Coronary heart disease

What is Coronary heart disease?

Coronary artery disease (CAD), also known as ischemic heart disease (IHD), A common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Occasionally it may feel like heartburn. Usually symptoms occur with exercise or emotional stress, last less than a few minutes, and gets better with rest. Shortness of breath may also occur and sometimes no symptoms are present. Other complications include heart failure or an irregular heartbeat.

Risk factors include: high blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol, poor diet, and excessive alcohol, among others. A number of tests may help with diagnoses including: electrocardiogram, cardiac stress testing, and coronary angiogram among others.

Prevention is by eating a healthy diet, regular exercise, maintaining a healthy weight and not smoking. Sometimes medication for diabetes, high cholesterol, or high blood pressure are also used. Additional medications such as aspirin, beta blockers, or nitrogylcerin may be recommended. Procedures such as percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG) may be used in severe disease. In those with stable CAD it is unclear if PCI or CABG in addition to the other treatments improve life expectancy or decreases heart attack risk.

In 2013 CAD was the most common cause of death globally, resulting in 8.14 million deaths (16.8%) up from 5.74 million deaths (12%) in 1990. Rates are higher among men than women of a given age.

Questions and answers on "Coronary heart disease"

Am I at increased risk for coronary heart disease if I used to be overweight but no longer am? Through high school up until age 19 I weighed around 300lbs. Now I am 170lbs and 23 years old (I m a 6 0 male). My question is, do the fatty buildups and increased risk of coronary heart disease go away if you lose the weight, or was the damage already done? By dropping to 170 did I undo all the damage or only some?

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When Will Cardiologists DROP The Cholesterol NONSENSE And Get To The REAL Causes Of Coronary Heart Disease? When?

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can somebody send me assignment(Coronary Heart disease) on two side A4 and its justification on two side A4.? I need an assignment for Postgraduate certificate in Medical education

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is it safe to take speed if you have heart disease?what are the side effects on the heart if you take it? i have coronary heart disease and know speed increases blood flow which is not a bad thing for the heart and just wondering what effects speed would have on the heart ?

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I have coronary heart disease .. had angina attack last night .. during sleep .. followed by tremendous pain in right temple .. pins and needles in my face .. lasted about 10 mins .. ambulance called blood pressure was 131 over 152 .. decreasing along with the pain on crew leaving .. suggest it needs checking out .. refused ambulance but going to see GP tonight .. thanks

doctor1 MD

Hello ,I have gone through your question.first of all if you are sure that it is anginal pain then you should take sublingual isordil 5mg.and you must go to ER.as now you are pain free please go for ECG and further work up .my best wishes .
Dr.Teli,MD 

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I am 63 with history of coronary heart disease and diabetes, for some time I have been suffering frequent days of nausea, sometimes physically sick and light headednes. My doctor put me on a course of tablets to supress acid, which helped but I am still suffering albeit less often.

doctor1 MD

Hello,
It looks like acidity problem only. Also you check your blood pressure frequently and maintain the chart. Some times low bp also lead to same. Try to take pulse rate reading during light headedness, it shouldn't be very high like 140-150.
Avoid spicy and fatty foods. Avoid smoking and...

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I am interested to know whether there is a routine method for determining whether a person could have blockages in coronary or other arteries when they have normal cholesterol numbers. I have normal cholesterol numbers but have had higher numbers in the past. I have done a stress test two years ago on a tread mill and an MRI (with injection) and EKG. Do these determine if a person has those blockages, and if not why don't doctors seek to routinely check for blockages in middle-aged men?

doctor1 MD

Hi,

Thanks for posting your query.

Treadmill exercise stress test determines a person's susceptibility to develop a coronary heart disease in the future. It also gives a rough idea about the current status of the heart.

EKG gives an idea about the heart current status and also sometimes reflects...

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Hello I have slight pain on the left side of my chest. Also pain around the bicep and wrist area of my right. Is this anything to be concerned about

doctor1 MD

Brief Answer:
Yes.Either Anxiety or Musculoskeletal pain. ECG.

Detailed Answer:
Hello,
I have gone through your query and understand your concern.
Yes. Better rule out Angina and Heart disease.
There are many causes for left sided chest pain.
Some serious causes we have to rule out are Angina...

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Recently i have undergone TMT test, and the result is negative for myocardial ischemia at 78% THR What does it mean

doctor1 MD

Brief Answer:
Your heart function is good

Detailed Answer:
Hi,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. The tread mill test or TMT tests your heart function in stress condition. Running the tread mill is a physical exercise which...

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Recent questions on  Coronary heart disease

doctor1 MD

Hi Dr. Gopi, my dad currently has Coronary Heart Disease. He has a general Cardiologist ; However she told him that she will not perform a heart catherization anymore. That scares me because my dad is the type of person that nothing wont show up on the other cardio test, like EKG and others. The only way you can tell that my dad has a problem is through the Heart Catherization. My dad had a quadrouble bypass, and a lot of stents put in. So, my question is, should I find a interventional cardiologist or maybe a surgen cardiologist who has a higher level than a general cardiologist?

doctor1 MD

Have been prescribed hydromorphone for heart related issues, as needed for pain, 7 stents and a single CBG. Have pleurisy often and allergy Anaphylaxes to Tramadol, Morphine and Demerol. Due to relatively young age the Hydromorphone is not normally given but due to the severity of my Coronary Heart Disease along with Small Vessel Disease it does seem to comfort me better than anything else. Was given 15 pills March 14th, 4 mg and split them 1/2 when needed. Still have 3 full remaining pills. I make it a point to not take them and luckily do not have an addictive personality so am overcautious about taken them at all and only in severe cases. Seems the VA after today will only give Hydromorphone to patients with terminal cancer. They suggested Percocet as the Hyrocodone does not have any effect or body just does not process it well. Heart has a problem with bottoming out so I can take 1 nitro every 10 minutes if needed and not the normal 3 within 15 minutes and baby aspirin. Is there anything else on the market that will be as effective as the Hydromorphone that I can ask about that does not cause any addiction or inflate the liver or overwork the Kidneys. After Bypass had to have 15 transfusion due to IBS and COLITUS along with ulcers from the blood thinner Plavix. I know longer take a blood thinner. Thank you!!!

doctor1 MD

I have been taking Instaflex for three days and since that time have had black stools. Is this common or something to be concerned about? I am 79 years old, weigh 152 pounds, height 5'3". I have coronary heart disease, high cholesterol (under controls with meds) and diverticulosis. I have had a TIA.

doctor1 MD

Does weed effect birth control pills? (weed brownies)

doctor1 MD

Are there any effective rescue inhalers for asthma patients other than albuterol , but which don t contain steroids or dairy/lactose? (Any physician but Dr. XXXXXXX Rynne please.)

doctor1 MD

My doctor said my cholesterol is fine, but it is 226. My HDL is 93 and she said that is all I need to worry about, is that true?

doctor1 MD

My husband was diagnosed today with an abnormal ekg and something else that I can't recall--he texted me his diagnosis. He with have to go in shortly for arthrascopy (sp?) and possible stents. His paternal uncle and father were both dead of heart disease by their late 60's. He is 64. We have been having a number of "falling outs" lately; we've been married for 39 years. I feel that his personality is changing. I've heard that this can happen with coronary heart disease. Is this true?