Diagnosis and treatment of coronary artery disease

Article by Doctor Cardiology Interventional Unit, Vinmec Times City International General Hospital.

Coronary artery disease with other names: Coronary artery disease, atherosclerotic heart disease, ischemic heart disease. This is a condition in which the coronary arteries become blocked, leading to a lack of oxygen to the heart muscle.

1. Symptoms of coronary heart disease

Angina is a common and typical symptom. Feeling like tightness or pressure, or conversely like a tingling, tingling, sometimes burning sensation. The patient feels heat or fire rising from the center of the chest to choking in the neck, or suffocating the neck causing a feeling of shortness of breath or suffocation.
There are cases of only feeling nervous, short of breath and tired in the chest, accompanied by dizziness, panic, mild pain in the heart (chest pain, sharp pain in the chest...)
Pain often spreads radiating, spreading through the chest, posteriorly, up the shoulders, sometimes along the arm to the forearm...
Epigastric pain (sometimes confused with stomach pain...)
If it develops Early detection and treatment will prevent the situation leading to myocardial infarction, arrhythmia, heart failure and sudden death.

2. Causes of coronary heart disease

The disease is mainly caused by the accumulation and rupture of atherosclerotic plaques inside the walls of the arteries that supply blood to the heart muscle. During physical activity, the body needs more oxygen, so the heart muscle has to work harder. If a branch of an artery is narrowed, the corresponding area of the myocardium is not supplied with adequate blood supply leading to ischemia and hypoxia causing angina.
Coronary artery disease does not have to happen gradually. If the atherosclerotic plaque ruptures, it can cause a sudden embolism or form a thrombus (blood clot) that causes an embolism. At this point, the artery is completely blocked causing an acute myocardial infarction.

3. Evolution of coronary artery disease

The disease can progress for several years or even decades before clinical manifestations appear. When the disease manifests as some of the plaques that can already cause narrowing or rupture - with activation of the coagulation system - begins to limit blood flow to the heart muscle.
Depending on the blockage of the coronary artery, the patient can have many different symptoms such as angina or complications of myocardial infarction and death.

4. Methods of treating coronary heart disease

Khám tim mạch — Người bệnh nên khám định kỳ để theo dõi sức khỏe

Patients need to adhere to long-term medication use and have regular check-ups under the guidance of a cardiologist. The disease is associated with a variety of other risk factors such as smoking, high blood pressure, diabetes, dyslipidemia, etc., so patients need to exercise and diet regularly. Depending on the condition of the disease, the doctor will prescribe treatment for people with coronary heart disease by methods such as:
Medical treatment: One or more drugs can be used in combination - Vasopolis is an independent, long-term use. or in combination with blood lipid-lowering drugs in the early stages.
Surgical or interventional treatment: When myocardial ischemia (chest pain) is not improved by medical therapy, angioplasty, stenting, or aortic bypass surgery should be considered. done early.

5. Prevention of coronary heart disease

Change in daily living diet: Limit eating animal fat, quit alcohol & tobacco, lose weight, control blood pressure - blood sugar, exercise regularly... Can use some herbal medicine (Vasopolis) under the guidance of a doctor to reduce blood fat Annual general health check

6. Why should coronary artery disease examination and treatment at Vinmec?

Vinmec Times City Cardiovascular Center has routinely performed all surgical interventions from the simplest to the most complex in the treatment of coronary artery disease (common trunk injury, bifurcation injury, chronic occlusive disease). complete - CTO, coronary artery bypass surgery...) with a high success rate of over 95%.
Vinmec Times City Heart Center, especially Cardiovascular Intervention Unit is equipped with synchronous and modern equipment with rooms: Cath-Lab, Angio-CT, Hybrid Room that can fully meet the interventions. Cardiology and intensive cardiovascular surgery.
Using 100% new consumables with high quality, certified by FDA (USA) and ISO 9001 standard.

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