Hello, A CAC score of 349 (with 170 in the LAD) indicates moderate-to-severe established coronary plaque. Measurable Reduction of CAC and Lp(a) CAC Reduction: Neither Ayurveda (including Panchakarma) nor allopathic medicine can measurably reduce or reverse established arterial calcification. Calcification is essentially stabilized, bone-like scar tissue over old plaque. The clinical goal of any intervention is to prevent the formation of new soft plaque and stabilize the endothelium, not to lower the CAC score itself. Lp(a) Reduction: Ayurveda, diet, and lifestyle modifications cannot meaningfully reduce Lp(a). Because Lp(a) levels are overwhelmingly genetically determined, holistic and dietary interventions typically yield clinically insignificant reductions (rarely exceeding 5%). Coronary calcification aligns with Dhamani Pratichaya (hardening of the arteries). It is driven by Kapha and Vata vitiation, along with Ama (metabolic toxins) accumulating in the Rasa, Rakta, and Meda Dhatus, leading to Sroto Avarodha (channel blockage). While Panchakarma (specifically Virechana and Lekhana Basti) cannot dissolve existing calcium, it is highly effective at clearing Ama, improving lipid metabolism, and preventing further disease progression. Prescription To halt progression, manage lipids, and provide cardioprotection (Hridya and Lekhana actions): 1. Liposem Tablets: 2 tablets twice daily, after meals. 2. Parthadyarishtam (Arjunarishtam): 15 to 25 ml with an equal quantity of warm water, twice daily after meals. 3. Guggulutiktakam Kwatham (Tablets): 1 tablet twice daily, before meals.
Hello I can understand your concern CAC score of 349 is actually indicating a significant calcium deposition in LAD leading to established astherosclerosis and increased risk of cardiovascular disease Along with this presence of Lp(a) and a family history further increases the risk I also appreciate that you are looking for evidence based answer 🔹Can ayurveda help in reducing CAC? I will be little cautious to claim that ayurveda or panchakarma can reverse or significantly reduce exiting calcification Once calcium is deposited it represents advance stage of artherosclerosis so substantial reduction in CAC is difficult only with ayurveda But… We can help you in -Slowing the progression -plaques stabilization -Reducing the inflammation -Improving lipid values -Reducing cardiovascular risk 🔹what can ayurveda realistically aim for? We will work on -Improving his metabolic function -Reduce internal inflammation -Improve digestion -Weight management -Reducing stress -Improving sleep I have seen many patient have experienced improvement in -Energy level -Exercise stamina -Blood pressure -Reduction in inflammatory markers -Triglycerides But all this should be seen as complementary and not as replacement to cardiovascular treatment 🔹About lp(a) It is one of the challenging risk factor as it is genetically deteremined -DIET has only moderate effect on Lp(a) -Lifestyle change is still important -Traditionally used treatment for comtrolling lipid values will not reduce lp(a) Regarding ayurveda, sorry but i am not aware of any treatment showing reliable reduction in lp(a) levels And if you get anu evidence view it very cautiously 🔹Panchakarma Yes panchakarma may be useful in selected individual Through physical examination we first have to check whether pt is fit for the therapies or not This therapies will help improve- metabolism, sleep, weight reduction 🔹As you have chest discomfort This is making me more concern as you have -Cac-349 -LAD calcification -High cholesterol -family history And chest discomfort I will strongly suggest you to have follow up with your cardiologist Post consultation start following medications 🔹Internal Medication 1. Triphala guggulu 1 tablet after food twice a day 2.Varunadi kashyam tablet 1 tablet twice daily after food 3.Arjuna capsules 1 at bed time Arjuna tea in morning empty stomach 🔹I will recommend Integrative approach -Continue your follow up -Optimize LDL and other lipid values with ayurveda -Fo daily physical activities -Maintain a heart and lipid friendly diet -Reduce weight and stress Hope this helped you And also let me know if you need a proper diet plan i can make customize plan for you Wishing you a good health 😊 Warm Regards Dr Snehal Vidhate
No Ayurveda cannot help reduce once CAC scor has gone to 343. But yes Ayurveda can help reduce progression, and help develop a healthy heart… Start with Liposem tablet 1-0-1 after food with water Arjuna capsule 1-0-1 after food with water Garlic capsule 1-0-1 after food with water Heposem tablet 1-0-1 after food with water, will help as liver detox. Triphala capsule 0-0-1 at bedtime with warm water, will help detox. Do Pranayam lom vilom bhastrika bhamri twice daily Go for long walks in open air Include flaxseed, walnut, avacado, in your diet If non vegetarian fish like sardines, tuna can be included Avoid fatty foods, fried foods, processed foods.
