It is appropriate for those patients with blockages in two or three major coronary arteries, those with severely narrowed left main coronary arteries, and those who have not responded to other treatments. The healthy vessel then supplies oxygen-rich blood to the heart. In coronary artery bypass surgery, a healthy artery or vein from an arm, leg, or chest wall is used to build a detour around the coronary artery blockage. The risk of heart attack is more than double after an episode of anger. Evidence shows that anger increases the risk of dying from heart disease.
Stress, the mental and physical reaction to life's irritations and challenges, increases the heart rate and blood pressure and can injure the lining of the arteries.
Optimal medical therapy is of recognized public health benefit. This therapy, which is sometimes labeled as secondary prevention, is effective in preventing recurrent events and is recommended by the American College of Cardiology Foundation/American Heart Association guidelines. Importance This review examines the current state-of-the-art optimal medical therapy (OMT) for patients with known coronary artery disease.