Treatment options for ischemic heart disease involve medications, surgery, and lifestyle changes. You may need drugs to decrease cholesterol and blood pressure, to thin the blood, and to open and relax your arteries to allow for more blood flow. You may need to undergo procedures like heart bypass or angioplasty to physically restore blood flow to the heart. You must make lifestyle changes by eating healthy foods, exercising regularly, quitting smoking, reducing stress and losing weight. Your doctor will consider all of your risk factors to help you determine which tests will best work for your situation.