Doctor insights on:
How To Treat Coronary Artery Disease Quickly
Minimize the Drivers: Optimize lipoprotein concentrations (ldl ; hdl, not cholesterol), low normal blood glucose: hba1c <5.0, low normal bp, don't smoke, stay physically active, confront and resolve stress, etc. This is the best approach. Conventional medical methods , angioplasty, stents, bypass surgery, etc. Only partially treat the symptoms ; further complicate the disease process (i have experience will all these). ...Read moreSee 1 more doctor answer
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
Reduce risk factors: Treatment is by risk factor modification--lowering cholesterol, controlling blood pressure and diabetes, smoking cessation, weight control, exercise, etc. Medications, angioplasty, stents, and surgery may reduce symptoms but the underlying disease cannot be cut out. ...Read more
Causative: Coronary artetiosclerosis leads to plaque buildup which in turn eventually causes a stenosis in the coronary. Acute plaque thorombosis leads to acute coronary closure with the obvious myocardial ischemic necrosis. Emergency coronary revascularization within minutes of the occlusion re establishes blood flow and rescues the heart muscle that has not perished.Heart muscle that dies is gone for good. ...Read more
Yes, possible, but..: ... it is very individualized. Many factors are considered, including age, symptoms, stress results, recent heart attack, presence of diabetes, heart muscle function, coronary anatomy. It's highly complex, even if it doesn't seem that way. Your physicians prioritize dozens of data points to conclude that bypass may be necessary. Unless it is an emergency, a 2nd opinion may help allay your anxiety ...Read moreSee 1 more doctor answer
LDL Cholesterol: More specifically, LDL (low density lipoprotein) cholesterol gets deposited within the walls of the arteries. These deposits, known as plaque, can continue to build up causing narrowing of the arteries and may lead to blockage. If the involved arteries are in the coronary arteries, this leads to heart disease. ...Read moreSee 1 more doctor answer
You can't: Curing coronary heart disease implies that the diagnosis has already been made. Once you have coronary disease, there is no cure. However, you can reduce the risk of complications by eating a healthy diet, exercising, controlling blood pressure, stopping smoking, losing weight, and lowering cholesterol. ...Read moreSee 1 more doctor answer
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 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
Same: Same arteriopathy different location.Get a more detailed answer ›
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
By blocking the flow: 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". This in turn reduces the amount of blood flow available causing "ischemia" (oxygen deprivation). ...Read more
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 moreSee 1 more doctor answer
Not so common: Depends on your age, BP level- less than 1% of patients with moderate or gr 2 ( BP more than 160/100) high blood pressure will have renal artery stenosis or blockage. More common in caucasians than african americans.Usually don't have to screen for ras unless patient is on multiple medications , unable to tolerate medicines, severe high BP requiring hospitalization or kidney function is affected. ...Read moreSee 1 more doctor answer
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