Coronary Heart Disease Clinic in Webster, TX
Early diagnosis and expert management of Coronary Heart Disease (CHD) are key to preventing serious complications like heart attacks. Dr. Smriti Choudhary, M.D., and Dr. Niraj Choudhary, M.D., at the Primary Care Center of Clear Lake provide thorough cardiovascular evaluations, risk assessments, and individualized treatment plans. Trust their experience and compassion to guide your heart care journey. For more information, please contact us or schedule an appointment online. We have convenient locations to serve you in Webster and Pasadena, TX.




Table of Contents:
What is coronary heart disease, and what causes it?
What are the early warning signs of coronary heart disease?
How is coronary heart disease diagnosed by doctors?
What treatment options are available for coronary heart disease?
At Primary Care Center of Clear Lake, we are committed to helping our community understand and manage coronary heart disease (CHD), also known as coronary artery disease. CHD occurs when the blood vessels that supply your heart—called coronary arteries—become narrowed or blocked. This is usually due to a buildup of fatty deposits, or plaques, along the artery walls, a process known as atherosclerosis. When these arteries are narrowed, your heart receives less oxygen and nutrients, which can lead to chest pain (angina) or even a heart attack if a blockage occurs.
Many of the risk factors for CHD—including high blood pressure, high cholesterol, smoking, diabetes, obesity, and a sedentary lifestyle—are common health concerns in our community. Family history also plays a role. We offer comprehensive screenings and personalized care plans to help you understand your individual risk factors and take steps to protect your heart health. How can we help:
• Preventive Care: We provide routine check-ups, cholesterol and blood pressure monitoring, and diabetes screening to identify risk factors early.
Lifestyle Counseling: Our team supports you in making heart-healthy changes, such as improving diet, increasing physical activity, and quitting smoking.
• Chronic Disease Management: If you have conditions like high blood pressure or diabetes, we’ll work with you to manage them effectively and reduce your risk of heart disease.
• Patient Education: We believe informed patients make the best decisions for their health. We’re here to answer your questions and guide you every step of the way.
Coronary heart disease is a leading cause of illness and death, but with the right care and lifestyle choices, many risk factors can be controlled. Schedule an appointment with Primary Care Center of Clear Lake to assess your heart health and learn how we can help you lead a healthier life. Your heart is in good hands with us.
One of the most common early signs of CHD is chest discomfort. You may feel pressure, squeezing, fullness, or pain in your chest, especially during physical activity or emotional stress. This discomfort, known as angina, is sometimes mistaken for indigestion or heartburn and typically improves with rest. Other potential early symptoms include:
• Shortness of breath: Especially during exertion or when lying down, as your heart works harder to pump blood.
• Unusual fatigue or weakness: Feeling persistently tired or weak during everyday activities, even if you are well-rested.
• Pain radiating to other areas: Discomfort may spread to your shoulders, arms, neck, jaw, or back.
• Palpitations: Noticing your heart racing or pounding unexpectedly.
• Lightheadedness or dizziness
• Swelling in feet, ankles, or legs: This could indicate fluid buildup due to your heart not functioning as it should.
Some people—especially women, older adults, and individuals with diabetes—may experience very mild or atypical symptoms, making early detection even more important.
Early identification and management of these warning signs are essential in preventing CHD from progressing and in reducing the risk of heart attacks and other complications. At Primary Care Center of Clear Lake, our experienced providers offer comprehensive evaluations, screenings, and personalized care plans to help you maintain your heart health. Reach out to us today to learn more about our services.
Diagnostic process at our primary care begins with a detailed review of your medical history and a thorough discussion of any symptoms you may be experiencing—such as chest pain, shortness of breath, or fatigue. We also assess your risk factors, including high blood pressure, high cholesterol, diabetes, smoking, and family history of heart disease. Understanding your individual risk helps us tailor your care and identify CHD in its earliest stages.
Physical Examination
During your visit to the Primary Care Center of Clear Lake, your physician will perform a focused physical examination. This includes listening to your heart for abnormal sounds, checking your blood pressure, and looking for signs that may indicate heart disease or related conditions.
Diagnostic Testing and Collaboration
To confirm a diagnosis or better evaluate your heart health, we may recommend specific tests such as:
• Electrocardiogram (ECG/EKG): This quick, non-invasive test records the electrical activity of your heart, helping us identify signs of previous or ongoing heart problems.
• Blood Tests: We check cholesterol, blood sugar, and cardiac biomarkers to assess your risk and detect potential heart muscle damage.
• Echocardiogram: Using ultrasound technology, we can evaluate the structure and function of your heart.
• Stress Testing: We may refer you for stress testing to observe how your heart performs during physical activity or under simulated exertion.
• Advanced Imaging: When necessary, we coordinate with local specialists for advanced imaging, such as coronary angiography, CT angiography, or cardiac MRI, to obtain a detailed view of your heart and blood vessels.
The foundation of coronary heart disease management at our practice begins with empowering patients to make heart-healthy lifestyle choices. Our providers work closely with you to develop a diet plan low in saturated fats and cholesterol, encourage regular physical activity, support smoking cessation, and help manage stress—all of which are essential for slowing the progression of heart disease and reducing the risk of complications.
In addition to lifestyle modifications, our clinicians at the Primary Care Center of Clear Lake may prescribe medications tailored to your individual risk factors and health profile. Common treatments include statins to lower cholesterol, antiplatelet agents such as aspirin to help prevent blood clots, and medications like beta-blockers or ACE inhibitors to control blood pressure and reduce strain on the heart. For those experiencing angina, nitrates may be recommended to relieve chest discomfort.
For patients whose symptoms are not adequately controlled with medication and lifestyle changes, or when significant blockages are identified, our team facilitates referrals to trusted cardiologists for further evaluation. Advanced treatment options such as percutaneous coronary intervention (angioplasty and stenting) or coronary artery bypass grafting (CABG) may be considered in collaboration with your specialist, ensuring a seamless continuum of care.
At the Primary Care Center of Clear Lake, ongoing monitoring and regular follow-up visits are a cornerstone of our patient-centered approach. We are committed to evaluating your progress, adjusting your treatment plan as needed, and supporting you at every step to achieve the best possible heart health outcomes. For more information, please contact us or schedule an appointment online. We are conveniently located at 13920 Osprey Ct, Suite C, Webster, TX 77598. We serve patients from Webster TX, Bacliff TX, Dickinson TX, Seabrook TX, League City TX, Clear Lake City TX, and surrounding areas.

