Coronary Artery Disease

Obstructive Coronary Artery Disease

Non-Obstructive Coronary Artery Disease

Coronary Microvascular Disease

DIAGNOSIS

SYMPTOMS

DIAGNOSIS

Echocardiogram - uses sound waves to produce images of the heart

TREATMENTS

SYMPTOMS

DIAGNOSIS

TREATMENTS

SYMPTOMS

                 Health and Healing 2                               

Coronary Artery Disease Concept Map
Group 8: Tatiana Vostrikov, Jim Cadiz, Wilissa Leslie, Betty Mawanza

PREVENTION

Eat a heart-healthy diet

Get more active

Lose weight

Lower blood pressure

Limit alcohol

Reduce stress.

Cholesterol-lowering Drugs

Keep blood sugar under control

Blood Pressure-lowering Drugs

Calcium channel blockers relax blood vessels by preventing calcium from moving into muscle cells in the heart and blood vessels.

Statins block a substance that your body needs to make cholesterol

Angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) help relax your blood vessels to let more blood through.

enalapril (Vasotec)

lisinopril (Prinivil, Zestril)

losartan (Cozaar)

ramipril (Altace)

valsartan (Diovan)

amlodipine (Norvasc)

bepridil (Vascor)

diltiazem (Cardizem, Dilacor XR)

nicardipine (Cardene, Cardene SR)

nifedipine (Adalat CC, Afeditab CR, Procardia)

Beta-blockers slow the heartbeat to reduce the force of blood moving through the arteries

metoprolol (Lopressor, Toprol-XL)

nadolol (Corgard)

atenolol (Tenormin)

Bile acid sequestrants help your body remove more cholesterol from your blood

Fibric acid derivatives (fibrates) increase HDL cholesterol and lower triglycerides.

Shortness of Breath

Sleep Problems

Fatigue

Lack of Energy

Review of Medical History

Physical Exam

Test Results

TREATMENTS

Clot-preventing Drugs

clofibrate (Atromid-S)

fenofibrate (Tricor)

gemfibrozil (Lopid)

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atorvastatin (Lipitor)

fluvastatin (Lescol XL)

lovastatin (Altoprev)

pitavastatin (Livalo)

pravastatin (Pravachol)

rosuvastatin (Crestor)

simvastatin (Zocor)

colesevelam (Welchol)

colestipol (Colestid)

cholestyramine (Prevalite)

apixaban (Eliquis)

aspirin

clopidogrel (Plavix)

dabigatran (Pradaxa)

edoxaban (Savaysa)

enoxaparin (Lovenox)

rivaroxaban (Xarelto)

ticagrelor (Brilinta)

ticlopidine (Ticlid)

warfarin (Coumadin)

Sestamibi Nuclear Stress Test

Catheterization with Coronary Flow Reserve (CFR)

Cardiac Perfusion MRI or PET Scans

Lifestyle Changes

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Getting regular exercise

Controlling high blood pressure

Controlling diabetes

Not smoking or using tobacco/nicotine products

Eating a healthy diet

Reaching and staying at a healthy weight

Chest Pain (Angina)

Medications

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Cholesterol medication to improve cholesterol levels

Blood pressure medications to lower blood pressure and decrease the heart's workload

Medication to help prevent blood clots or control inflammation

Nitroglycerin to relax blood vessels, improve blood flow to the heart muscle, and treat chest pain

Pain on certain areas of the body

Difficulty breathing

Electrocardiogram - recording electrical signals as they travel through the heart

Sweating

Indigestion

Nausea

Exercise stress test

Aspirin

Cholesterol - modifying medication Medication that decreases the LDL cholesterol

Beta Blockers

Calcium Channel Blockers

Ranolazin

Beta Blockers work mainly by slowing the heart rate

A prescription drug used to treat chronic angina

Stress Test

Myocardial Scintigraphy

Coronarography

Multi-Slice Computed Tomography (MSCT)

Aspirin can slow and decrease the size of the clotting blood

Possible Acetylcholine or Ergonovine test (vasospasm)

Atorvastatin

Fluvastatin

Lovastatin

Lowers the blood pressure by preventing calcium from entering the cells of the heart and arteries

NOCAD caused by Endothelial or Microvascular Dysfunction

Lifestyle changes to control risk factors

Medications

Surgery

Surgery is an option for myocardial bridging, offered only as needed when medications fail

Chest Pain (Angina)

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Pain in the back, arms, or jaw

Shortness of breath

Fatigue

Light-headedness

Palpitations (sensation of heart beating funny)

Most people with non-obstructive coronary artery disease will need medical therapy to improve their symptoms