Coronary Artery Diseases
The epidemic of coronary artery diseases is widely prevalent among Indian population. Four people die of heart attack every minute in India and the age group is mainly between 30 and 50 years. This is not frighten you, but to provide a wake-up call.
Risk factors of coronary artery diseases
It might be due to genetic predisposition leading to premature coronary artery diseases and anatomical abnormalities such as dilated coronary arteries called ectasia with pro thrombotic (easy clot forming) tendency.
Other risk factors are diabetes mellitus, high blood pressure, high blood lipid levels, obesity, smoking, sedentary life style, smoking, alcoholism, consumption of fast foods and high level of stress.
Symptoms
- Unstable Angina- Central crushing chest pain or discomfort, which may spread to the arms, neck, jaw, stomach and back. Constant dull pain or heavy feeling on chest, not relieved by rest, Glyceryl Trinitrate tablets or sublingual spray.
- Stable Angina- Chest pain on physical activity but settles after a period of rest, Glyceryl Trinitrate tablets or sublingual spray.
Management
- Emergency management for unstable angina- It is life threatening, so that, seek medical help immediately. Call an ambulance, go to nearby specialist hospital.
- Emergency management for stable angina- Consult specialist soon. Medical management includes drugs e.g. cholesterol lowering medications, beta blockers, nitroglycerin and calcium antagonists etc.
- Surgical management- It includes coronary interventions such as angioplasty, coronary stent and coronary artery bypass grafting.
Prevention
The public should be educated about risk factors through awareness programs. Focus on ‘stop smoking and alcoholism’ and 'dietary approach' means avoid fatty foods and eat at regular intervals. The regular exercises and outdoor games are essential to keep every one healthy.
They should watch their BMI (for details see (http://understandhealthtips.blogspot.in/2014/10/body-mass-index.html)) and waist hip ratio (for details see(http://understandhealthtips.blogspot.in/2014/10/waist-hip-ratio.html)). Keep blood pressure, blood sugar and blood lipids under control. Do annual screening periodically (for details see(http://understandhealthtips.blogspot.in/2014/11/annual-health-check-up.html)).
Although no one can escape aging, inherited risk, or gender, certain risk factors are in your control.
ReplyDeleteStop smoking and using nicotine in any form.
Control high blood pressure.
Lower blood fats (through diet, exercise, and medications).
Maintain a healthy weight.
Control diabetes and blood sugar.
Hi Dhyan,
ReplyDeleteOf course, you are absolutely right.
Thank you mam
DeleteCoronary artery disease can lead to:
ReplyDeleteChest pain (angina). When your coronary arteries narrow, your heart may not receive enough blood when demand is greatest — particularly during physical activity. This can cause chest pain (angina) or shortness of breath.
Heart attack. If a cholesterol plaque ruptures and a blood clot forms, complete blockage of your heart artery may trigger a heart attack. The lack of blood flow to your heart may damage your heart muscle. The amount of damage depends in part on how quickly you receive treatment.
Heart failure. If some areas of your heart are chronically deprived of oxygen and nutrients because of reduced blood flow, or if your heart has been damaged by a heart attack, your heart may become too weak to pump enough blood to meet your body's needs. This condition is known as heart failure.
Abnormal heart rhythm (arrhythmia). Inadequate blood supply to the heart or damage to heart tissue can interfere with your heart's electrical impulses, causing abnormal heart rhythms.
Hi Dhyan,
ReplyDeleteThank you very much for sharing the valuable information regarding the types of coronary artery diseases.
Hi mam,,,,,Welcome
Delete