Stanford Center for Inherited Cardiovascular Disease

Treatment of Coronary Disease

Lifestyle counseling and modification including nutrition, exercise and smoking cessation

We have a team based approach in helping people change the way they live to reduce the risk of coronary disease. Our goal is to get patients healthier for the long-term.

Genetic counseling for individuals and families 

Both our Cardiologists and Genetic Counselors will discuss the implications of family history and genetic testing (when performed) with patients and family members. 

Medication recommendations and prescriptions 

Our Cardiologists have extensive experience in treating coronary disease risk factors and can recommend safe and effective medications. We will discuss benefits of the therapy as well as side effects.

Procedural recommendations if necessary 

Any procedures that are recommended will be discussed extensively with our patients including the risks, benefits and alternatives. We will not advocate for procedures unless they are indicated. 

Cardiac Catheterization ("Angiogram" or "Cardiac Cath"):  In this procedure, a small hole is made in a blood vessel at the top of the leg (or in the wrist) and a tube passed up to the heart to measure pressures or inject dye so we can take pictures of arteries using fluoroscopy (similar to X-ray technology). We can also measure pressures in the arteries which supply blood and oxygen to your heart to rule out blockages or abnormalities of the large or small vessels. It is usually done as a day case procedure so you do not need to be admitted to hospital. We use local anesthetic to numb the skin and give you some tablets to make you feel sleepy. However, you do not receive a general anesthetic for this procedure and so are never completely "out'”. In fact, some patients like to watch as the tube is passed up (you don't feel it). Although the incision in the leg is less than half an inch in diameter, you may need to lie flat for up to six hours at the end of the procedure to prevent bleeding from the artery in the leg. If the procedure is performed though the radial artery at the wrist, this time in hospital can be further reduced.

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