Top
30
Doctor insights on: Inoperable Coronary Artery Disease

Share
1

1
Can coronary artery disease be treated?

Can coronary artery disease be treated?

Certainly: Evaluation by a primary care & cardiologist, reduce weight - BMI < 28, eat right: low fat, low (bad) cholesterol, consider high quality fish oil, cessation of smoking, exercise (if you are healthy enough per your physician), reduce alcohol consumption, take prescribed medications as directed. Know your numbers: cholesterol, blood pressure, blood sugar and work with your physician to optimize them. ...Read more

Dr. Andrew Seibert
1 Doctor shared a insight

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


2

2
Can coronary artery disease be reversed?

Can coronary artery disease be reversed?

Yes: Yes if on high dose statins for years it is possible to stabilize and slightly improve. ...Read more

3

3
How can coronary artery disease be cured?

How can coronary artery disease be cured?

Not Really: Coronary artery disease, also referred to as CAD or cvd, can be controlled or ameliorated with diet, exercise, cessation of smoking, moderation of alcohol intake, diabetes control and medications. ...Read more

4

4
How can coronary artery disease be treated?

How can coronary artery disease be treated?

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 more

5

5
What happens during coronary artery disease?

What happens during coronary artery disease?

AtherosclerosisClots: The key issue is atherosclerosis: accumulation of white blood cells in the walls of arteries, typically starts in childhood & is primarily driven by lipoproteins (proteins which transport fat in the water outside cells) is dominant human behavior yet is typically ignored for decades because it remains asymptomatic until plaque ruptures release debris, triggers clots & suddenly blocks blood flow. ...Read more

6

6
How to know if I have coronary artery disease?

How to know if I have coronary artery disease?

Cath lab, CT, scans: CT scan can do a calcium count, which is related to disease. Cath lab can create dye studies of the arteries, which show blockage. A myocardial perfusion scan can show abnormal areas of blood flow on the heart, which is related to blocked arteries. 256 bit CT scans are getting very good at showing artery disease also. ...Read more

7

7
What are the tests for coronary artery disease?

What are the tests for coronary artery disease?

Several test.: There are several tests for coronary artery disease. A thorough history and physical exam, ekg, ct scan, nuclear studies are all helpful but the best test is a cardiac catheterization. The cardiologist will place a small catheter through a groin vessel up to the heart and inject a special dye into the coronary arteries. The pictures will show if there are any blockages or not. ...Read more

8

8
What are other names for coronary artery disease?

What are other names for coronary artery disease?

Few names: Atherosclerotic heart disease, angina, blocked arteries from plaque buildup, acute coronary syndrome. ...Read more

9

9
What is the diagnosis for coronary artery disease?

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 more

10

10
What are common causes of coronary artery disease?

What are common causes of coronary artery disease?

Here are some causes: Smoking, high blood pressure, diabetes, high cholesterol, sedentary lifestyle, family history, old age are the most common causes. ...Read more

12

12
What is the principal sign of coronary artery disease?

What is the principal sign of coronary artery disease?

Angina: At early stages it may not cause symptoms. Once blockages become more significant, chest pain and/or shortness of breath occur, usually worse with activity. ...Read more

13

13
What happens when someone gets coronary artery disease?

What happens when someone gets coronary artery disease?

Varies: Some remain asymptomatic and have normal lives. Others develop angina. Some ar complicated with heart attacks. ...Read more

14

14
What is the principal symptom of coronary artery disease?

Chest pain: Symptoms from coronary artery disease (CAD) can vary. The most common is angina and can include chest pain as well as pain in the arm, jaw, or abdomen. The pain typically gets worse with activity and better with rest. Shortness of breath can also develop, especially as the heart muscle begins to weaken from inadequate blood flow. ...Read more

17

17
Are there gender differences in regards to levels of coronary artery disease?

Yes: Men have higher rates of CAD and they tend to suffer at an earlier age. This is part of the reason the life expectancy of men is shorter than women. ...Read more

18

18
Are there racial differences in regards to levels of coronary artery disease?

Always: Many stuides show differences among racial lines; my personal opinion is that these really demonstrate differences in socioeconomic levels. I feel it is much more dependent upon income levels and the types of foods and lifestyle a person leads. Lower socioeconomic groups tend to eat foods that are less healthy and engage in alcohol and tobacco use as well as engaging in less exercise. ...Read more

19

19
Is coronary artery disease deadly?

Is coronary artery disease deadly?

