Minus Related Pages Coronary artery disease is caused by plaque buildup in the wall of the arteries that supply blood to the heart called coronary arteries.
Start Now How is heart cardiovascular disease diagnosed? Often, health-care professionals ask about chest pain, but the patient may deny having pain because they perceive their symptoms as pressure or heaviness. Words also may have different meanings for different people.
Coronary artery disease, also called coronary heart disease, or simply, heart disease, affects millions of Americans. This serious condition is a result of plaque buildup in your arteries. What. Coronary heart disease is a common term for the buildup of plaque in the heart’s arteries that could lead to heart attack. But what about coronary artery disease? Is there a difference? The short answer is often no — health professionals frequently use the terms interchangeably. Coronary arteries supply blood to the heart muscle and coronary artery disease occurs when there is a buildup of cholesterol plaque inside the artery walls. Over time, this buildup of plaque may partially block the artery and decrease blood flow through it.
The patient may describe their discomfort as sharp, meaning intense, while the health-care professional may understand that term to mean stabbing. For that reason, it is important for the patient to be allowed to take the time to describe the symptoms in their own words and have the health-care professional try to clarify the terms being used.
The health-care professional may ask questions about the quality and quantity of pain, where it is located, and where it might travel or radiate. It is important to know about the associated symptoms including shortness of breath, sweating, nausea, vomitingand indigestion, as well as malaise or fatigue.
The circumstances surrounding the symptoms are also important. Are the symptoms brought on by activity? Do they get better with rest? Since symptoms began, does less activity provoke onset of the symptoms?
Do the symptoms wake the patient? These are questions that may help decide wither the angina is stable, progressing, or becoming unstable. With stable angina, the activity that is required to initiate the symptoms does not fluctuate.
For example, a patient may state that their symptoms are brought on by climbing up two flights of stairs or walking one mile. Progressive angina would find the patient stating that the symptoms are brought on by less activity than previously. In the case of unstable angina, symptoms may arise at rest or wake the patient from sleep.
Risk factors for cardiovascular disease should be assessed including the presence of high blood pressurediabetes, high cholesterol, smoking history, and family history of cardiovascular disease. A past history of stroke or peripheral artery disease are also important risk factors to be assessed.
There are some clues on physical exam that suggest the presence of narrowed arteries to the heart and coronary artery disease, for example, they the doctor may: Check for high blood pressure. Lack of pulses may signal a narrowed or blocked artery in the arm or leg.
If one artery is narrowed, perhaps others, like the coronary arteries in the heart, also may be narrowed Auscultating or listening to the neck, abdomen and groin for bruits.
A bruit is the sound produced within a narrowed artery due to turbulence caused when decreased blood flow occurs across the narrowed area. Bruits can be heard easily with a stethoscope in the he carotid artery in the neck, the abdominal aorta, and the femoral artery.
Check sensation in the feet for numbness, decreased sensation, and peripheral neuropathy. Moreover, many other important conditions may need to be considered as the cause of symptoms.
Examples include those arising from the lung pulmonary embolusthe aorta aortic dissectionthe esophagus GERDand the abdomen peptic ulcer disease, gallbladder disease.
After the history and physical examination are complete, the health-care professional may require more testing if heart disease is considered a potential diagnosis. There are different ways to evaluate the heart anatomy and function; the type and timing of a test needs to be individualized to each patient and their situation.
Most often, the health-care professional, perhaps in consultation with a cardiologist, will order the least invasive test possible to determine whether coronary artery disease is present. Although heart catheterization is the gold standard to define the anatomy of the heart and to confirm heart disease diagnosis either with partial or complete blockage or no blockagethis is an invasive test and not necessarily indicated for many patients.
Electrocardiogram EKG, ECG The heart is an electrical pump and electrodes on the skin can capture and record the impulses generated as electricity travels throughout the heart muscle.
Heart muscle that has decreased blood supply conducts electricity differently than normal muscle and these changes can be seen on the EKG. A normal EKG does not exclude cardiovascular disease and coronary artery blockage; there may be narrowing of the coronary arteries that has yet to cause heart muscle damage.Coronary arteries supply blood to the heart muscle and coronary artery disease occurs when there is a buildup of cholesterol plaque inside the artery walls.
Over time, this buildup of plaque may partially block the artery and decrease blood flow through it. Coronary heart disease is a common term for the buildup of plaque in the heart’s arteries that could lead to heart attack.
But what about coronary artery disease? Is there a difference?
The short answer is often no — health professionals frequently use the terms interchangeably. Coronary artery disease (CAD) is the most common type of heart disease in the United States. For some people, the first sign of CAD is a heart attack.
You and your health care team may be able to help you reduce your risk for CAD. Coronary artery disease (CAD) causes impaired blood flow in the arteries that supply blood to the heart. Also called coronary heart disease (CHD), CAD is the most common form of heart disease and.
Aug 01, · This collection features AFP content on coronary artery disease (CAD), coronary heart disease (CHD) and related issues, including acute coronary syndrome, angina, cardiomyopathy, hypertension, and.
Coronary heart disease (CHD) is a disease in which a waxy substance called plaque builds up inside the coronary arteries. These arteries supply oxygen-rich blood to your heart muscle. When plaque builds up in the arteries, the condition is called atherosclerosis.