Coronary artery disease
Coronary arteries are blood vessels that carry blood to the heart muscle. The coronary artery disease (also called CAD, for its acronym in English) or coronary heart disease is caused by a thickening of the inner walls of the coronary arteries. This thickening is called atherosclerosis. A fatty substance called plaque builds up inside the thickened walls of the arteries and obstructs or delays the flow of blood. If the heart muscle does not receive enough blood to function properly, you may have angina or a heart attack.
SYMPTOMS
The coronary artery disease can take years to develop. You may not notice any symptoms of coronary artery disease until progression. As the arteries become clogged you may experience:
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Overweight or obese.
Inactivity (sedentary lifestyle).
Other health problems (such as diabetes).
Treatment
How is CAD treated?
Most people who have CAD take medication to help control your condition. The drugs called beta blockers, channel blockers and calcium nitrates can help relieve angina. Take a low dose of aspirin every day can reduce the likelihood of having a second heart attack in people who already had one. Your doctor will tell you whether you should take any of these medicines.
What about surgery?
Angioplasty is a surgical treatment for CAD. Angioplasty uses a tiny balloon to open blocked arteries around the heart. The balloon is inserted into an artery in the arm or leg. In the artery where the blockage was could put a small metal rod, called stent to keep the artery open.
Another surgical treatment for CAD is bypass surgery. Pieces of veins or arteries in the legs are removed and sewn into the heart arteries to carry blood to body parts found after a blockage and increase the blood flow to the heart. Usually the bypass surgery is performed when it is not possible angioplasty or when your doctor thinks this is a better choice for you.
Are there side effects and other risks of the treatment of
The patient's comorbidities include Hypertension, hyperlipidemia, CAD, and GERD. The patient had a CABG operation a few days back from admission day on 4-10-2017. In addition to the CABG surgery, other procedures such as TEE, cardiopulmonary bypass, vein harvest, and a thoracotomy with a chest tube and JP drain. Significant surgical procedures also include angioplasty and left and right knee arthroplasty.
Coronary Artery Bypass Graft (CABG) is an open-heart surgery where a section of a blood vessel, either a vein or artery, is grafted from the coronary artery to the aorta to bypass a blocked section of the artery to improve blood supply to the myocardium (See appendix A for Physiology) The primary foundation of CABG is to regenerate perfusion to the myocardium. (Diodato & Chedrawy. 2014), The goals of CABG include improving your quality of life, reducing angina allowing you to restart a more active regime, Improving the pumping action of your heart if it has been damaged by a heart attack, lowering the risk of a heart attack, in some patients who have increased risk, like those who have diabetes, Improving
Coronary artery disease affects the circulatory system. Chemically, this disease develops when blood vessels that are necessary for living become badly damaged. Cholesterol plaques become inflamed in the arteries. The most common signs and symptoms are chest pains which tighten the chest as if someone were standing on it. Shortening of breath also affects those with this disease because the heart is unable to supply enough blood. A major sign of this disease is having a heart attack. This indicates an artery that is completely blocked. This disease is caused by damaging the coronary arteries by smoking, diabetes, high blood pressure or high cholesterol. To diagnose this disease, medical physicians will perform physical exams and examine blood
To diagnose a coronary artery disease (CAD) the doctor will use a coronary angiogram procedure to find the percentage of blockage or narrow in arteries, the angiogram results will help the doctor to decide a decision on patient treatment depends on the percentage of blockage on coronary artery, age, weight, and whether patients have other medical conditions, like diabetes . In cases with obstructive average a 50% or slightly more are treated by medications and Balloon angioplasty, but what about the cases with more than one artery completely blockage or the medication and stent do not help them? The doctor will choose a coronary artery bypass grafting surgery (CABG) to restore blood flow in the heart, CABG is a surgery done through replacement
angioplasty. It is a procedure where a stent is placed in the artery through the groin and restores
A surgeon removes blood vessels from other part of your body, which are then used to reroute the blood flow around the clogged blood vessel. This is a more invasive surgery that requires longer recovery time.
Angioplasty is a procedure performed to open blocked arteries and restore normal blood flow to the heart muscle. Angioplasty is not a major surgery, and is performed by threading a catheter, which is a very thin tube along with a tiny, thin, expandable balloon that is inserted into the clogged artery and inflated. This opens the artery by pushing the plaque against the artery wall. The procedure may take half an hour to several hours.
