Doctor insights on:
What Are Some Of The Consequences Of Coronary Artery Blockage
Chest pain: There may be no symptoms but if the blockage is severe enough, chest pain, especially on exertion, can occur. Also heart attack or even sudden death. Therefore, good to see your doctor and be advised of your risk factors and ways to prevent coronary artery blockage. ...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
Treatment of CAD: Treatment falls into 3 categories. Medical therapy, angioplasty, and coronary bypass surgery. Medical therapy with Aspirin and cholesterol-lowering medications along with other medications usually forms the basis of treatment with angioplasty (stents) and bypass surgery reserved for those patients who do not respond fully to medical therapy. ...Read moreSee 1 more doctor answer
Several: There are a number of risk factors that lead to plaque in the coronary arteries which is the reason for the blockage. Some of these are smoking, high blood pressure, unhealthy diet, an abnormally high cholesterol, lack of exercise, and obesity. There are also hereditary factors. ...Read moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
Yes: The ornish program of life style changes is certainly a good idea for someone who already had coronary artery blockage. It involves lifestyle changes such as diet, exercise, stopping smoking, and stress management. It is not a replacement for treating your disease with medications where indicated. ...Read moreSee 1 more doctor answer
Several: If a cardiologist suspects coronary artery blockage the first step will be a very complete history. A nuclear stress test is a common diagnostic test and cardiac ct angiograms are becoming more common. The next step is usually a diagnostic cardiac catheterizaiton. Also since approximately 80% of coronary artery disease, cad, patients have peripheral vascular disease, pvd, that will need eval to. ...Read moreSee 1 more doctor answer
Not easy: Even with state of the art technology at large cardiac centers its not 100%. Even with catheterization, ct scans etc its still not clear which plaque is vulnerable and could cause a future event. Alternative drs and homeopathic medications may have its place, but for a life threatening condition such as this i would stick to traditional investigations and treatment. ...Read more
Not unusual: The calcium score is a measure of calcium in the wall of the artery. An angiogram measures the degree of blockage in the lumen of the artery. A high calcium score is a measure of the risk of devolping obstructive coronary disease; it does not make the diagnsosis of obstructive coronary disease. ...Read more
My coronary arteries are highly calcified. Does this mean that there is blockage? Other than angiogram, is there a less invasive test to show block?
Yes: A coronary artery blockage of myocardial infarction (heart attack) occurs when an atherosclerotic plaque ruptures losing its fibrous cap and lipid core thereby exposing type-4 collagen which is very prothrombotic (clot promoting). It is the blood clot forming at the ruptured plaque that shuts down the coronary artery. ...Read moreSee 1 more doctor answer
What could cause a high (1100+) right coronary artery score and yet after a angiogram, they find no blockage?
Great question: An angiogram is showing plaque buildup that is impacting blood flow within the lumen of the vessel but before you have that happen you can get atherosclerotic buildup within the wall of the vessel that grows outward. This can be seen by CT but can appear very minimal on an angiogram. However if you have a CT with high calcium score I recommend medical therapy for coronary disease (statin, aspirin) ...Read more
Recently i had angioplasty for the second time and i still have a 45% blockage in my right coronary artery. Now what?
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 moreSee 1 more doctor answer
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