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Doctor insights on: What Are Some Of The Treatments Available For Coronary Artery Blockage

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What are some of the treatments available for coronary artery blockage?

What are some of the treatments available for coronary artery blockage?

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 more

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Dr. Peter Ihle
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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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What are the treatment options for coronary artery blockage?

What are the treatment options for coronary artery blockage?

It depends: It depends on the degree of blockage and the symptoms. If the blockage of the coronary artery is >70% and the ischemia is reversible and the patient is symptomatic, revascularization (angioplasty/stent or surgery) is usually recommended, however there are patients have contraindications for intervention and they might be treated only by medications. Treatment is highly individualized. ...Read more

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What are some treatments for the aortic stenosis?

What are some treatments for the aortic stenosis?

SAVR AND TAVR: Traditionally, surgical aortic valve replacement was the best method for treating significant aortic stenosis. Some patients, unfortunately, were too ill for the procedure. Transcatheter aortic valve replacement (tavr) has proven an excellent alternative for these patients. Talk to your thoracic surgeon and cardiologist to see if you are eligible. ...Read more

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What are some of the consequences of coronary artery blockage?

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 more

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What are some treatments for blocked renal arteries?

What are some treatments for blocked renal arteries?

Treat renal stenosis: The treatment of a blocked kidney artery is controversial. The 3 ways would be medications, surgery, or arterial stents. There is evidence that all 3 work equally well, even in severe cases, although there are some cases where surgery or a stent may yield a better outcome. However, the risk of surgery or stents is not small, and therefore, a conservative approach with medicine is often best. ...Read more

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What are the treatments for renal artery stenosis?

What are the treatments for  renal artery stenosis?

RAS: RAS due to atherosclerosis (ASO) more often than fibromuscular disease (FMD) Medical treatment does not alter RAS but can control BP. RAS can progress to occlusion. Controlling ASO risk factors appropriate. Open renal bypass infrequent. Angioplasty/stent more common but controversial. PTA probably Rx of choice for FMD. PTA/stent for ASO if flash pulmonary edema, uncontrolled BP, renal failure. ...Read more

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What are the treatment options for blocked carotid arteries?

What are the treatment options for blocked carotid arteries?

Just depends: There are a lot of options when discussing carotid artery disease. The treatment guidelines are very strict and are based on symptoms and the degree of narrowing found on tests. The options range from observation to placing a stent or surgery to remove the blockage. It is really hard to tell which one is the right treatment until evaluated by a vascular surgeon. ...Read more

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What are the treatments for coronary heart disease?

What are the treatments for coronary heart disease?

Numerous: Treatment depends on the extent of the problem. Exercise and a low cholesterol diet may have a role in prevention of cad. If CAD is present, low dose Aspirin (81 mg daily) can reduce risk of heart attack 50%. Cholesterol meds (statins) also lower risk 20-30%. If it is symptomatic (angina) medicines such as nitroglycerin, beta-blockers, and sometimes calcium channel blockers can be used. ...Read more

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Are there any non-invasive ways to check for levels of atherosclerosis in the arteries?

Yes: Non-invasive imaging options include coronary calcium score (ccs) and carotid ultrasound for intima-media thickness (cimt). Ccs quantifies calcium in mature artery plaques. Cimt measures earlier changes of vascular disease (cimt thickness and small plaques without calcium). Cimt requires a skilled sonographer for optimal clinical value. Ccs defines later stage disease, but is more reproducible. ...Read more

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What are some treatments for renal artery stenosis?

See below: Renal artery stenosis is narrowing of the kidney arteries most commonly due to cholesterol plaques accumulating inside the walls of the blood vessel.There are other causes as well. A cathetor can be inserted into the blood vessel and a balloon can be inflated to restore the lumen size. A stent is inserted to keep it open.There are surgical options in special circumstances, . ...Read more

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What are the risks of atherectomy for coronary artery disease?

What are the risks of atherectomy for coronary artery disease?

Similar to stenting: The risks of rotational atherectomy include a 1% combined risk of stroke, heart attack, death, perforation of the coronary, and emergency heart surgery. These are average risks for a large population of patients. Risks in an individual patient may be higher. ...Read more

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What are the treatments for fibers in heart valve called?

