The treatment of mixed plaque in the middle wall of the left anterior descending branch needs to be decided according to the degree of coronary artery stenosis caused by plaque and clinical symptoms, mainly including low-salt and low-fat diet, smoking cessation, abstinence from alcohol, taking statins to lower lipids according to the doctor’s instructions, aspirin enteric-coated tablets to fight against platelet aggregation, etc., and arterial interventional surgery if necessary.
Patients with atherosclerotic plaques are mostly caused by hypercholesterolemia. Therefore, in daily life, it is necessary to control salt and oil intake, quit smoking, quit drinking, and increase exercise appropriately to reduce vascular lipid aggregation.
If the mixed plaque does not cause significant stenosis of the coronary artery (stenosis less than 50%), and is not accompanied by chest pain, chest tightness and other uncomfortable symptoms, the first level of coronary heart disease prevention treatment can be used, can follow the doctor’s instructions for oral statin drugs to lower lipids and stabilize plaque therapy, while oral aspirin enteric-coated tablets to prevent soft plaque rupture or dislodgement.
If the mixed plaque causes moderate stenosis of coronary artery (stenosis ≥50%, but <70%), and there are symptoms such as chest tightness, chest pain and other symptoms of angina pectoris, coronary heart disease can be diagnosed, and need to comply with the doctor's instructions to use secondary prevention of coronary heart disease, oral aspirin enteric-coated tablets for anti-platelet aggregation therapy, statin drugs to lower lipids and stabilize plaque therapy, nitrate drugs to dilate coronary arteries and other therapies.
If the mixed plaque leads to severe stenosis of coronary artery (≥70% stenosis), accompanied by severe chest pain, coronary intervention should be taken in time; if it is not accompanied by obvious discomfort, elective surgical treatment can be considered.
Specific need to follow the doctor's prescription treatment, not unauthorized medication, if discomfort, timely feedback to the doctor.