Vein Institute of NJ Blog

How to Keep Your Carotid Arteries Healthy

Written by Dr. Andrew Cha, DO, FACS | May 28, 2021 3:33:25 PM

As a combined practice, the Cardiovascular Care Group and Vein Institute of NJ focus on a variety of issues involving the arteries and veins of your body. And as board-certified vascular surgeons, we are able to provide some of the foremost diagnostics and treatments for these vascular issues.

One of the common issues we encounter with arteries is carotid artery disease. Some people develop clogged arteries as a result from a buildup of plaque on the inner walls of the arteries. Arterial plaque can reduce blood flow or, in some instances, block it altogether.

Clogged arteries greatly increase the likelihood of heart attack, stroke, limb loss, and even death. It is important to be aware, no matter how old you are, of the causes of artery plaque and treatment strategies to prevent serious consequences.

While there are many medical treatment options based on the severity of the disease, we want to focus on the preventative methods available to you. There are steps to lower the risk of carotid artery disease and stroke, all revolving around healthy living. Smoking cessation is one of the most important as cigarette use is associated with many devastating health conditions, including damage and buildup of plaque within our arteries. Controlling your blood pressure and maintaining good cholesterol levels are also important, which relate to eating healthy and exercising regularly.

Let’s talk about some of these healthy living choices in more depth:

Smoking Cessation


Many people who smoke become addicted to nicotine, a drug that is found naturally in tobacco. This can make it hard to quit smoking. But the good news is there are proven treatments that can help you quit. According to the CDC, you can:

  • Use Nicotine Replacement Therapy (NRT)
    • Over-the-counter forms such as patches, gum and lozenges
    • Prescription inhalers and nasal sprays
  • Pill Prescription Medication
    • Vareniciline
    • Buproprion
  • Combined Medications
    • Use a long-acting form of NRT (nicotine patch) together with a short-acting form (gum or lozenge). Combining these forms can further increase your chances of quitting
  • Counseling
    • Can help make a plan to quit
    • Can help prepare you to cope with the stress, urges to smoke and other issues you may face when trying to quit smoking

Using counseling and medication together gives you the best chance of quitting for good. Many of these treatments may be available to you free-of-charge or may be covered by your insurance. Call 1-800-QUIT-NOW to talk to a cessation advisor.


Blood Pressure


High blood pressure is a major risk factor for heart disease and stroke, both of which are leading causes of death in the US. Nearly one-third of all American adults have high blood pressure and more than half of them don’t have it under control.

When your blood pressure is high:

  • You are 4 times more likely to die from a stroke
  • You are 3 times more likely to die from heart disease

Even blood pressure that is slightly high can put you at greater risk. Blood pressure improves when you:

  • Take your prescribed medicine
  • Learn to measure blood pressure on your own
  • Lower your risk with eliminating smoking and reducing alcohol intake, follow proper diet and exercise (see below)

Cholesterol

About 38% of American adults have high cholesterol (total blood cholesterol ≥ 200 mg/dL). Too much cholesterol puts you at risk for heart disease and stroke. High cholesterol has no signs or symptoms, so the only way to know if you have it is to get your cholesterol checked.  By living a healthy lifestyle, you can help keep your cholesterol in a healthy range and lower your risk of heart disease and stroke.

You can take medicine to treat high low-density lipoprotein (LDL) cholesterol. Statin drugs lower LDL cholesterol by slowing down the liver’s production of cholesterol. They also increase the liver’s ability to remove LDL cholesterol that is already in the blood.

In addition, eating healthy by altering your diet to foods low in saturated fats and trans fats can reduce high cholesterol. Saturated fats come from animal products (such as cheese, fatty meats, and dairy desserts) and tropical oils (such as palm oil).

Choose foods that are low in saturated fat, trans fat, sodium (salt), and added sugars. These foods include lean meats; seafood; fat-free or low-fat milk, cheese and yogurt; whole grains; and fruits and vegetables.

Eat foods naturally high in fiber, such as oatmeal and beans (black, pinto, kidney, lima, and others) and unsaturated fats, which can be found in avocado, vegetable oils like olive oil, and nuts.

Exercise


Physical activity can help you maintain a healthy weight and lower your cholesterol and blood pressure levels. For adults, the Surgeon General recommends 2 hours and 30 minutes of moderate-intensity exercise, such as brisk walking or bicycling, every week. Make physical activity a part of each day. Take the stairs instead of the elevator, park a little farther away, walk to the store, or do jumping jacks during commercials.

As many people do not feel the effects of carotid artery disease, it is important that you maintain regular health check-ups especially if you are smoker and overweight. Your health and well-being is of the utmost importance to us.