Presentation
An x-ray camera is present to see the inside of the arteries and detect blockage. This is currently the most accurate way to find blockage, but it is invasive. [healio.com]
Table 1 presents a summary of CAD risk reduction, diagnosis, and management principles. [cjasn.asnjournals.org]
Treatment of coronary artery disease starts with managing risk factors such as reducing cholesterol, controlling blood pressure, managing diabetes when present, achieving ideal weight, getting more exercise and quitting smoking. [cedars-sinai.edu]
The J point may deviate from the baseline in pathologic conditions: I is often depressed in the case of cardiac ischemia, and in ergometry if coronary artery disease is present. Elevations of the J point are seen e.g. in cases of Brugada syndrome. [flexikon.doccheck.com]
Workup
[…] imaging Cardiac computed tomography with CT angiography Electron beam CT scanning (for calculation of coronary artery calcium score) Optical coherence tomography imaging Magnetic resonance imaging Positron emission tomography Coronary angiography See Workup [emedicine.medscape.com]
Treatment
Treatment Overview Our goal is to treat you in a way that keeps you healthy and active, and provides you with the best quality of life possible. Specific treatment depends on the type of coronary artery disease you have. [stanfordhealthcare.org]
Our Treatments Professor of Surgery Bruce Perler discusses causes, symptoms, risk factors and treatment of carotid artery disease and stroke. [hopkinsmedicine.org]
Find a specialist Comprehensive treatment options for CAD At Edward-Elmhurst, you have access to a wide range of treatments to manage discomfort, disease and prevent serious consequences. [eehealth.org]
Clinical trials often give patients access to leading-edge treatments that are not yet widely available. [utswmed.org]
It should also help you to make the right decision on the appropriate treatment in agreement with your physician. [bbraun.com]
Prognosis
Abstract Favorites PDF Get Content & Permissions Buy NSTEMI Comparison of prognostic significance between serum fibrinogen and Global Registry of Acute Coronary Events score for prognosis of patients with non-ST-elevation acute coronary syndromes undergoing [journals.lww.com]
If the patient has had a myocardial infarction or has heart failure, beta blockers also improve the prognosis. The patient may also be given ACE inhibitors or AT inhibitors if he or she suffers from heart failure. [sydansairaala.fi]
The prognosis for heart attacks when people reach the emergency room promptly has improved dramatically. However, many people still die before reaching the hospital. This is why it is so important to prevent CAD. [drugs.com]
These findings all indicate a relatively poor prognosis. [ahajournals.org]
Etiology
Etiology A complex and incompletely understood interaction is observed between the critical cellular elements of the atherosclerotic lesion. These cellular elements include endothelial cells, smooth muscle cells, platelets, and leukocytes. [emedicine.medscape.com]
Epidemiology
Epidemiology and prognosis of coronary heart disease. UpToDate 2005. Available at URL: http://www.utdol.com/application/topic.asp file=chd/64193&type=A&selectedTitle=2~429 [healthengine.com.au]
"Epidemiological studies of CHD and the evolution of preventive cardiology". Nature Reviews. Cardiology. 11 (5): 276–89. doi:10.1038/nrcardio.2014.26. [en.wikipedia.org]
(See Epidemiology.) Nonetheless, there has been a 30% reduction in mortality from CAD since the late 20th century. [emedicine.medscape.com]
L, Spinosa DJ, Wilson PW: Kidney disease as a risk factor for development of cardiovascular disease: A statement from the American Heart Association Councils on Kidney in Cardiovascular Disease, High Blood Pressure Research, Clinical Cardiology, and Epidemiology [cjasn.asnjournals.org]
Pathophysiology
A short-term increase in the level of insulin leads to increased release of adiponectin; chronically increased insulin levels reduce its serum concentration. 4 Pathophysiology Dysregulation of the hormone seem to play an important role in the emergence [flexikon.doccheck.com]
During the past decade, our understanding of the pathophysiology of coronary artery disease (CAD) has undergone a remarkable evolution. [ahajournals.org]
Guillain–Barré syndrome, amyotrophic lateral sclerosis, multiple sclerosis and muscular dystrophy can all cause an individual to experience shortness of breath.[10] Shortness of breath can also occur as a result of vocal cord dysfunction (VCD).[16] Pathophysiology [en.wikipedia.org]
(See Pathophysiology.) Approximately 14 million Americans have CAD. Each year, 1.5 million individuals develop acute myocardial infarction (AMI), the most deadly presentation of CAD, and more than 500,000 of these individuals die. [emedicine.medscape.com]
Prevention
Nitrates Isosorbide dinitrate Isosorbide mononitrate Nitroglycerin Flushing Headache Temporarily fast heart rate (tachycardia) These drugs relieve angina, prevent episodes of angina, and reduce the risk of a heart attack and sudden death. [merckmanuals.com]
You can control some of your risk factors and help prevent illness from CAD. [umms.org]
[edit] Secondary prevention is preventing further sequelae of already established disease. [en.wikipedia.org]
Our Approach to Coronary Artery Disease UCSF's cardiac specialists are leaders in preventing, diagnosing and treating coronary artery disease. [ucsfhealth.org]