The Department of Cardiology:
In the department of Cardiology coronary artery disease is a major disease in the world. Coronary artery disease is the damages of the hearts major blood vessel for fat deposits. (2017, April 26) Plaque restricts the blood flow to the heart, which in the end progresses to a myocardial infraction also know as a heart attack, which is another major condition in the department of cardiology. When a patient is suffering from CAD, they may experience angina (chest pain) in the thoracic region that could circulate to their arms and neck. Arrhythmia can also occur, whether or not if it’s fast or slow paced. A patients pulse could also change depending on what is going on with the patient at the time. When a patient has CAD (coronary artery disease), there are a few procedures that are required from them on a monthly to yearly bases. Cardiac Catherization is one which is a procedure performed by passing a catheter into the blood vessel to see if there is any blockage in the arteries. (2017)
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Hematology reports such as Lipid Panels can detect if they have Hypertension, which is a condition in which the force of blood is too high against the artery walls. Hypotension is when the blood level is below normal (reference) Arrhythmia is also another condition that is dealing with the improper beating of the heart. (2017) In order to help with coronary artery disease and try to regulate the disease, cardiologist also may want to do a coronary artery bypass graft (CABG) which is a surgical technique to bring a new blood supply to the heart muscle by moving around blocked arteries. (2017, April 26) When those procedures are done, and the patient has a heart attack generally the cardiologist will end up doing an Angioplasty to the patient’s arteries. Angioplasties are used to surgically reopen narrowed or blocked arteries to help restore the blood flow to the patient’s
An interventional cardiologist can use other examinations besides the physical exam (i.e. - blood test) to accurately diagnosis CAD. A cardiologist can use the cardiac catheterization lab for invasive techniques (skin is pierced) such as: an angiogram or intravascular ultrasound (Libby, et al., 2008). The cardiologist can also exercise noninvasive methods (skin is not penetrated): echocardiogram, electrocardiogram (ECG or EKG), exercise/pharmacologic stress test, nuclear imaging, and radiographic tests (Diseases & Conditions , 2014).
To diagnose a coronary artery disease (CAD) the doctor will use a coronary angiogram procedure to find the percentage of blockage or narrow in arteries, the angiogram results will help the doctor to decide a decision on patient treatment depends on the percentage of blockage on coronary artery, age, weight, and whether patients have other medical conditions, like diabetes . In cases with obstructive average a 50% or slightly more are treated by medications and Balloon angioplasty, but what about the cases with more than one artery completely blockage or the medication and stent do not help them? The doctor will choose a coronary artery bypass grafting surgery (CABG) to restore blood flow in the heart, CABG is a surgery done through replacement
Mr. Smith has a history of coronary artery disease. Records indicate he has had seven stents in the past, though I do not have primary records for all of these stents. The most recent catheterization I can find in the system is from 2014. At that point in time, he had a 50% in-stent restenosis in the right coronary artery and minimal disease in the left system. His most recent echocardiogram was done in 04/2017 and showed normal left ventricular size and function. He had an EKG in 03/2017, which was consistent with an old inferior infarction but no ischemic changes. No ST or T-waves. His most recent lipid panel was from 05/2017 showing an LDL of 51. He has been maintained on a good cardiac regimen including aspirin, moderate dose of atorvastatin, carvedilol, hydralazine, hydrochlorothiazide, and isosorbide mononitrate.
The following summary is an updated case study of a 47 year old male patient, Jim who was diagnosed with Coronary Artery Disease. The patient did receive information on what CAD is and was informed that test were needed to fully diagnose and be evaluated for underlying conditions (high blood pressure, high blood cholesterol levels, diabetes and blockage. I will discuss the type of test needed for this condition and tests for any underlying conditions that are related to this disease. The type of treatment needed to control and lower his risk factor. I will also give the patient information about complementary and alternative medicine so the patient will be well informed about different types of treatment. The patient will be informed about the prognosis of the disease, and the options that the patient has to succeed in the changes in his lifestyle that are needed.
