Atherosclerosis

Atherosclerosis is where your arteries become narrowed, making it difficult for blood to flow through them. It increases your risk of heart attack and stroke.

Lifestyle changes, like stopping smoking, eating healthily and exercising regularly, can help stop atherosclerosis getting worse.

Symptoms of atherosclerosis

You may not have any symptoms of atherosclerosis, but symptoms can include:

• chest pain
• pain in your arms and legs, especially when exercising
• feeling short of breath
• feeling tired all the time
• feeling weak
• feeling confused

Causes of atherosclerosis

Atherosclerosis happens when fatty deposits build up in the arteries, which causes them to narrow.

Things that increase your chances of getting atherosclerosis include:

• being over 65 years of age
• smoking
• having high cholesterol
• having high blood pressure
• having close relatives who have cardiovascular disease

Things you can do to help with atherosclerosis

There are some things you can do to help stop atherosclerosis getting worse:

Do

• eat healthily and eat less saturated fat and sugar

• exercise regularly

• maintain a healthy weight

• keep your blood sugar levels under control if you have diabetes

Don’t

• do not smoke

• do not drink more than 14 units of alcohol per week

Treatments for atherosclerosis

There are currently no treatments to reverse atherosclerosis, but you may be offered medicines to lower your risk of having a heart attack or a stroke.

You may need medicines to:

• lower your cholesterol (statins)
• lower your blood pressure
• lower your risk of blood clots
• lower your blood sugar levels if you have diabetes

You may also need surgery to help improve blood flow through the affected arteries.

Complications of atherosclerosis

Without lifestyle changes and medical treatment, atherosclerosis may get worse over time.

It can cause:

• heart attacks
• stroke
• peripheral arterial disease
• other types of cardiovascular disease

Call 112 if you have:

• signs of a heart attack – pain like a tight band or heavy weight in your chest
• signs of a stroke – face dropping on 1 side, cannot hold both your arms up, difficulty speaking
• difficulty breathing – gasping for breath, choking, not able to get any words out
• sudden confusion – unable to think or speak clearly, suddenly do not know where you are

Do not drive yourself to A&E.

The person you speak to at 112 will give you advice about what to do.