How many years can mild coronary artery stenosis be controlled?

Aug 13, 2024 Source: Cainiu Health
Disease description:

I have been experiencing frequent episodes of fainting recently, along with significant chest tightness. After undergoing angiography at the hospital, my doctor informed me that I have mild coronary artery stenosis and advised continuous medication for control. I would like to understand how many years mild coronary artery stenosis can be managed with treatment.

Doctor's answer (1)
Dr. Tian Hongbo

Coronary artery mild stenosis refers to a slight degree of blockage in the coronary artery lumen, typically defined as less than 50% narrowing. This condition is quite common in clinical practice, and its subsequent effects and progression rate are influenced by multiple complex factors, including individual lifestyle, genetic predisposition, and the control status of underlying diseases (such as hypertension and diabetes).

For patients with mild coronary stenosis, timely medical interventions, such as pharmacotherapy including antiplatelet agents and statins, along with lifestyle modifications, such as maintaining a balanced diet and engaging in appropriate physical activity, can effectively manage the condition in most cases. Patients can maintain stable disease status for a prolonged period, which may last more than five years.

If patients fail to maintain healthy lifestyle habits or receive inadequate treatment, the stenosis may progress to severe narrowing, which can affect patient survival. Therefore, regular cardiovascular health assessments are necessary.