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CORONARY ARTERY DISEASE. JUANITA ARIAS MENTORING IN MEDICINE 8/22/13. CORONARY ARTERY DISEASE.
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CORONARY ARTERY DISEASE JUANITA ARIAS MENTORING IN MEDICINE 8/22/13
CORONARY ARTERY DISEASE CoronaryArteryDiseasetakes place whenthecoronaryarteries are hardened and narrowed. Thisdiseaseresultsfromatherosclerosisorthrombosis. CAD preventstheheartfromobtainingthenecessaryblood and oxygenitneeds.
SYMPTOMS • Chestpainor Angina • Shortness of breath • Rapid heartbeat • Weakness • Excessivesweating • Dizzines • Nausea • Jawpain No Symptoms: SilentIschemia
FREQUENCY • CDA isthemostcommontype of heartdisease • Dueto CDA more than 385,000 people die annually • CDA costs North Americans 108.9 billioneachyear • AfricanAmericanshave a higherpercentage (25%) of getting CDA comparedto American Indians’ probability (18%) • In a surveyfrom 2005, only 27% werecoignizant of themajor CDA symptoms • Men are more pronetoget CDA
RISK FACTORS • Age: increasestherisk of narrowedarteries • Cholesterol: itbuilds up atherosclerosis • Familyhistory: if a fatherdevelopedthediseasebeforeage 55 hischildrenhave a higherprobabiity of gettingthedisease • Smoking: Nicotine and carbonmonoxidedamagebloodvessels • HighBloodPressure: thickensthearteries and narrowsthepassageforblood
DIAGNOSIS/TESTS • Electrocardiogram: monitorselectricalsignals and detectsif a heartattack has happened • Echocardiogram: depictsanimage of theheart. It shows ifalltheparts and muscles are normallypumpingblood • CardiacCatheterizationorangiogram: a dyeisinjected in thearteries, and it shows blockagesonthe x-rayimages. A ballonisintroductedthrough a catheter and itisinflated in theareaaffected
DIAGNOSIS/TESTS • CT Scan: computerizedtomography shows images of theheart. EBCT is a type of CT scan and itdetectshighamount of calcium • MagneticResonanceAngiography: it uses MRI tocheckforareas of blockages • StessTests: measurebloodflowwhentheheartis at rest and during stress
TREATMENTS FOR CAD • Medications-modifyingCholesterol: control of cholesterolpreventsthecreation of plaques • Beta Blockers: decreasetheheart’sneedforoxygenorblood • Calciumchannelblockers: control bloodpressure and relax themusclesaroundthecoronaryarteries • CoronaryArtery Bypass Surgery: A vein is removed from the legs, arms or chest and is connected to the affected artery and to the aorta. • Dailyhabits: Stop smoking, drog and alcohol abuse, exerciseregularly, eathealthy
REFERENCES • Physicians, American Academy of Family. “Coronary Artery Disease.” MedlinePlus. 22 August 2013. http://www.nlm.nih.gov/medlineplus/coronaryarterydisease.html • "What Is Coronary Heart Disease?". National Heart, Lung and Blood Institue. 22 August 2012. 23 August 2013.http://www.nhlbi.nih.gov/health/health-topics/topics/cad/. • "Coronary artery disease." Mayo Clinic .29 June 2012. 22 August 2013. http://www.mayoclinic.com/health/coronary-artery-disease/DS00064/DSECTION=risk-factors. • "Heart Disease." Centers for Disease Control and Prevention. 29 March 2013.22 August 2013. http://www.cdc.gov/heartdisease/facts.htm. • "Heart Disease Health Center." 16 February 2011. 22 August 2013.WebMD. http://www.webmd.com/heart-disease/tc/coronary-artery-disease-symptoms.