Coronary
Coronary's disease overview
What iscoronary artery disease?
Coronary artery is a nourishing blood artery for the heart, including anterior ventricular artery, the hat artery comes from the body of the left coronary artery and the right coronary artery. coronary artery disease is a pathology of these arteries, mainly caused by atherosclerosis that causes coronary artery narrowing, which can lead to dangerous events such as myocardial infarction. Coronary artery disease is a disease of the present era with the incidence and the number one mortality rate worldwide (ranked on cancer, brain stroke, etc.). Currently, with many advances in cardiovascular intervention as well as medications, it has greatly improved in the mortality rate of coronary disease.
Coronary artery disease is divided into two main groups: acute rim syndoms (myocardial infarction with st differentiation, non -stable myocardial infarction, unstable chest pain) and stable angina (vascular disease stable rim).
Causes of Coronary's disease
Ceremony of coronary artery disease
Symptoms of Coronary's disease
Symptoms of coronary artery disease are mainly manifested by angina pain
Coronary angina is described with 3 characteristics:
If there are all 3 characteristics, called typical angina, if only 2/3 of the standard is called a typical pain, if only 1 or 1 or There is no criteria, then find another cause not coronary artery
For high -age patients or especially diabetes, chest pain may not be typical or unclear, faint. Patients can go to the hospital with heart failure without knowing the previous chest pain, surveying the coronary artery is narrowed in a significant way. Such cases are called silent myocardial ischemia
People at risk for Coronary's disease
Old age
obesity
Diabetes
Blood lipid disorders
Hypertension
Prevention of Coronary's disease
Weight loss if overweight
Exercise regularly: at least 30 minutes a day, 5 days per week
Diagnostic measures for Coronary's disease
For acute breast pain: St difference, ST will go down to the mirror in other relations, or high -pointed t waves at the dark stage Blood test: Troponin Temple or Troponin I is the sign of myocardial necrosis, which is the standard for diagnosis to determine acute myocardial infarction
Emergency echocardiography: In unclear cases, may need an emergency detrimental ultrasound to find myocardial movement disorders Cases of chronic, stable chest pain:
Electrimidism: is the first means to be done first to diagnose coronary disease. On the ECG can see the difference of ST horizontal, t soundwaves, necrotic Q waves of old myocardial infarction. In addition, if those electrocardiograms appear in the pain, the more anemia is confirmed.
Echocardiography and echocardiography: On the heart doppler ultrasound can see regional movement disorders, reduce or lose movement of the myocardial area according to the blood level of the artery rim. If normal echocardiography can perform an echocardiography, the patient will be transmitted to the myocardial contraction (Dobutamin). If there is a dynamic dysfunction when doing exertion ultrasound, there is also a diagnosis of anemia heart disease.
Coronary's disease treatments
Treatment of coronary artery disease divided into two groups: acute myocardial infarction and coronary artery disease
General medical treatment for both myocardial infarction and stable coronary artery disease will be specified by a doctor in each case.
Communication in patients with stable coronary coronary artery: When optimal medical treatment without improving the symptoms can re -pass through the skin through the skin or the Northern surgical surgery depends on the case of each case. specifically. It is also possible to re-connect coronary arteries in patients with 2-3 coronary pathology, stenosis of the left coronary coronary artery> 50%, with heart failure ... to improve prognosis.

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