A cardiologist would be best suited to treat patients with Coronary Artery Disease . Cardiologist are trained to help patients specifically with heart issues, such as diseases and or any condition which in this case would be CAD. A cardiologist would also be beneficial to a person with CAD because they can teach you more about risk factors and how you can improve your heart health. There are many diagnostic tests that can be used to confirm if you have CAD, one major test would be a Cardiac Catheterization. A Cardiac Catheterization is a procedure that can detect many other heart diseases but in this case it is a major test that can be used to detect CAD. This procedure injects a dye through a catheter which is placed in an artery (usually
The heart arteries are so important because they send blood to the heart, which the heart needs to work properly. Some people have no symptoms and others will have a little chest pain, others will have severe angina. Signs of a person having Coronary Artery Disease are tight feelings and pressure in the chest, pain that goes down the arms, haw, shoulders and neck, shortness of breath, and being extremely tired. It can be diagnosed through procedures such as electrocardiograms, stress tests, cardiac catheterization and nuclear scanning, along with extensive medical history and examination (Beaumont,
Coronary artery disease remains number one killer of the western civilization despite 40 years of aggressive drug and surgical interventions (Esselstyn). Usually, pharmaceutical drugs, such as statin, are given to try to slow the progression, but may provide uncomfortable side effects. In fact, the majority of patients discontinue statins within 1 year of treatment initiation (Maningat). Furthermore, surgery is performed to circumvent clogged arteries and literally bypass the symptoms. In the last year, 500,000 coronary bypass procedures were performed (Swaminathan et al). However, these surgeries can have significant risks, including the potential to cause further heart damage, stroke, and brain dysfunction. Thus, it is evident that these way of treatments may not be enough on its own, and that getting to the
Coronary heart disease (CHD), also known as ischemic heart disease is the most prevalent form of cardiovascular disease in Australia (Australian Institute of Health and Welfare, 2014). While over 20,000 of deaths in 2011 were attributed to CHD. There were estimated 590,000 Australians 18 years old and above diagnosed with CHD in 2011-2012 (AIHW, 2014; Craft, 2014, pg. 596). Myocardial ischaemia is a common form of CHD. A sufficient coronary artery blood flow is essential to supply oxygen for normal cardiac activities. Myocardial ischaemia develops when there is an insufficient supply of blood and oxygen to support the function of myocardial cells (Craft, 2014, pg. 599). A decrease in blood supply can led to the formation of atherosclerotic plaques by narrowing or occluding the arteries. Other conditions such as hypotension, coronary spasm, dysthymias, hypoxemia and anaemia can also decrease the blood and oxygen supply to the myocardial cells (McCance & Huether, 2014, pg. 1153)
Coronary Heart Disease (CHD) has been a huge drain the United Kingdom’s resource’s, not only for the long term care and treatment of those with an existing CHD condition, but also for the continuing public education and campaigning to reverse the negative health trends that cause CHD and CHD related maladies. The largest natural cause of death in the developed world are deaths under the CHD umbrella, beating communicable diseases into a cocked hat.
The patient, who will be referred to as Mr. Doe throughout this paper, is a 58 year old male with coronary artery disease. His medical history includes angina, shortness of breath, diabetes type II, as well as hypercholesterolemia. He was scheduled for a CABG
Coronary artery disease, a scion of cardiovascular diseases, is defined as an affliction of the blood vessels supplying the heart. It is most commonly caused by deposit of fatty plaques in the lumen of the arteries; also known as atherosclerosis. Consequently, the accumulation of these fatty buildups causes hardening and narrowing of the arterial walls. Thus, this compromises the blood supply to the heart tissues causing the phenomenon known as ischemic heart disease, whereby the myocardium(heart muscles) become
Coronary heart disease is having a significant impact on the health of individuals in Australia and a burden of disease costing the public health system millions. CHD is associated with being preventable based on corrections to lifestyle behaviours like a balance diet, social support, and policy making. This essay will discuss coronary heart disease and the effect it has on public health awareness. The essay will begin by discussing the magnitude of coronary heart disease death worldwide and in Australia. It will then explain the individual determinants effect coronary heart disease. It will then explain how coronary heart disease can have significant effects on social support and psychological outcomes. The essay will then turn
Coronary artery diseases (CAD) as a kind of cardiovascular diseases are considered to be the major causes of morbidity and mortality in type 2 diabetic patients (Buse JB et al, 2007) (Stolar MW & Chilton RJ, 2003).
Cardiovascular disease (CVD) is the leading cause of death and disability worldwide, with conditions of atherosclerotic (e.g. coronary heart disease [CHD] and stroke) origin representing roughly 80% of all cardiovascular (CV) death (Global Atlas on Cardiovascular Disease Prevention and Control. Mendis S, Puska P, Norrving B editors. World Health Organization, Geneva 2011). In the U.S. alone, the cost of CVD and stroke is staggering with more than $320 billion (U.S. dollars) in both direct and indirect cost (Mozaffarian D, Benjamin EJ, Go AS, et al. Circulation. 2015). In attempts to change the current trajectory of CVD, considerable efforts have focused on reducing modifiable risk factors, such as smoking, diet and exercise, and
Cardiovascular disease (CVD), also known as heart disease is the leading cause of death in the United States. According to the Center for Disease Control, over 600,000 people in the United States die a year from CVD which accumulates to one in four deaths each year (CDC, 2014). Despite the significant number of deaths, progress has been made over the past 50 years to define, identify, and modify risk factors for cardiovascular disease (CDC, 2014). These risk factors are hypertension, dyslipidemia, obesity, type two diabetes, cigarette smoking, and of course, physical inactivity. CVD It includes several problems, many of which are related to a process called atherosclerosis. “Atherosclerosis is a condition that develops when plaque builds up in the walls of the arteries. The buildup narrows the arteries, making it harder for blood to flow through. If a blood clot forms, it can stop the blood flow. This can cause a heart attack or stroke” (American Heart Association, 2013). Other types of CVD are heart failure, arrhythmia, and heart valve problems. Heart disease can increase a person’s risk for developing other diseases and can even lead to death.