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Coronary heart disease,
coronary heart disease, and coronary heart disease are synonymous
and include a range of conditions such as stable angina pectoris, unstable
angina pectoris, myocardial infarction, and sudden cardiac death.
Coronary heart disease develops when the arteries that
supply the heart with blood and oxygen become blocked due to cholesterol or
other substances that are deposited on the inside of the arteries called
plaque, this narrowing of the arteries is called atherosclerosis or
arteriosclerosis. If it occurs in one of the major arteries supplying the
heart, it causes a heart attack, stroke, or peripheral artery disease.
It reduces the elasticity of blood vessels or narrows the
inner area and restricts normal blood flow. It leads to a lack of oxygen in the
heart muscles and causes chest pain also called angina pectoris.
Angina can be of two types:
Stable angina pectoris is chest pain that occurs regularly
during various activities. Unstable angina pectoris is when angina changes its intensity;
it can also lead to myocardial infarction.
CAD weakens the blood muscles and leads to reduced function
of the heart in pumping blood around the body, this is called heart failure. An
irregular heartbeat or arrhythmia also develops.
Sometimes the plaque ruptures, gets stuck somewhere in an
artery, and completely blocks blood flow, cutting off oxygen from the area, and causing permanent damage or scarring of the heart muscle.
Causes: It is caused by the deposition of cholesterol on the
inner lining of the blood vessels of the heart muscles.
Symptoms: The initial detection of the disease is done
through its symptoms, which are:
• Shortness of breath
• Chest pain
• sweating
• Nausea
• Digestive disorders
• Heartburn
• Weakness
At risk: People at risk of IHD are:
Hypertensive
Smokers
Diabetic
Obese
High resting heart rate
Depression and stress
Kidney disease
Family history
Lack of exercise
Poor die Excessive alcohol intake
Men and women in their 40s are at high risk of developing this disease
Diagnostic test: Many tests help diagnose
CAD:
• ECD or EKD: To measure the electrical activity, frequency, and regularity of the heartbeat.
• Chest X-ray: Shows the heart, lungs, and other organs of
the chest.
• Echocardiogram: Ultrasound waves are used to image the
heart.
• Exercise Test: Heart rate is measured while walking
on a treadmill.
• Cardiac catheterization: Checks for blockages in the
heart's arteries by inserting a thin, flexible tube through an artery in the
groin, arm, or neck to reach the heart, where blood samples are taken and dye
is injected.
• Coronary angiogram: An injected dye is detected using
X-rays to highlight blocked areas in the arteries.
Prevention: To keep the disease at bay, people need to
control themselves with medication and maintain:
Blood
pressure
Diabetes
Cholesterol
Proper
diet
Regular
exercise
Less
alcohol intake
Management: Lifestyle changes are very helpful in living fit
and healthy. Medicines to help manage the condition include:
• Antiplatelet drugs such as aspirin
• Statins
• Beta-blockers
• Calcium antagonists
• Angiotensin-converting enzyme inhibitors.
• Nitroglycerin.
5 risk factors
angina pectoris
cardiac death
Coronary heart
disease
Heart
myocardial infarction
sudden
unstable
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