Additional Services We Offer
• 2D ECHO
• ABI Testing
• Obesity Medicine
• Alzheimer’s Disease
• Anxiety Disorder
• Aortic Aneurysm Screening
• Arthritis
• Asthma
• Body Composition Testing
• Cancer Screening
• Carotid Doppler
• Chronic Condition Management
• Chronic Kidney Disease
• Chronic Obstructive Pulmonary Disease
• Congestive Heart Failure
• COPD & Asthma
• Coronary Heart Disease
• COVID-19 Testing
• Dementia Screening
• Depression
• Diabetes Management
• EKG
• Food Allergies
• Food Sensitivity
• Geriatric Care
• Hypertension
• Outdoor Allergies
• Parkinson’s Disease
• Primary Care
• Resting Metabolic Rate Testing
• Thyroid Scan
• Wellness Exams for Men
• Wellness Exams for Women
• Ozempic
• Integrative Medical Weight Loss
• Men’s Health
• Testosterone Replacement Therapy
• Erectile Dysfunction
• Testosterone Gel and Injections
• Women’s Health
• Menopause
• PCOS
• Hormone Replacement Therapy
• Individual Nutritional and Lifestyle Counselling
• Indoor Allergies
• Internal Medicine
• Lipid Disorders
• Medical Weight-Loss
• Osteoporosis

Additional Services We Offer
• 2D ECHO
• ABI Testing
• Obesity Medicine
• Alzheimer’s Disease
• Anxiety Disorder
• Aortic Aneurysm Screening
• Arthritis
• Asthma
• Body Composition Testing
• Cancer Screening
• Carotid Doppler
• Chronic Condition Management
• Chronic Kidney Disease
• Chronic Obstructive Pulmonary Disease
• Congestive Heart Failure
• COPD & Asthma
• Coronary Heart Disease
• COVID-19 Testing
• Dementia Screening
• Depression
• Diabetes Management
• EKG
• Food Allergies
• Food Sensitivity
• Geriatric Care
• Hypertension
• Outdoor Allergies
• Parkinson’s Disease
• Primary Care
• Resting Metabolic Rate Testing
• Thyroid Scan
• Wellness Exams for Men
• Wellness Exams for Women
• Ozempic
• Integrative Medical Weight Loss
• Men’s Health
• Testosterone Replacement Therapy
• Erectile Dysfunction
• Testosterone Gel and Injections
• Women’s Health
• Menopause
• PCOS
• Hormone Replacement Therapy
• Individual Nutritional and Lifestyle Counselling
• Indoor Allergies
• Internal Medicine
• Lipid Disorders
• Medical Weight-Loss
• Osteoporosis



