genital
- Rubella
- Gestational diabetes
- Gum disease
- Goitre
- Gout
- Recurrent limb pain in children
- Iron overload disorder
- Haemophilia
- Haemophilus influenzae type b
- Piles (haemorrhoids)
- Ingrown hairs
- Leukaemia, hairy cell
- Hallucinations
- Hamstring injury
- Hand pain
- Tendon repair, hand
- Hand, foot and mouth disease
- Hangover
- Seasonal allergic rhinitis
- Head and neck cancer
- Head injury, minor
- Nits
- Headaches
- Hearing and vision tests for children
- Myocardial infarction
- Heart block
- Palpitations
- Heart transplant
- Heart-lung transplant
- Heat exhaustion and heatstroke
- Sweat rash
- Periods, heavy
- Hepatitis A
- Hepatitis B
- Hepatitis C
- Hepatitis
- Herbal medicines
- Hernia, femoral
- Hiatus hernia
- Hernia, inguinal
- Hernia, umbilical
- Hernia
- Herpes simplex eye infections
- Hip pain in adults
- Hip replacement
- HIV and AIDS
- Welts
- Lymphoma, Hodgkin
- Homeopathy
- Hormone replacement therapy (HRT)
- Huntington's disease
- Rabies
- Hyperglycaemia
- Sweating, excessive (hyperhidrosis)
- Joint hypermobility
- Sleepiness in the day (severe and unexplained)
- Thyroid, overactive
- Hypnotherapy
- Testosterone deficiency (hypogonadism)
- Underactive thyroid
- Irritable bowel syndrome
- Painkillers, ibuprofen
- Shoulder tendon, trapped
- Urinary incontinence
- Infertility
- Inflammatory bowel disease
- Ingrown toenail
- Inquest
- Insomnia
- Type 1 diabetes
- Intensive care
- IVF
- Jaundice in newborns
- Jaundice
- Stings, sea creatures
- Jet lag
- Joint pain
- Kidney stones
- knee-pain
- Knee replacement
- Knee surgery, anterior cruciate ligament
- Milk intolerance
- Laryngeal (larynx) cancer
- Laryngitis
- Laxatives
- Legionnaires' disease
- Weil's disease
- Liver cancer
- Liver disease
- Liver transplant
- Local anaesthetic
- Twisted neck
- Tetanus
- Loss of libido
- Sperm count, low
- Lumbar puncture
- Swelling or lump
- Lung cancer
- Lung transplant
- Lyme disease
- Non-Hodgkin lymphoma
- Lymphoma
- Magnesium test
- MRI scan
- Malaria
- Male contraceptive pill
- Malnutrition
- Mastectomy
- Rubeola
- Shin splints
- Skin cancer (melanoma)
- Meningitis
- Menopause
- Metallic taste in mouth
- MRSA infection
- Migraine
- Miscarriage
- Mobile phone safety
- Moles
- Travel sickness
- Oral cancer
- Mouth ulcers
- Multiple sclerosis
- Mucositis
- Multiple system atrophy
- Mumps
- Muscular dystrophy
- Selective mutism
- Short-sightedness
- Nose and sinus cancer
- Polyps, nose
- Nasopharyngeal cancer
- Natural family planning
- Nausea and vomiting in pregnancy
- Peripheral neuropathy
- Night sweats
- Nightmares
- Rhinitis, non-allergic
- Type 2 diabetes
- Winter vomiting disease
- Obesity
- OCD (obsessive compulsive disorder)
- Sleep apnoea
- Occupational therapy
- Swollen ankles
- Oesophageal cancer
- Periods, irregular
- Organ donation
- Orthopaedics (orthopaedic surgery)
- Osteoarthritis
- Rickets
- Osteopathy
- Pacemaker implantation
- Shoulder pain
- Paracetamol
- Ulcerative colitis
- Pancreas transplant
- Pancreatic cancer
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- Panic disorder
- Pins and needles
- Paralysis
- Parkinson's disease
- Pelvic pain
- Ulcer, peptic
- Ruptured eardrum
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- Periods
- Peripheral arterial disease
- Peritonitis
- Personality disorder
- Whooping cough
- Strep throat
- Phobias
- Physiotherapy
- Pilonidal sinus
- Plastic surgery
- Pleurisy
- Pneumococcal infections
- Poisoning
- Reflux in babies
- Potassium test
- Pre-eclampsia
- Slipped disc
- Urinary PSA test
- Prostate disease
