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Doctor insights on: How Do Doctors Diagnose Coronary Artery Disease

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How do doctors diagnose coronary artery disease?

How do doctors diagnose coronary artery disease?

Several ways: It is suspected by the symptoms typically pain in the chest on exertion. An EKG can be done at rest or better still during exercise. Sometimes in addition some slightly radioactive material is injected and "pictures" are taken before and after the exercise. Dye can be injected directly into the coronary arteries to see if ane where they are blocked. Ct scans and mri's can also be used. ...Read more

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Dr. Walter Husar
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Artery (Definition)

Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more


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How do you diagnose coronary artery disease?

How do you diagnose coronary artery disease?

After Ds is Advanced: Though dominant human behavior, physicians are trained to wait for evidence of advanced disease, largely in this order of ?ing ability to detect disease: 1. Calcification in the artery walls, 2. Obstructions visible on coronary angiograms or ct, 3. Symptoms & evidence of heart damage; typically the last detected/recognized 4. Stress tests. | for a better alternative: optimize the driving factors. ...Read more

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How do people treat carotid artery disease?

How do people treat carotid artery disease?

Multiple options: If the narrowing is significant surgery or a stent are used. Before you get to that point blood pressure control, cholesterol lowering medications and blood sugar control are helpful. And obviously no smoking. ...Read more

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How do doctors test for coronary artery blockage?

How do doctors test for coronary artery blockage?

Usually stress tests: Stress tests are used to see if an artery has severe blockage in it, which prevents adequate blood flow to the heart muscle to meet its energy needs. If abnormal, cardiac cath (i.e. "angiogram) is often needed to invasively image the arteries and see the extent of the problem. ...Read more

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How do you diagonise carotid artery disease?

How do you diagonise carotid artery disease?

Multiple modalities: Carotid ultrasound is the least invasive of the tests. Mr angiography requires a patient to lie in a confined space. The quality of the images is dependent upon no movement during the study. Ct angiography requires iodine-based contrast dye. Patients with chronic renal disease may have special preparations before their study. The gold standard is most invasive, arterial angiography. ...Read more

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What are tests used to diagnose coronary artery disease?

What are tests used to diagnose coronary artery disease?

Several: First of all the history. Usually there is chest pain as the presenting symptom and the exact description of that pain is important. Does it occur during exertion? Then an EKG is done. Also an EKG with exertion or medication to stress the heart along with pictures of the heart. The final test would be to put some dye into the arteries to directly visualize a blockage. ...Read more

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How do doctors diagnose arteriosclerosis?

How do doctors diagnose arteriosclerosis?

Many tests: Through carotid (ultrasound) scan, nuclear stress test, stress echocardiogram, echocardiogram, pet scan, ct scan, mri, ankle brachial index test, peripheral ultrasound, ekgs. These tests are only used after a thorough history and physical that provides the indications for the appropriate test(s). ...Read more

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How can my medical history help when diagnosing coronary artery disease?

How can my medical history help when diagnosing coronary artery disease?

Very essential: The medical history helps a great deal, the nature of the pain, the factors that bring it on, the location, the severity, the factors that relieve it, your family history, whether or not you smoke or use cocaine, what your other medical problems may be; all help in determining your risk of having coronary artery disease. This is referred to as the pre-test probability of the disease. ...Read more

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How do we remove coronary heart disease?

How do we remove coronary heart disease?

We don't: Coronary artery disease (CAD) is not curable. It is when we form blockages in the arteries to the heart. If is often associated with blockages in other areas of the body. We can treat CAD with medicince, balloons and stents, and surgery (bypass surgery). None of these are cures. You still have the disaese. Risk factor modification is very important long term. ...Read more

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How do you usually diagnose renal artery stenosis?

How do you usually diagnose renal artery stenosis?

Renal arter stenosis: The diagnosis is made with ultrasound dopplers to check blood flow rates that reveal waves created by the blockage, or arteriograms.Ultrasound has no risk, but is very operator dependent and can be misleading in both over and under diagnosis.Arteriograms are more accurate, but only show an anatomic blockage, and don't help with functional testing. Finding blocks doesn't mean they need treatment. ...Read more

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How does a doctor diagnose coronary heart disease?

How does a doctor diagnose coronary heart disease?

Many things: The first and most important thing in making a diagnosis is listening to the patient. Their signs and symptoms are important. The next is a physical exam. Tests which help include ekg, stress tests, angiogram which visualizes the blockages. Newer tests include ct angiograms, ct calcium score, and mri' s are beginning help as well. ...Read more

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How do you typically diagnose renal artery occlusion?

See below: The gold standard for detecting renal artery occlusion is a renal angiogram, which is injecting a iodinated dye into the blood vessel and taking images. The dye itself can cause some reversible renal injury, and should be used weighing the risk and benefit. Other rare but serious complication is cholesterol embolii syndrome. Other tests eg ultrasound and MRI may not be conclusive. ...Read more

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How do coronary artery spasms relate to coronary heart disease?

How do coronary artery spasms relate to coronary heart disease?

