Uncommon situation. Atherectomy means removal of the atheroma, that is, of the plaque that is causing the blockage of the artery. This particular procedure is rarely performed during coronary bypass surgery and involves removal of plaque from the right coronary artery.
Very effective. Rotational atherectomy is a niche tool. Some kinds of coronary blockages are not amenable to stenting, particularly those which contain a large amount of calcium. These blockages are very hard and the stent cannot easily expand. Rotational atherectomy is very effective in opening heavily calcified arteries. Rotational atherectomy is not required in the majority of angioplasties.
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.
Angioplasty. For patients with appropriate indications, coronary angioplasty is an effective treatment. The important words are appropriate indication and this is patient specific. The discussion needs to be had with the cardiologist who knows the patient best.
Quite effective. For appropriate patients.
PTCa. PTCA is highly effective for providing symptom relief in patients who are appropriate candidates for PTCA procedures. It does NOT cure the disease, it helps provide better flow through the diseased vessel, full diet, exercise, not smoking and medical therapy remain necessary for life after the procedures before them.
Depends. Coronary artery disease is the #1 killer of adults in the United States ahead of cancer. Your individual risk of coronary disease is based on your risk factors. The risk can be predicted using a publicly available risk predictor: http://www. Medcalc. Com/heartrisk. Html.
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.
CAD in men. Often there are no symptoms until patients develop chest pain or angina. The pain may be in the chest, shoulder, jaw, epigastric area or arm. Usually there are associated with other symptoms such as shortness of breath, nausea, lightheadedness and/or diaphoresis. The hallmark of cardiac chest pain is that it comes and goes with activity and resolves with rest.
Depends. CAD by itself may not have any symptoms, but significant CAD can cause angina (chest pain), possible arm or neck pain, nausea, sweating, shortness of breath, lightheadedness, fatigue, weakness, anxiety, and so forth. ..
Heart healthy. Atherosclerosis is very common and requires treatment for severe asymptomatic lesions but more commonly for symptomatic obstructions. If you don't need revascularization yet via stents or surgery then lifestyle modifications and medication to prevent progression of the atherosclerosis is needed.
Effects. It varies person to person and degree of CAD but in general exercise is lots more effective than sitting on your butt. Discuss with your doctor what might be appropriate for you.