When do you really need an angioplasty and stenting?

Coronary artery disease, the most common form of heart disease, occurs when cholesterol-laden debris narrows the arteries that supply blood to the heart. It is treated with lifestyle changes and medications. However, sometimes people also need a procedure called angioplasty to open a blocked or narrowed artery to improve blood flow to the heart, along with insertion of a stent to hold it open. Most people need this if they experience a heart attack or unstable angina, when chest discomfort occurs repeatedly and unexpectedly, often at rest.