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Yoga and other bodywork, massage, relaxation therapies, and talking therapies also may help prevent coronary artery disease and stop, or even reverse, the progression of atherosclerosis. Garlic ( Allium sativum), ginger, and hot red or chili peppers all are circulatory enhancers that can help prevent blood clots. For example, ginger ( Zingiber officinale) may help reduce cholesterol. Herbal medicine offers a variety of remedies that may have a beneficial effect on coronary artery disease. A healthy diet (including cold-water fish as a source of essential fatty acids) and exercise, important components of conventional prevention and treatment strategies, also are emphasized in alternative approaches to coronary artery disease. Natural therapies may reduce the risk of certain types of heart disease, but once symptoms appear, conventional medical attention is necessary. At five years after surgery, survival expectancy is 90% at 10 years about 80%, at 15 years about 55%, and at 20 years about 40%. Survival rates after bypass surgery decrease over time. Only about 3-4% of patients per year experience a return of symptoms.

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About 70% of patients who have bypass surgery experience full relief from angina about 20% experience partial relief. A heart-lung machine is used to support the patient while the healthy vein or artery is attached past the blockage to the coronary artery. It is performed in a hospital under general anesthesia. It is appropriate for those patients with blockages in two or three major coronary arteries, those with severely narrowed left main coronary arteries, and those who have not responded to other treatments. The healthy vessel then supplies oxygen-rich blood to the heart. In coronary artery bypass surgery, a healthy artery or vein from an arm, leg, or chest wall is used to build a detour around the coronary artery blockage. The risk of heart attack is more than double after an episode of anger. Evidence shows that anger increases the risk of dying from heart disease. Stress, the mental and physical reaction to life's irritations and challenges, increases the heart rate and blood pressure and can injure the lining of the arteries. Stress and anger-Some scientists believe that stress and anger can contribute to the development of coronary artery disease and increase the blood's tendency to form clots (thrombosis).Obesity increases blood pressure and blood cholesterol and can lead to diabetes. Obesity-Excess weight increases the strain on the heart and increases the risk of developing coronary artery disease even if no other risk factors are present.The therapy was once thought to help protect women against heart disease, but in the trial, it was discovered that it was harmful to women with existing coronary artery disease.

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Hormone replacement therapy-Evidence from a large trial called the Women's Health Initiative released in 20 found that hormone replacement therapy is a risk factor for coronary artery disease in postmenopausal women.

More than 80% of diabetics die of some type of heart or blood vessel disease.

Diabetes mellitus-The risk of developing coronary artery disease is seriously increased for diabetics.

Even modest physical activity, like walking, is beneficial if done regularly.

Lack of physical activity-Lack of exercise increases the risk of coronary artery disease.

In combination with obesity, smoking, high cholesterol, or diabetes, high blood pressure raises the risk of heart attack or stroke several times. As the numbers rise, high blood pressure goes from Stage 1 (mild) to Stage 4 (very severe). A blood pressure of 140 over 90 or above is considered high. It increases the risk of heart attack, stroke, kidney failure, and congestive heart failure.

High blood pressure-High blood pressure makes the heart work harder and weakens it over time.

When a person has other risk factors, the risk multiplies. Risk of developing coronary artery disease increases steadily as blood cholesterol levels increase above 160 mg/dL. High-risk levels of low-density lipoprotein (LDL cholesterol) begin at 130-159 mg/dL, depending on other risk factors. Total blood cholesterol is considered high at levels above 240 mg/dL and borderline at 200-239 mg/dL. Age, sex, heredity, and diet affect one's blood cholesterol.

High cholesterol-Dietary sources of cholesterol are meat, eggs, and other animal products.

Second hand smoke also may increase risk. They also are more likely to die within an hour of a heart attack. They are more than twice as likely as non-smokers to have a heart attack. Smokers are two to four times more likely than are non-smokers to die of sudden heart attack.

Smoking-Smoking increases both the chance of developing coronary artery disease and the chance of dying from it.