Coronary disease: Number one cause of death in men and women. ...Read more

20

20
Is coronary artery disease contagious?

Is coronary artery disease contagious?

Causes for cad: Not contagious in the sense of an infectious exposure. There are strong genetic risks, and people living together tend to make similar diet and lifestyle choices, so clustering of CAD cases does occur. ...Read more

21

21
How common is coronary artery disease cad?

How common is coronary artery disease cad?

Dominant Behavior: The key issue: atherosclerosis, an accumulation of white blood cells in the walls of arteries, typically starts in childhood & primarily driven by lipoproteins (the proteins which transport fat in the water outside cells) is dominant human behavior yet is typically ignored because it remains asymptomatic for decades until plaque rupture releases debris, triggers clots & suddenly blocks blood flow. ...Read more

22

22
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

23

23
Does an echo detect coronary artery disease?

May be: Echocardiograms are very good at seeing the function of the heart muscle. If coronary artery disease has damaged the heart, the weekend part of the heart will be visible on an echocardiogram. However, significant blockage can occur without damage. A resting echocardiogram will not be able to see this. A stress echocardiogram, however, may be effective in detecting this type of disease. ...Read more

24

24
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

25

25
Does a regular echo detect coronary artery disease?

Does a regular echo detect coronary artery disease?

It indirectly can: An echocardiogram can show the heart valves, heart chamber size, and contraction of the left and right ventricles that pump blood out of the heart. If a particular wall of the left ventricle does not contract normally, it is likely an indication of coronary artery disease of a significant severity. ...Read more

26

26
Can you describe calcified coronary artery disease?

Can you describe calcified coronary artery disease?

Calcified CAD: Plaque in coronary arteries is in a real sense abnormal tissue. Calcium tends to accumulate in abnormal tissues in our bodies. This phenomenon is called dystrophic calcification. The amount of coronary artery calcium as detected by specialized ct scans can be used as a predictor of future cardiac events such as heart attack. ...Read more

27

27
How can a coronary artery disease patient be managed?

Manage: Stop smoking, lose weight: BMI <28, very healthy low fat diet (some suggest an anti-inflammatory diet), exercise, control diabetes/check blood sugar, regular check ups to review cholesterol, bp, sugar, BMI in check and take medications as prescribed. ...Read more

28

28
Who is responsible for naming coronary artery disease?

Giovanni Morgagni?: Giovanni morgagni is generally considered the father of anatomical pathology -- and may have been first to name the blood vessels around the heart, "coronary." they sit like a "crown" (latin: "coronarius") upon the heart. Morgagni also described "hardening" of these arteries. Many others, of course, have also contributed to the development of these ideas. ...Read more

29

29
What patients are effected by coronary artery disease?

What patients are effected by coronary artery disease?

Vast Majority: Atherosclerosis (known to start ~age 7), is dominant human behavior yet typically remains asymptomatic for decades because the disease is in the walls & the arteries enlarge, compensating for the disease. It is plaque ruptures, debris downstream & clots which produce the blood flow obstructions, heart muscle damage & death. Stress tests overwhelmingly miss the disease until after it is advanced. ...Read more

30

30
What are signs and symptoms of coronary artery disease?

What are signs and symptoms of coronary artery disease?

Sometimes none: Coronary disease may have no symptoms until a heart attack occurs. The most common symptom is chest tightness, felt under the breastbone, though it may be felt in the jaw or left arm. "angina" is chest pain that comes with physical or emotional stress, when the heart is working harder. The pain o a heart attack is similar but can come at rest and lasts longer. ...Read more

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. Suzanne Galli
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