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Coronary heart disease

What is coronary heart disease?

The supply the heart muscle itself with oxygenated blood. In , fatty deposits build up inside these arteries, narrowing them and reducing blood flow to the heart muscle. This can cause chest pain and, if a coronary artery becomes blocked, a heart attack.

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Treating CHD: stents

A is a small tube inserted into a narrowed coronary artery to hold it open and restore blood flow.

Pros: works immediately, and recovery is relatively quick. Cons: it's a surgical procedure with risks such as infection or bleeding, and the artery can narrow again over time.

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Treating CHD: statins

are drugs that reduce the level of cholesterol in the blood, slowing down the rate at which fatty deposits form in the arteries.

Pros: non-invasive (taken as a pill), and can reduce the risk of other health problems linked to high cholesterol. Cons: effects build up slowly rather than acting immediately, some people experience side effects, and they must usually be taken long-term.

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Replacing heart valves

Faulty heart valves can be replaced with , taken from a human or animal donor (often a pig), or , made from man-made materials.

Biological valves behave naturally like a human valve, but can wear out over time and may need replacing again. Mechanical valves can last a lifetime, but the patient must take blood-thinning drugs long-term to stop blood clots forming on the valve.

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