Coronary Artery Disease

Question 1

Talk to us about the steps involved in coronary artery disease.

Answer 1

…
Refer to essays

Question 2

What are the different treatment options for coronary artery disease?

Answer 2

Medicinal
Platelet therapy - refer to lecture

Diet

Exercise

PCI
Different types of stents

Surgery CABG

Question 3

What are the steps involved in diagnosing CAD

Answer 3

Refer to PER03 lecture and notion notes

Question 4

Talk to us about the steps involved in CABG.

What are the conduits harvested and the pros and cons of each type of conduit?

Why might 1 type of conduit may be favoured over another?

Answer 4

Angiogram which shows where the blockages are.

LIMA or RIMA harvested - top end is already anastomosed to the aorta.

Saphenous vein from leg harvested - veins have thin walls with valves

Radial artery - thicker wall, used to higher blood pressures

Reasons for choosing 1 conduit over another:
If patients have a negative Allen’s test for radial artery then need veins and mammary

If patient has varicose veins then vein conduits may not be suitable for grafting as flow down the graft may be compromised therefore artery better.