Doctor insights on:
Diagnosis For Coronary Heart Disease
What is the relationship between coronary artery disease, coronary heart disease and ischemic heart disease?
Heart disease is a condition in which a person has problems within his or her vascular system and heart, which includes both congenital birth defects and problems acquired later. Examples of heart disease include clogging (atherosclerosis) of the coronary (heart) arteries, heart attacks (obstructions of the arteries), damaged heart valves, heart muscle failure, and viral infections of the heart. Some major causes of heart disease include genetics, smoking, hypertension, high ...Read more
What is the relationship between coronary artery disease, coronary heart disease, and ischemic heart disease?
All related: Ischemic heart disease is caused by coronary artery disease. Some people call coronary artery disease coronary heart disease. When a coronary artery closes up, the heart tissie it supplied may die and that is called a heart attack. The dead heart tissue scars down, when there is a lot of damaged tissue the heart may start failing and that is called ischemic heart disease. ...Read moreSee 1 more doctor answer
Many: Many different risk factors can lead to cad-some changeable, others not. Examples you can do something about include: smoking/tobacco, diabetes, high blood pressure, cholesterol (& related) abnormalities, lack of exercise, obesity. Risks you can't change: family history, genetics, gender. Many people can get it-even those who don't "look" like they should, so get regular, thorough, proactive evals. ...Read moreSee 1 more doctor answer
Isch heart disease: With a proper history, physical exam, and diagnostic testing that would likely include an ekg. Additional testing might include a stress test, non-invasive coronary artery imaging (like with ct scan or mri), or invasive coronary imaging (cardiac catheterization). A lipid panel would also play a role in assessing and reducing risk of ischemic heart disease. ...Read more
Various: If you're asking how CAD is diagnosed, there are actually many ways. Direct testing can show it (ie stress test, calcium scan, catheterization). We also consider the presence of vascular disease elsewhere in the body to be equiv. To having cad. So if someone has blocked circulation in the legs, or a history of certain kinds of stroke, they'd be treated like they have cad. It's a systemic process. ...Read moreSee 1 more doctor answer
Medically: Medical treatment is the most important. Drugs to lower cholesterol and treat elevated blood pressure are essential. Aspirin and other anti-clotting drugs are key. Beta blocking drugs and angiotensin inhibiting drugs are also important. Invasive procedures such as angioplasty, stents and bypass surgery are best reserved for patiens with unstable disease. All patients need complete medical rx. ...Read moreSee 1 more doctor answer
Continuum: Coronary disease develops from our lifestyle and as we age real blockage develops in some or all coronary vessels. One or more plaques disrupt and obstruct. If adequate collateral pathways exist may just vagus transient angina or pain. Angina is pain without damage. If not adequate flow, or collateral, acute myocardial infarction- heart attack occurs and that is "damage". Heart failure may follow. ...Read more
Yes.: Coronary heart disease can be serious. However, with modern understanding it can be managed. Drugs like Aspirin can reduce heart attack. Additionally drugs like Plavix (clopidogrel) have been shown to decrease this further. Statin medications can reduce risk for rupture of the plaque which is the precursor step for a sudden heart attack. Additional medications are also helpful in reducing the impact of cad. ...Read moreSee 1 more doctor answer
Examination: Any disease, including heart valve disease needs a physician with expertise to take a full history and complete a thorough examination. This is helpful in the majority of the time to provide a diagnosis. Once completed, the physician can perform echocardiography (ultrasound) to assess the valves. Often a specialized ultrasound technique--transesophageal echocardiography may be needed. ...Read moreSee 1 more doctor answer
Binding heavy metals: Chelation is a hypothesis that there are heavy metals present that initiate and perpetuate certain disease states. By the use of certain compounds that bind up these heavy metals and allow the body to excrete them, the conditions can be stopped or even reversed. A large nih trial some years back concluded that chelation therapy was not effecacious in the treatment of coronary disease. ...Read moreSee 2 more doctor answers
Stent: When treating an obstructed coronary artery with a stent is the appropriate treatment, the stent if properly placed and without complications is usually 90-95% effective at relieving the symptoms associated with the obstructed artery. Stenting is not necessarily appropriate for all patients and treatment needs to be individualized. Discuss with your cardiologist. ...Read more
Unknown: Although our ability to treat heart disease has drastically improved from stent technology, to bypass surgery to medications, CAD is rarely "curable." there is some animal data that drugs that raise HDL cetp modifying medications can help "regress" plaque in the coronaries. Preventive measures (primary and secondary) are most important, however. ...Read moreSee 1 more doctor answer
Synonyms: They are the same.Get a more detailed answer ›
The leading cause of death and disability in adults in the U.S. It develops when lipid (fatty) plaques builds up in the arteries, thereby stopping blood flow to the organ supplied by that artery. If the artery supplies the heart, blockage causes a heart attack. If the blockage is in a brain vessel, the ...Read more
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