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Coronary Artery Disease [CAD]

2nd March 2009

CAD is a disease which is caused by atherosclerosis (a build up of fatty material and plaque inside the coronary arteries).CAD may even lead to chest pains, heart attacks, may even lead to shortness of breath during exercises. It may get into a worse situation when the family is having a history of CAD, smoking tobacco, high blood pressure, high cholesterol, diabetes, lack of exercise and obesity. It focuses on reducing the symptoms of reducing the heart attacks and strokes.

Solution for Coronary Artery Disease (CAD):

Initial treatment for CAD is change in lifestyle. The lifestyle changes include quitting smoking, eating a heart-healthy diet and regular exercises. These things can slow or even try to stop the disease. It is the best thing to reduce the risk of future problems. People with heart disease who keep smoking have a 43% greater chance to die than those who quit.

Then under the advice of doctor, medication will be provided. Aspirin is initially given a low dose. It can reduce the chest pain. Chest pain can also be treated nitrates and calcium blockers. Lower doses as well as higher doses will help you prevent heart attacks.

Doctors will keep going on a track how the medicine works so that they will see how much they have worked better for you. If it does not work, they will change the medicine. They will also check the change in lifestyle by checking your blood pressure, cholesterol and weight.

If medicines do not work, then they do several tests like stress Thallium scintigraphy, echocardiogram and coronary angiogram are performed whether the condition is severe or not.

While going to treatment doctor may think whether they can go to bypass surgery or angioplasty doctor will think about several things, such as how many arteries are blocked. Then only they used to make a decision.

If the disease gets into a worst situation i.e. when it affects one or two arteries, doctors used to perform angioplasty. It is the one where no surgeries are involved but uses a medical balloon to open the obstructed arteries by inserting a stent.
Coronary Artery Bypass Graft (CABG): CABG treatment is done even when angioplasty does not work. This is a method in which a vein or artery from another person’s body is taken and bypass the damaged artery to restore the blood flow to the affected parts.
Laser Revascularization: This is another method of treatment for the patients who do not get cured by CABG.In this method, a laser beam is sent to make holes in the walls of the heart through which the blood can flow into the muscle of the heart.
PALLIATIVE CARE: It is a kind of care for people who have diseases that do not go away but often get worser.It shows much care about your disease which can be cured by care not by treatment, which is called curative treatment. It focuses on improving the strength in your mind and will power rather than improving the quality of the body. It helps understand your disease and hoe to support with it.

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