- Prostatitis
- Psoriasis
- Puberty
- Radiation
- Radiotherapy
- Red blood cell count
- Rheumatic fever
- Rheumatoid arthritis
- Root canal treatment
- Roundworm
- Seasonal affective disorder (SAD)
- Salivary stones
- Salmonella infection
- Scabies
- Scarlet fever
- Scars
- Schizophrenia
- Sciatica
- Scoliosis
- Scurvy
- Self-harm
- Septic shock
- Sexual health clinics
- STIs
- Shingles
- Social anxiety disorder (social phobia)
- Vomiting in children and babies
- Sinus headache
- Sinusitis
- Skin rashes in children
- Sleep paralysis
- Sleepwalking
- Urine, smelly
- Snake bites
- Snoring
- Spina bifida
- Spinal muscular atrophy
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- Squint
- Stuttering
- Stomach cancer
- Streptococcal infections
- Stroke
- Stye
- Suicide
- Sunburn
- Swollen glands
- Syphilis
- Tuberculosis (TB)
- Tension-type headaches
- Testicular cancer
- Testicular lumps and swellings
- Thyroid cancer
- Tics
- Tinnitus
- Tongue-tie
- Tonsillitis
- Toothache
- Total iron-binding capacity (TIBC or transferrin) test
- Total protein test
- Tourette's syndrome
- Toxic shock syndrome
- Traction
- Travel vaccines
- Trigger finger
- Typhoid fever
- Ultrasound scan
- Urinary tract infection, children
- Urinary tract infection
- Vaginitis
- Vaginal cancer
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- Varicose eczema
- Varicose veins
- Warts and verrucas
- Vertigo
- Vitamins, minerals and supplements
- Vomiting in adults
- Warfarin
- Weight loss (unexpected and unplanned)
- Whiplash
- Wisdom tooth removal
- X-ray
- Yellow fever
- Bowel cancer screening
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Read moreNHS Choices - Treating heart disease
(21/10/2014)
Lifestyle changes
If you have been diagnosed with CHD, you can reduce your risk of further episodes by making simple lifestyle changes.
For example, stopping smoking after a heart attack will quickly reduce your risk of having a heart attack in the future to near that of a non-smoker.
Other lifestyle changes, such as eating more healthily and doing regular exercise, will also reduce your future risk of heart disease.
Read more about preventing CHD.
Want to know more?
Medicines
Many different medicines are used to treat CHD. Usually they either aim to reduce blood pressure or widen your arteries.
Some heart medicines have side effects, so it may take a while to find one that works for you. Your GP or specialist will discuss the various options with you.
Heart medicines should not be stopped suddenly without the advice of your doctor as there is a risk this may make your symptoms worse.
Antiplatelets
Antiplatelets are a type of medicine that can help reduce the risk of a heart attack by thinning your blood and preventing it clotting.
Common antiplatelet medicines include low-dose aspirin, clopidogrel, ticagrelor and prasugrel.
Statins
If you have a high cholesterol level, a cholesterol-lowering medicine called statins may be prescribed. Examples include atorvastatin, simvastatin, rosuvastatin and pravastatin.
Statins work by blocking the formation of cholesterol and increasing the number of LDL receptors in the liver, which helps remove the LDL cholesterol from your blood. This helps slow the progression of CHD, and will make having a heart attack less likely.
Not all statins are suitable for everyone, so you may need to try several different types until you find one that is suitable.
Beta-blockers
Beta-blockers – including atenolol, bisoprolol, metoprolol and nebivolol – are often used to prevent angina and treat high blood pressure.
