coronary artery disease

Question 1

coronary artery disease
- definition
- management
- prevention
- education
- clinical manifestaions
- treatment

Question 2

what is coronary artery disease?

Answer 2

coronary artery disease is a narrowing or obstruction of one or more coronary arteries as a result of artherosclerosis, which is an accumulation of lipid-containing plaque in the Arteries

Question 3

what happens over time when you have atherosclerosis?

Answer 3

the plaque causes decreased perfusions of myocardial tissue and inadequate myocardial cardiac oxygen - results in collateral circulation to develop over time to promote some form of circulation

Question 4

ischemia can develop, how so?

Answer 4

ischemia can develop when those plaque block so much, and can occlude to the point of inadequate blood supply

Question 5

what is the goal of treatment of coronary artery disease?

Answer 5

alter the atherosclerotic progression

Question 6

what are some clinical manifestation for these patients?

Answer 6

chest pain
palpitation
dyspnea
cough
asymptomatic sometimes

Question 7

what is the diagnostic study for coronary artery disease?

Answer 7

echocardiogram
cardiac catheterization
blood lipid levels

Question 8

what are interventions we are going to do for this patient ?

Answer 8

promote life style changes
low-calories, low sodium, low cholestoler, low fat, and increase dietary fiber

stop smoking, start exercise

Question 9

what is a surgery we can do for these patients if life style changes do not help ?

Answer 9

pTCA to compress the plaque against the wall

atherectomy to help remove the plaque

coronary bypass

Question 10

what are medications we can use for these patients?

Answer 10

nitrates to help dilate the Arties

calcium channel blockers to help dilate

statins to help reduce the development of more plaque from lipids

beta blockers to help control hypertension