Prinzmetal angina.: Spasm can happen in any blood vessel including the coronaries. The inner lining of the arteries have ability to produce a relaxing factor now known to be nitric oxide. However, diseased arteries have dysfunctional inner lining cells that can't make the relaxing factor and thus can present with spasm also known as prinzmetal angina. ...Read more

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How do you prevent coronary artery disease?

How do you prevent coronary artery disease?

Start early!: The most important part is to start early! heart disease takes decades to develop. There are many factors that we can control, diet and exercise being most important. In addition, not smoking and reducing stress are key actions. Genetic predisposition is not modifiable: if your mother or father had a heart attack before 60 years of age, you might be at risk. Consider a preventive visit! ...Read more

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How do you diagnose microvascular angina?

How do you diagnose microvascular angina?

By Exclusion: It's generally a diagnosis of exclusion, when one can't find another reason for symptoms of angina. It would require a catheterization with coronary angiogram to exclude blockages in the larger coronary arteries on the surface of the heart. Also an echocardiogram might be done to exclude valvular heart disease. It's more common in women and treated usually with beta blockers such as metoprolol. ...Read more

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How do integrative doctors treat congenital heart disease?

How do integrative doctors treat congenital heart disease?

Comprehensive care: Congenital heart disease should be cared for in hospitals with a dedicated team of highly trained specialists, including pediatric cardiologists, congenital heart surgeons, intensive care physicians/ neonatologists, nurses, respiratory therapists, nutritionists, social work, physical and speech therapists, family support team, and other medical consultants to provide integrated care. ...Read more

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Why do people get hypertension and what is coronary artery disease ?

Why do people get hypertension and what is coronary artery disease ?

Still CAD: Coronary artery disease is when cholesterol builds up in the coronary arteries. Hypertension is simply one of the risk factors. Just like diabetes, smoking, age, gender, postmenopausal, etc.You dont need all of them to have cad. ...Read more

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How do you manage the symptoms of coronary artery disease?

How do you  manage the symptoms of coronary artery disease?

CAD: By reducing the demand and increasing the coronary blood supply we can pharmacologically reduce anginal symptoms and manage CAD medically. Beta-blockers, nitrates, and calcium channel blockers can help. Aspirin reduces the risk of mi by making platelets less likely to stick together and cause clots. Lipi-lowering meds like statins can stabilize and slow progression of blockages. ...Read more

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What tests are used to diagnose coronary artery blockage?

What tests are used to diagnose coronary artery blockage?

Invasive and non: Coronary blockage is defined as enough narrowing to cause symptoms, or to show up on a stress test. Stress tests look for signs of reduced heart muscle oxygen supply (e.g. Ekg changes during exercise, weak heart squeezing on echo, or nuclear perfusion defects). Angiography ("cardiac cath") is invasive, injecting dye into the arteries to image blockages, and stents can be inserted at the same time. ...Read more

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How do doctors diagnose coronary artery disease?

Several ways: It is suspected by the symptoms typically pain in the chest on exertion. An EKG can be done at rest or better still during exercise. Sometimes in addition some slightly radioactive material is injected and "pictures" are taken before and after the exercise. Dye can be injected directly into the coronary arteries to see if ane where they are blocked. Ct scans and mri's can also be used. ...Read more

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Hi doctors, was just wondering what is coronary artery disease and how does drug eluting stents help?

Hi doctors, was just wondering what is coronary artery disease and how does drug eluting stents help?

Fatty buildups: In young, healthy individuals the inner lining of the blood vessels is clean and smooth. Overtime, for many reasons, the inner surface of the heart blood vessels (coronary arteries) may start becoming bumpy/lumpy or blocked due to fat (cholesterol) deposits called "atherosclerotic plaque". Stents help unblocking the arteries by getting the plaque out of the way so that more blood flow is available. ...Read more

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Help doctors! what're the treatments for coronary artery disease (cad)?

Help doctors! what're the treatments for coronary artery disease (cad)?

Three: 1.Medical treatment to lower bp, heart rate and cholesterol, smoking cessation and good exercise and diet. 2. Angioplasty and stunting if the medical treatment fails or high risk cad 3. Coronary bypass surgery if the angiogram shows multi vessel or complex cad. ...Read more

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I smoke have chest pains been evaluated by doctors what is the likelihood that I have coronary artery disease? Trying to quit smoking any suggestions?

I smoke have chest pains been evaluated by doctors what is the likelihood that I have coronary artery disease? Trying to quit smoking any suggestions?

Determination: Your chances of having significant coronary disease at 25 is minimal. Smoking is by choice, as is stopping. The first and most successful step is to decide to stop. Everything else is window dressing. Don't buy them, you won't smoke them. ...Read more

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How do doctors test for coronary artery disease? I'm a man in my mid-twenties. Every couple of months, i experience a sharp, shooting pain in the area of my chest that covers my heart. The shooting pain only last for a minute or two, and then is alleviate

How do doctors test for coronary artery disease? I'm a man in my mid-twenties. Every couple of months, i experience a sharp, shooting pain in the area of my chest that covers my heart. The shooting pain only last for a minute or two, and then is alleviate

Talk to your MD: There are many tests that can be done. The best starting place is to talk with your doctor and be examined. The md will judge whether or not additional tests (i.e.. Stress test) are needed depending on your story, family history, risk factors, and exam. ...Read more

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How do you diagnose coronary artery disease?