(Mayo Clinic, 2013) Some surgical procedures used to treat CAD are angioplasty and coronary artery bypass surgery. (Mayo Clinic, 2013) The angioplasty surgery is when your doctor inserts a catheter to the blockage in the artery and threads the wire through the narrowed arteries. (Opening blocked coronary arteries: New questions about the old answer, nd., p.2) Once the balloon is in place, at the sight of the blockage, the balloon inflates which causes the plaque to crack and the artery to become free from blockage. (Opening blocked coronary arteries: New questions about the old answer, nd., p.2) The other surgical opinion for CAD is coronary artery bypass surgery is a procedure done by a doctor using a graft. (Mayo Clinic, 2013) The doctor will construct a graft to direct the blood flow around the blockage using existing blood vessels in the body. (Mayo Clinic, 2013) Due to the fact that this procedure requires open heart surgery, it is usually used for patients with several partial or full blockages. (Mayo Clinic, 2013)
The patient is laid on the table and they are sedated mildly that helps them to relax, but they remain awake throughout the procedure. The below mentioned is the process of angioplasty that is used coronary artery disease (CAD) whereas angioplasty for other conditions is also somewhat similar.
The procedure involves attaching an unclogged blood vessel to a blocked coronary artery beyond the obstruction. One or both internal thoracic (also called internal mammary) arteries can be rerouted or a piece of the saphenous vein or the radial artery can be made into a conduit.
1. Angioplasty: Kereiakes and Wetherill write that “angioplasty is a procedure in which a heart doctor inserts a balloon catheter over a thin wire across an artery. The balloon is inflated and compresses the plaque to clear the arteries of any blockage.”(p. 106-107).
Coronary artery disease (CAD) is caused by fatty buildup in the arteries of the heart. Your arteries are made to carry oxygen infused blood to your heart and other parts of your body if it is filled up with plaque, which is the fatty substance that clogs and blocks up the arteries. If it gets clogged enough to where your heart is not receiving fresh oxygen, you could have a heart attack that could cause very serious damage to your body and could even kill you. When you are younger, you can begin to grow plaque in your blood vessels from not eating right and not exercising regularly. When your arteries are being filled up with plaque they become more narrow and harder for blood to get through as easily as it is supposed to be. When you have
There are various type of intervention method used to remove this plaque but it depends upon the hardness and size of the plaque. The first is balloon angioplasty in this type the catheter is inserted into the patients groin and is
The signs and symptoms of atherosclerosis are exceptionally deceitful. The symptoms of this disease happen prematurely and develop mutely. When the symptoms indeed start to come about, it is an advanced and severe problem. There are tests for atherosclerosis, but none of them are without fault. Some tests even have the risk of injury, so testing for atherosclerosis is not as easy and simple as some might assume. There are three serious diseases caused by atherosclerosis. Each disease has its own warning signs. These diseases are Coronary artery disease, Cerebrovascular disease, and Peripheral arterial disease. Coronary artery disease warning signs for atherosclerosis in the heart is usually chest pain when one is active, or angina. Angina is a symptom of heart disease, it happens when
Coronary Artery Disease is a condition where the blood flow through the coronary arteries of the heart become partially or completely blocked by plaque buildup. CAD is responsible for over 500,000 deaths in the USA annually. Unfortunately in ¼ of the population, death is the first warning sign of CAD. Atherosclerosis is the process by which plaque builds up in the vessels that supply blood and oxygen to the heart muscle. This lack of blood flow is called ischemia, which will lead to angina in many cases. Angina is caused by a lack of perfusion of the myocardium. CAD is a disease that is developed over time due to unchanged risk factors such as obesity, sedentary lifestyle, hyperlipidemia , cigarette smoking, and hyperlipidemia. The severity of Coronary Artery Disease can be managed through lifestyle changes and medication. If the disease has advanced beyond natural repair by lifestyle modifications, surgery may be the next option. Coronary Artery Bypass Graft (CABG) surgery or placement of cardiac stents are the two most common forms of surgery to fix CAD. These surgeries are not a substitute for lifestyle modifications, but may help those with severe CAD begin to make lifestyle changes without symptoms arising at low intensity exercises.