Desun Today : March 2017 - WHAT IS CORONARY ARTERY DISEASE?

WHAT IS CORONARY ARTERY DISEASE?

The arteries, which start out smooth and elastic, get plaque on their inner walls, which can make them more rigid and narrowed. This restricts blood flow to your heart, which can then become starved of oxygen.

The plaque could rupture, leading to a heart attack or sudden cardiac arrest.

 

How does Coronary Artery Disease (CAD) develop?

From a young age, plaque can be formed in your blood vessel walls. As you get older, the plaque develops & inflames the vessel walls. It raises the risk of blood clots and heart attack.

Inflammatory cells, lipoproteins, calcium & other objects travel in your bloodstream and mix with the plaque.

As more of these inflammatory cells join in along with cholesterol, the plaque increases, both pushing the artery walls outward and growing inward. That makes the vessels narrower.

Eventually, a narrowed coronary artery may develop new blood vessels that go around the blockage to get blood to the heart. However, if you’re pushing yourself or stressed, the new arteries may not be able to bring enough oxygen-rich blood to the heart muscle.

In some cases, when plaque ruptures, a blood clot may block blood supply to the heart muscle. This causes a heart attack.

If a blood vessel to the brain is blocked (usually from a blood clot) an ischemic stroke can happen.

If a blood vessel within the brain bursts, most likely as a result of uncontrolled hypertension, a hemorrhagic stroke can result.

Studies have found that taking low-dose aspirin each day may help prevent heart attacks and strokes in people who are 50 or older and at risk for heart disease.

 

What Is Ischemia?

Cardiac ischemia is a condition when Oxygen-rich blood flow is restricted to your heart because of an artery becomes narrowed usually by plaque or fatty materials. This can cause heart attack with or without chest pain and any other symptoms.

Ischemia happens most during:

  • Exercise or other exertion
  • Eating n Excitement or stress
  • Exposure to cold

CAD can get to a point where ischemia happens even when you’re at rest. This is a medical emergency and may lead to a heart attack. Ischemia can happen without any warning although it is more common in people with diabetes.

 

What are the Symptoms of CAD?

The most common symptom is angina or chest pain.

Angina can be described as :

  • Heaviness
  • Pressure
  • Aching
  • Burning
  • Numbness
  • Fullness
  • Squeezing
  • Painful feeling
 

What are two main approaches of CABG?

Arterial Grafting :

The left internal thoracic artery (internal mammary artery) is diverted to the left anterior descending branch of the left coronary artery.

Venous Grafting :

In the other, a great saphenous vein is removed from a leg; one end is attached to the aorta or one of its major branches, and the other end is attached to the obstructed artery immediately after the obstruction to restore blood flow.

 

It can be mistaken as indigestion or heartburn.

Angina is usually felt in the chest, but may also be felt in the:

  • Left shoulder
  • Arms
  • Neck
  • Back

Symptoms are often subtler in women. Nausea, sweating, fatigue, or shortness of breath can join the typical pressure-like chest pain.

 

Other symptoms that can occur with CAD include:

  • Shortness of breath
  • Palpitations
  • Weakness or dizziness
 

Diagnosing CAD:

To find out your risk for CAD, your health care team may measure your blood pressure, cholesterol, and sugar levels. Being overweight, physically inactive, unhealthy diet and smoking tobacco are risk factors for CAD. A family history of heart disease also increases your risk for CAD. If you’re at high risk for heart disease or already have symptoms, your doctor can use several tests to diagnose CAD.

 

Good to GREAT !

How DESUN’s Critical Care Team delivers stunning clinical outcomes!

Constantly implementing techniques based on latest global standards has transformed DESUN Hospital Services from Good to Great!

IN THIS ISSUE WE WILL ELABORATE ON : Advanced technical approach towards CAD at Desun

In the previous issue of DESUN Update we had discussed about the superiority in performing CABG at DESUN. In this issue we shall discuss about Advanced Technical Approach Towards CAD at DESUN.

Test

What it does?

ECD or EKG (electrocardiogram)

Measures the electrical activity, rate, and regularity of your heartbeat.

Echocardiogram

Uses ultrasound waves to create a picture of the heart.

Exercise Stress Test

Measures your heart rate while you walk on a treadmill. This helps to determine how well your heart is working when it has to pump more blood.

Chest X-Ray

Uses X-Rays to create a picture of the heart, lungs, and other organs in the chest.

Cardiac Catheterization

Checks the inside of your arteries for blockage by inserting a thin, flexible tube through an artery in the groin, arm, or neck to reach the heart. Health care professionals can measure blood pressure within the heart and the strength of blood flow through the heart’s chambers as well as collect blood samples from the heart or inject dye into the arteries of the heart (coronary arteries).

Coronary Angiogram

Monitors blockage and flow of blood through the coronary arteries. Uses X-Rays to detect dye injected via cardiac catheterization.

 

Why Desun Angiogram is Different from Others?

Comprehensive Closed Ended Package :

Desun offers unique close-ended package for angiogram which includes all pre-operative investigations, cost of dye, procedure charge, instrument cost etc.


B) Unique Pre-operative screening Method :

Desun is having a facility of unique pre-operative screening method which mainly maintains the transparency of package in terms of any clinical abnormalities.

At the time of admission we perform pre-operative screening procedure at 1/3rd price of the package.

Finally after getting confirmation from clinicians we proceed for further procedure which ultimately reflects the clinical accuracy & cost-effectiveness.


C) Advanced Technical Approach :

In Desun 99% cases are done through Radial approach, resulting:

  • Lesser chances of haematoma
  • Fastest recovery in the same day
  • Better clinical outcome
  • Clinically safe & secure in comparison to femoral approach

D) Day-Care Procedure :

As Desun is doing the day care procedure, we ensure the earliest & hassle free discharge in the same day.


E) Availability of 24x7 full timer Consultant :

  • Full time expert consultants are available round the clock for 365 days to handle each emergencies and every complex cases.
  • 24x7 availability of assistance for Cardiac Cath-lab.
  • Radiology, Cardiology with other diagnostic & pharmacy are functional 24 hours.

F) Clinically Safe Comparison to Conventional Procedure :

Only at Desun within this cost-effective package we are regularly using the non-ionic dye which is the safest procedure for renal impaired patients.

 

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