Facilities
02
Recovery
03
Facilities
02
Recovery
03
Facilities
02
Recovery
03
Medical Education & Training
Medical Education & Training
Medical Education & Training
CORONARY ARTERY DISEASE AND ITS MANGAMENT
CORONARY ARTERY DISEASEAND ITS MANGAMENT
CORONARY ARTERY DISEASE AND ITS MANGAMENT
Condition where the arteries supplying to the heart muscles become narrowed due to plaque formation (fat, cholesterol, calcium) and restricting blood flow. Results in
Condition where the arteries supplying to the heart muscles become narrowed due to plaque formation (fat, cholesterol, calcium) and restricting blood flow. Results in
Condition where the arteries supplying to the heart muscles become narrowed due to plaque formation (fat, cholesterol, calcium) and restricting blood flow. Results in
ANGINA
ANGINA
HEART ATTACKS
SUDDEN CARDIAC DEATH
Risk Factors
NOW
• Age (increase in age, for Indians 40 years is the benchmark)
• Family history
• Sex (male are at high risk, female after menopause)
• Physically inactive, obese
• Uncontrolled diabetes (HbA1C > 7.5) hypertension
• Physically inactive, obese
Risk Factors
NOW
• Age (increase in age, for Indians 40 years is the benchmark)
• Family history
• Sex (male are at high risk, female after menopause)
• Physically inactive, obese
• Uncontrolled diabetes (HbA1C > 7.5) hypertension
• Physically inactive, obese
Risk Factors
NOW
• Age (increase in age, for Indians 40 years is the benchmark)
• Family history
• Sex (male are at high risk, female after menopause)
• Physically inactive, obese
• Uncontrolled diabetes (HbA1C > 7.5) hypertension
• Physically inactive, obese
SYMPTOMS
DIAGNOSIS
DIAGNOSIS
DIAGNOSIS
1. NON INVASIVE TEST
ECG, ECHO, Myocardial perfusion, Trop test
CORONARY ANGIOGRAPHY (defines anatomic severity of coronary artery disease)
• Left main stenosis >50% a class I indication for CABG
• Multivessel disease (2-3 vessels) with >70% stenosis, particularly involving the proximal LAD, and especially where LV function is impaired
• Single or two vessel disease with proximal LAD involvement, plus reduced ejection fraction or documented large ischemic area
Functional and anatomical scoring
• SYNTAX score quantifies lesion complexity to determine suitability: higher scores favor’s CABG, especially in multivessel or left main disease
• Ejection fraction(EF): REDUCED EF (<35%) With viable myocardium boosts the benefit of CABG over PCI or medical therapy.
1. NON INVASIVE TEST
ECG, ECHO, Myocardial perfusion, Trop test
CORONARY ANGIOGRAPHY (defines anatomic severity of coronary artery disease)
• Left main stenosis >50% a class I indication for CABG
• Multivessel disease (2-3 vessels) with >70% stenosis, particularly involving the proximal LAD, and especially where LV function is impaired
• Single or two vessel disease with proximal LAD involvement, plus reduced ejection fraction or documented large ischemic area
Functional and anatomical scoring
• SYNTAX score quantifies lesion complexity to determine suitability: higher scores favor’s CABG, especially in multivessel or left main disease
• Ejection fraction(EF): REDUCED EF (<35%) With viable myocardium boosts the benefit of CABG over PCI or medical therapy.
1. NON INVASIVE TEST
ECG, ECHO, Myocardial perfusion, Trop test
CORONARY ANGIOGRAPHY (defines anatomic severity of coronary artery disease)
• Left main stenosis >50% a class I indication for CABG
• Multivessel disease (2-3 vessels) with >70% stenosis, particularly involving the proximal LAD, and especially where LV function is impaired
• Single or two vessel disease with proximal LAD involvement, plus reduced ejection fraction or documented large ischemic area
Functional and anatomical scoring
• SYNTAX score quantifies lesion complexity to determine suitability: higher scores favor’s CABG, especially in multivessel or left main disease
• Ejection fraction(EF): REDUCED EF (<35%) With viable myocardium boosts the benefit of CABG over PCI or medical therapy.
MANAGEMENT
MANAGEMENT
MANAGEMENT
1. MEDICINE AND LIFE STYLE MODIFICATIONS
- Diet
- Regular exercise
- Controlling diabetes and hypertension
- Statins (to lower cholesterol level)
- Beta blockers (to relieve chest pain), Calcium channel blockers.
- Antiplatelet drugs (preventing clot formation) like Aspirin and clopidogrel
1. MEDICINE AND LIFE STYLE MODIFICATIONS
- Antiplatelet drugs (preventing clot formation) like Aspirin and clopidogrel
- Statins (to lower cholesterol level)
- Calcium channel blockers, Beta blockers (to relieve chest pain)
- Diet
- Regular exercise
- Controlling diabetes and hypertension
2. REVASCULARIZATION