Angiotensin-converting enzyme (ACE) inhibitors.These medications decrease the primary material that deposits on the coronary arteries. Calcium channel blockers also slow your pulse and reduce the workload on your heart. These medications relax and widen blood vessels, increasing blood flow in your heart. These medications help relax your heart muscle, slow your heartbeat and decrease blood pressure so blood can flow to your heart more easily. Better blood flow means your heart doesn't have to work as hard. These medications widen arteries, improving blood flow to and from your heart. Ask your doctor before starting to take aspirin because it might not be appropriate if you have a bleeding disorder or if you're already taking another blood thinner. A daily aspirin or other blood thinner can reduce your risk of blood clots, which might help prevent blockage of your coronary arteries. Medications to treat myocardial ischemia include: Depending on the severity of your condition, your doctor may recommend medications, surgery or both. The goal of myocardial ischemia treatment is to improve blood flow to the heart muscle. The heart arteries can also be seen using CT scanning (coronary CT angiogram). This test can determine if you have a buildup of calcium in your coronary arteries - a sign of coronary atherosclerosis. This test gives your doctor a detailed look at the inside of your blood vessels. Then a series of X-ray images (angiograms) are taken, showing the dye's path. A dye is injected into the blood vessels of your heart. While you exercise, your doctor can watch as it flows through your heart and lungs - allowing blood-flow problems to be identified. Small amounts of radioactive material are injected into your bloodstream. A stress echocardiogram is similar to a regular echocardiogram, except the test is done after you exercise in the doctor's office on a treadmill or stationary bike. An echocardiogram can help identify whether an area of your heart has been damaged and isn't pumping normally. Sound waves directed at your heart from a wand-like device held to your chest produce video images of your heart. Exercise makes your heart pump harder and faster than usual, so a stress test can detect heart problems that might not be noticeable otherwise. Your heart rhythm, blood pressure and breathing are monitored while you walk on a treadmill or ride a stationary bike. Certain changes in your heart's electrical activity may be a sign of heart damage. Electrodes attached to your skin record the electrical activity of your heart. Your doctor will start by asking questions about your medical history and with a physical exam.
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