Coronary Heart Diseases Flashcards
Coronary heart disease meaning
When the coronary arteries supplying blood to the heart muscles become narrower
What could cause a reduction in the supply of blood to your heart muscle
- Smoking damages the coronary artery so fat can build up
- High cholesterol
- Coronary arterys get narrow with age
- Blocked artery
What are the consequences to the heart muscle cells if there is a reduction in blood flow?
- Not receiving as much oxygen and blood so they have to work much harder
- Cells can’t respire properly and won’t have enough energy to contract so eventually the cells could die
What are the health problems caused by a reduction in blood supply to the heart muscle?
- Heart attack
- Stroke
- Pain (called angina) caused by lack of oxygen
Treatment for permanent coronary diseases
- Heart transplant
- Artificial heart
Treatment for temporary coronary disease
- Stents
-Statins - Bypass surgery
Stents procedure
Step 1: Entering through an artery in the groin, push a narrow tube along the artery until it reaches the site of the blocked coronary artery. The tube has a tiny camera on the end, an uninflated balloon and an unextended stent
Step 2: The balloon is inflated, which extends the stent . The balloon is then deflated, and the tube and camera are removed
Step 3: The stent holds open the artery and therfore more blood and oxygen reaches the heart muscle
Advantages of stents
- The blood supply is returned to the heart muscle so the risk of a heart attack is greatly reduced
- The procedure is far less risky than having a heart transplant of surgery
- Recovery time is reduced
Disadvantages of stents
- Risks associated with the operation
- There is a risk that the stent will cause a blood clot, so drugs are needed to prevent this
- If the patient doesn’t change their lifestyle, the artery could become blocked again
What is bypass surgery?
A section of vein from the leg is used to bypass the part of the coronary artery that is blocked
What is statins?
Drugs that reduce the risk of cardiovascular disease
Advantage of bypass surgery
Can be used on arteries that are so badly blocked that stents can’t be used
Disadvantages of bypass surgery
- Expensive
- Risks associated with general anesthetic
Advantages of statins
Reduces cholesterol levels
Disadvantage of statins
Rare side effects from drugs