Saturday, November 04, 2006

 

The coronary heart disease

CORONARY HEART DISEASE


The heart one of the most important internal organs, begins to take its first beat while we are still safely tucked away in the womb of our mothers, continues to beat from that moment on until we take out last breath.
A well known enemy of the heart that plagues both men and women across the world is Coronary Artery Dieses. CAD occurs when the arteries that supply blood to the heart muscle the coronary arteries become hardened and narrowed, due to buildup of a material called plaque (plak) on their inner walls. The buildup of plaque is known as atherosclerosis. As the plaque increases in size, the insides of the coronary arteries get narrower and less blood can flow through them. Eventually, blood flow to the heart muscle is reduced, and, because blood carries much needed oxygen. The heart muscle is not able to receive the amount of oxygen it needs. that affect to the arteries in the heart. Narrowing of the small blood vessels causing blockages of vessels due to fat and cholesterol deposits, these are not the only factors that cause this ailment, there are both genetic and environmental factors that play a role, such factors are women who have passed menopause. Luck of exercise, over weight, diabetes, high cholesterol, and high blood pressure. In our bodies it is natural we get fatty deposit; cholesterol is a waxy, fat like material that is found in all ports of the body. It comes from two sources; from liver produces it, and we consume it in meat and dairy products.
Fatty streaks in the arteries begin early on in life, a lot of time starting out in teen years some blockage does not threatening to our health, even up to 50% blockage is not life threatening, it will take your heart more work to pump blood to your body while working out, you tend to become out of breath more quickly while doing any physical activity.
The problems occurs when the blood vessel is 90% blocked at this point there may be a deficit amount of blood reaching the body while at rest, and once we have reached a 100% blockage a heart attack has occurred.

CAUSES, INCIDENCE, AND RISK FACTORS
Coronary hear disease is the leading cause of death in the United States for men and women according to the American Heart Association, about every 29 seconds some one in the U.S. have heart attack. CHD-related event, and about every minute some one dies from it.
Men generally do get it four times as much as women before the age of forty in women or once women has reached menopause, the risk factor to have Coronary Artery Disease is greatly increases. There are many factors that increase the risk for CHD. Some of the risks are based on family (genetics), and others are more controllable risk factors.

family history of coronary heart disease
male gender
age 65 and grater
tobacco smoking
high blood pressure
diabetes
high cholesterol levels
lack of physical activity of exercise
obesity
menopause in women
Infection that causes inflammation in the artery wall.

SYMPTOMS OF CORONARY ARTERY DISEASE ARE
The most common symptoms of coronary artery disease are chest pain or chest discomfort (angina) or pain in one or both arms left shoulder, neck, jaw or back pain.
Shortness of breath
Symptoms may become more severe as coronary arteries become narrower due to the buildup of plaque (atherosclerosis)
In some people, the first sign of CAD is a heart attack.


HOW IS CORONARY ARTERY DISEASE DIAGNOSED
EKG Electrocardiogram
Echocardiogram
Cardiac catheterization
Exercise stress test
Coronary angiography.

How is Coronary Artery Disease Treated?
Treatment for coronary artery disease may include life style changes, medicines, and special procedures.
Eat a healthy diet to prevent or reduce. High blood pressure, and high blood cholesterol and to maintain a healthy weight.
Quit smoking
Exercise
lose weight
Reduce stress

Medications may include;
Beta-blockers
Aspirin
ticlopidine
calcium-channel blockers and so on

Surgical procedures include
1. Coronary artery bypass surgery
2. minimally invasive surgery

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