What are the treatments for fibers in heart valve called?

Chordau tendiniae: The "fibers" are called "chordae" and are similar in function to parachute chords. They prevent the valve leaflets to prolapse (tricuspid and mitral), holding them back just like a parachute chord prevents the parachute from flipping up. If these chords break, the valve will leak. Surgical fixes include annuloplasty (narrowing the valve ring), repairing the chordae, and valve replacement. ...Read more

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What are the tests for transposition of the great vessels?

ECHO,CATH.,MRI: Echocardiogram diagnostic, emergency cardiac cath for rashking procedure if needed, and to determine coronary anatomy, if a concomitant vsd present, intracavitary pressures and shunt may possibly be determined. Cardiac MRI may be needed for concomitant vascular anomalies and assistance in situs inversus. ...Read more

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What are the tests for coronary arteriosclerosis?

What are the tests for coronary arteriosclerosis?

Functional vs ...: Tests for CAD are classified as functional / physiologic vs anatomic ie the mere presence of ateriosclerosis. Heartcath and cta of coronaries(cat scan) can demonstrate blockages but not tell if its causing the pts symptoms. A stress echo or Cardiolite gives physiologic information and can point to the culpret .Usually both are employed to find and fix the pts blockage responsible for their symptom. ...Read more

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What are some of the treatments available for coronary artery blockage?

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 more

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What tests are available to diagnose coronary artery blockage?

What tests are available to diagnose coronary artery blockage?

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 more

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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 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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What metabolic activities occur coronary artery blockage?

What metabolic activities occur coronary artery blockage?

Coronary arteries: Please rephrase this questions it doesn't make any sense in its current form. I'd be glad to answer if i can understand what you are asking :-). ...Read more

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Can you explain the metabolic mechanisms that take place during coronary artery blockage?

Can you explain the metabolic mechanisms that take place during coronary artery blockage?

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 more

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What could cause a high (1100+) right coronary artery score and yet after a angiogram, they find no blockage?

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

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What would cause a high (1100+) right coronary artery score and yet after an angiogram, they find no blockage?

Calcicardiogram: The study you refer to scores calcium in vessel walls. This does not always correlate with coronary obstruction. It does imply the disease process is present. ...Read more

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Does the ornish program apply to coronary artery blockage?

Does the ornish program apply to coronary artery blockage?

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 more

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What would left anterior descending coronary artery blockage cause?

What would left anterior descending coronary artery blockage cause?

Left anterior descen: This has been called the "widow maker" artery that can cause angus, heart attack or myocardial infarction, or sudden death. ...Read more

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What would cause a high coronary artery score and yet after a angiogram there isn't a blockage?

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

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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?

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?

Angioangiogram: Usually calcification and coronary artery blockages go hand in hand. You have already had the gold standard test-the angiogram. There are less invasive tests e.g. Coronary ct scan, which usually shows calcium but not as sensitive or specfic as a angiogram. ...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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Does angiogram show heart coronary arteries blockage?

Does angiogram show heart coronary arteries blockage?

Yes: Yes, a coronary angiogram is the most widely used test to look for blockages in the arteries of the heart and to decide the best treatment option (medication only vs stent vs bypass surgery). ...Read more

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How would a blockage in one of the coronary arteries affect the hearts stroke volume?

How would a blockage in one of the coronary arteries affect the hearts stroke volume?

By decreasing oxygen: The heart muscle depends on oxygen supplied by the coronary arteries to effectively function. When the artery is narrowed it can decrease the supply of oxygen and decrease the force of the muscle contraction. The stroke volume is a measure of how much blood the heart forces out with each beat. ...Read more

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What is coronary artery blockage?

Usually atheroma: Usually cholesterol based but can also have calcium and fibrous material as well.Occurs when natural barrier called the endothelium is disrupted allowing these items to infiltrate and eventually block the artey. ...Read more

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What are the causes of coronary artery blockage?

What are the causes of coronary artery blockage?

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 more

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Dr. Theodore Davantzis
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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


Dr. James Lin
5 doctors shared insights

Cardiac (Definition)

Cardiac translates literally to "heart, " and any place the term is seen, such ...Read more