They work by blocking the effects of a particular hormone in the body, which slows down your heartbeat and improves blood flow.
Nitrates
Nitrates are used to widen your blood vessels. Doctors sometimes refer to nitrates as vasodilators. They are available in a variety of forms, including tablets, sprays and skin patches such as glyceryl trinitrate and isosorbide mononitrate.
Nitrates work by relaxing your blood vessels, letting more blood pass through them. This lowers your blood pressure and relieves any heart pain you have. Nitrates can have some mild side effects, including headaches, dizziness and flushed skin.
ACE (angiotensin-converting enzyme) inhibitors
ACE inhibitors are commonly used to treat high blood pressure. Examples include ramipril and lisinopril. They block the activity of a hormone called angiotensin II, which causes the blood vessels to narrow. As well as stopping the heart working so hard, ACE inhibitors improve the flow of blood around the body.
Your blood pressure will be monitored while you are taking ACE inhibitors, and regular blood tests will be needed to check that your kidneys are working properly. Around 1 in 10 people have kidney problems as a result of taking the drug.
Side effects of ACE inhibitors can include a dry cough and dizziness.
Angiotensin II receptor antagonists
Angiotensin II receptor antagonists work in a similar way to ACE inhibitors. They are used to lower your blood pressure by blocking angiotensin II. Mild dizziness is usually the only side effect. They are often prescribed as an alternative to ACE inhibitors, as they do not cause a dry cough.
Calcium channel blockers
Calcium channel blockers also work to decrease blood pressure by relaxing the muscles that make up the walls of your arteries. This causes the arteries to become wider, reducing your blood pressure. Examples include amlodipine, verapamil and diltiazem. Side effects include headaches and facial flushing, but these are mild and usually decrease over time.
Diuretics
Sometimes known as water pills, diuretics work by flushing excess water and salt from the body through urine.
Want to know more?
- British Heart Foundation: medicines for your heart
Procedures and surgery
If your blood vessels are narrow as the result of a build-up of atheroma (fatty deposits) or if your symptoms cannot be controlled using medication, interventional procedures or surgery may be needed to open up or bypass blocked arteries.
Some of the main procedures used to treat blocked arteries are outlined below.
Coronary angioplasty
Coronary angioplasty is also known as percutaneous coronary intervention (PCI), percutaneous transluminal coronary angioplasty (PTCA), or balloon angioplasty.
Angioplasty may be a planned procedure for some people with angina, or an urgent treatment if the symptoms have become unstable. Having a coronary angiogram will determine if you are suitable for treatment. Coronary angioplasty is also performed as an emergency treatment during a heart attack.
During angioplasty, a small balloon is inserted to push the fatty tissue in the narrowed artery outwards. This allows the blood to flow more easily. A metal stent (a wire mesh tube) is usually placed in the artery to hold it open. Drug-eluting stents can also be used. These release drugs to stop the artery narrowing again.
Coronary artery bypass graft
Coronary artery bypass grafting (CABG) is also known as bypass surgery, heart bypass, or coronary artery bypass surgery.
It is performed in patients where the arteries become narrowed or blocked. A coronary angiogram will determine if you are suitable for treatment. Off-pump coronary artery bypass (OPCAB) is a type of coronary artery bypass surgery. It is performed while the heart continues to pump blood by itself without the need for a heart-lung machine.
A blood vessel is inserted (grafted) between the aorta (the main artery leaving the heart) and a part of the coronary artery beyond the narrowed or blocked area. Sometimes one of your own arteries that supplies blood to the chest wall is used and diverted to one of the heart arteries. This allows the blood to bypass (get around) the narrowed sections of coronary arteries.
Heart transplant
In a small number of cases, when the heart is severely damaged and medicine is not effective, or when the heart becomes unable to adequately pump blood around the body (heart failure), a heart transplant may be needed.
A heart transplant involves replacing a heart that is damaged or is not working properly with a healthy donor heart.
Want to know more?
- British Heart Foundation: heart surgery