A CAC score of 349 indicates significant coronary artery calcification and increased cardiovascular risk. Currently As supportive Ayurvedic care (alongside cardiologist guided treatment) Arjuna churna 3–5 g twice daily after food with warm water, or Arjuna ksheerapaka. Lasun 1–2 cloves daily with food if tolerated. Triphala 3 g at bedtime with warm water. Lifestyle Mediterranean-style diet, avoid smoking, maintain healthy weight. Regular walking 30–45 minutes daily. Control LDL cholesterol, blood pressure, and diabetes.
Thank you for sharing your reports and health details A CAC score of 349 indicates that plaque formation has already occurred in the coronary arteries and your LAD involvement along with elevated cholesterol and family history deserves careful attention and regular follow up with your cardiologist From an Ayurvedic perspective this condition is usually associated with long standing Kapha and Meda accumulation along with Ama causing obstruction in the channels carrying blood and nutrients Panchakarma can be beneficial in improving metabolism reducing Ama supporting circulation and helping prevent further progression of disease though it is important to understand that established arterial calcification generally develops over many years and reduction if any tends to be gradual and varies from person to person Before Panchakarma it is important to strengthen digestion and follow a light easily digestible diet Warm freshly prepared meals cooked vegetables green gram soup horse gram soup old rice barley garlic ginger turmeric and Arjuna infused water can be included Avoid deep fried foods bakery products excess dairy cheese refined sugar packaged foods cold drinks and overeating Daily brisk walking for 30 to 45 minutes gentle yoga pranayama especially Anulom Vilom and Bhramari adequate sleep stress reduction meditation and maintaining a healthy body weight are equally important for long term cardiovascular health After proper assessment Panchakarma procedures such as Udwartanam Virechanam and carefully planned Basti may be considered according to your strength constitution and associated conditions For internal support Arjunarishtam 20 ml with equal quantity of water after food twice daily Gandharvahastadi Kashayam 15 ml with 45 ml warm water before food twice daily and Lasunadi Vati 1 tablet twice daily after food may be considered under the supervision of an Ayurvedic physician Regular monitoring of lipid profile Lp a inflammatory markers blood pressure and cardiac symptoms remains important and any increase in chest discomfort should be evaluated promptly With consistent diet correction lifestyle discipline appropriate Panchakarma and regular treatment many patients experience improvement in overall cardiovascular health exercise capacity digestion energy levels and metabolic parameters
Thank you for contacting ask ayurveda Can I know your age or sex Your profession ? Why you underwent investigations? Any co morbiditis?? Can you send me all your reports Yes in ayurveda there will be significant improvement but it will take time Cardiac reversal is possible. For this you have to undergo some therapy First of all panchkarma Later diet Yoga And medication I have to see all reports and 2 D echo to formulate a specific diet Meanwhile avoid milk and milk products Avoid fried , spicy and junk foods Drink water butter milk Brisk exercise I had prescribed some medicines Please go through it and if you want to take medicine then use it for one week , meanwhile after seeing reports I will curate specific medication
Ayurveda can support cardiovascular health, inflammation control, lipid metabolism, and overall vascular function, but there is currently no strong evidence that Ayurveda or Panchakarma can reliably reverse existing arterial calcification (CAC) by a predictable or measurable amount. A CAC score of 349 indicates a significant plaque burden, so the priority should be aggressive risk-factor management. Similarly, Lp(a) is largely genetically determined, and even with diet, lifestyle, and Ayurvedic support, major reductions are generally not expected. What I have seen clinically is improvement in: Lipid profile and triglycerides Inflammatory markers Exercise tolerance and energy Overall cardiovascular risk factors But I would not promise a specific reduction in CAC score or Lp(a). Along with your cardiologist’s recommendations: Arjuna capsule – 1 capsule twice daily after food Arjunarishta – 15 ml with equal water twice daily Lashuna (Garlic) capsule – 1 daily after food Medohar Guggulu – 1 tablet twice daily if appropriate for your constitution Continue daily exercise, weight management, stress reduction, and regular monitoring of cholesterol, ApoB, Lp(a), and cardiovascular risk markers. Regards, Dr Raghuveer (Ayurvedacharya)