After Ds is Advanced: Though dominant human behavior, physicians are trained to wait for evidence of advanced disease, largely in this order of ?ing ability to detect disease: 1. Calcification in the artery walls, 2. Obstructions visible on coronary angiograms or ct, 3. Symptoms & evidence of heart damage; typically the last detected/recognized 4. Stress tests. | for a better alternative: optimize the driving factors. ...Read more

See 1 more doctor answer
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What are tests used to diagnose coronary artery disease?

Several: First of all the history. Usually there is chest pain as the presenting symptom and the exact description of that pain is important. Does it occur during exertion? Then an EKG is done. Also an EKG with exertion or medication to stress the heart along with pictures of the heart. The final test would be to put some dye into the arteries to directly visualize a blockage. ...Read more

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Can an ECG diagnose coronary artery disease? Had hr of 160 went to er. Place on monitor and troponin done twice. Still have tight band around chest.

Can an ECG diagnose coronary artery disease? Had hr of 160 went to er. Place on monitor and troponin done twice. Still have tight band around chest.

EKG can give hints.: Gold standard for diagnosing coronary artery disease is angiography. Abnormal patterns of EKG can provide clues to the presence of heart disease, but is not sufficient to diagnose it. Even normal troponins only tell you that there hasn't been a heart attack recently. One could still have underlying coronary artery disease. ...Read more

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Recent angiogram diagnose was:non obstructive coronary artery disease, how high is my risk to suffer a heart attack?

There is: disagreement about the risk factors associated with "non-obstructive" coronary DISEASE (ABNORMAL coronary arteries but without significant OBSTRUCTIVE lesions on ARTERIOGRAPHY/ANGIOGRAPHY Best practice is to use all the "tools" to prevent cor- onary events as patients with OBSTRUCTIVE disease... Smoking cessation, graded excercise, Cholesterol lowering etc etc Hope this helps! Dr Z ...Read more

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How can you control coronary artery disease?

How can you control coronary artery disease?

Cad: Coronary artery disease can be controlled with risk factor modification. No smoking, weight control,cholesterol management, diabetes control, hypertension control. Daily exercise for healthy heart and good diet ...Read more

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Is coronary artery disease acute or chronic?

Is coronary artery disease acute or chronic?

Chronic is Typical: Artery disease, especially in the heart arteries, is dominant human behavior, typically starts in childhood yet is typically ignored for decades because it remains asymptomatic until plaque ruptures release debris, triggers clots & suddenly blocks blood flow. These plaque ruptures are the basis for acute symptomatic disease. Thus best to treat the driving factors early, not wait for symptoms. ...Read more

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Where does coronary artery disease originate?

Where does coronary artery disease originate?

CAD: Coronary artery disease, just as disease in other arteries, is the result of a long time process initiated by: 1. Genetic pre-disposition 2. Uncontrolled/untreated high blood pressure, diabetes, cholesterol/triglycerides 3. Smoking, obesity, lack of exercise, stress. ...Read more

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How do I know if I have coronary artery disease?

How do I know if I have coronary artery disease?

Interview, HeartScan: the first step at risk stratification is interview and exam by a physician. that being said, a "heart scan" / "coronary calcium score" is a very precise way of detecting a tendancy for early CAD. ...Read more

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What is a concept map of coronary artery disease?

Anatomy: Hello noni -- i think you are referring to a coronary anatomy -- so for every procedure and surgery, the surgeon must know the anatomy of the organ they are trying to operate -- and in case of coronary anatomy, they vary some, so diagnostic evaluation is done preceding any surgical contemplation. ...Read more

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What people are at risk for coronary artery disease?

5 risk factors: The 5 major risk factors are cigarettes, high blood pressure, elevated cholesterol, diabetes mellitus, and family history of coronary artery disease. The more of these risk factors you have, the higher the risk of coronary artery disease. However, the absence of any of these risk factors is not absolute protection against coronary artery disease. ...Read more

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Is there a cure available for coronary artery disease?

Strictly speaking, : No. But there are many modalities that are preventive and/or therapeutic. ...Read more

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Is eccp useful in reversal of coronary artery disease ?

No: May help some angina patients but is not a reversal of the disease process in general. Bypass can also stabilize and give marked increase in coronary blood flow for a durable time if patient has suitable anatomy. ...Read more

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Dr. Rick Koch
2,478 doctors shared insights

Coronary Artery Disease (Definition)

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


Dr. Cornelius O'leary jr
2 doctors shared insights

Coronary Artery (Definition)

Coronary artery is the name given to the blood vessels that supply the myocardium. The word coronary was coined by the first anatomists that noticed that if you remove all muscle from the heart the remaining vessels resemble the shape of a corona or crown. ...Read more