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Coronary Artery Disease, Health and Healing 2 …
Coronary Artery Disease
Obstructive Coronary Artery Disease
DIAGNOSIS
Echocardiogram - uses sound waves to produce images of the heart
Electrocardiogram - recording electrical signals as they travel through the heart
Exercise stress test
TREATMENTS
Aspirin
Aspirin can slow and decrease the size of the clotting blood
Cholesterol - modifying medication
Medication that decreases the LDL cholesterol
Atorvastatin
Fluvastatin
Lovastatin
Beta Blockers
Beta Blockers work mainly by slowing the heart rate
Calcium Channel Blockers
Lowers the blood pressure by preventing calcium from entering the cells of the heart and arteries
Ranolazin
A prescription drug used to treat chronic angina
SYMPTOMS
Pain on certain areas of the body
Difficulty breathing
Sweating
Indigestion
Nausea
Non-Obstructive Coronary Artery Disease
DIAGNOSIS
Stress Test
Myocardial Scintigraphy
Coronarography
Multi-Slice Computed Tomography (MSCT)
Possible Acetylcholine or Ergonovine test (vasospasm)
TREATMENTS
NOCAD caused by Endothelial or Microvascular Dysfunction
Lifestyle changes to control risk factors
Medications
Most people with non-obstructive coronary artery disease will need medical therapy to improve their symptoms
Surgery
Surgery is an option for myocardial bridging, offered only as needed when medications fail
SYMPTOMS
Chest Pain (Angina)
Pain in the back, arms, or jaw
Shortness of breath
Fatigue
Light-headedness
Palpitations (sensation of heart beating funny)
Coronary Microvascular Disease
DIAGNOSIS
Review of Medical History
Physical Exam
Test Results
Sestamibi Nuclear Stress Test
Catheterization with Coronary Flow Reserve (CFR)
Cardiac Perfusion MRI or PET Scans
SYMPTOMS
Shortness of Breath
Sleep Problems
Fatigue
Lack of Energy
Chest Pain (Angina)
TREATMENTS
Lifestyle Changes
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
Medications
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
PREVENTION
Eat a heart-healthy diet
Get more active
Lose weight
Lower blood pressure
Limit alcohol
Reduce stress.
Cholesterol-lowering Drugs
Statins block a substance that your body needs to make cholesterol
atorvastatin (Lipitor)
fluvastatin (Lescol XL)
lovastatin (Altoprev)
pitavastatin (Livalo)
pravastatin (Pravachol)
rosuvastatin (Crestor)
simvastatin (Zocor)
Bile acid sequestrants help your body remove more cholesterol from your blood
colesevelam (Welchol)
colestipol (Colestid)
cholestyramine (Prevalite)
Fibric acid derivatives (fibrates) increase HDL cholesterol and lower triglycerides.
clofibrate (Atromid-S)
fenofibrate (Tricor)
gemfibrozil (Lopid)
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.
amlodipine (Norvasc)
bepridil (Vascor)
diltiazem (Cardizem, Dilacor XR)
nicardipine (Cardene, Cardene SR)
nifedipine (Adalat CC, Afeditab CR, Procardia)
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)
Beta-blockers slow the heartbeat to reduce the force of blood moving through the arteries
metoprolol (Lopressor, Toprol-XL)
nadolol (Corgard)
atenolol (Tenormin)
Clot-preventing Drugs
apixaban (Eliquis)
aspirin
clopidogrel (Plavix)
dabigatran (Pradaxa)
edoxaban (Savaysa)
enoxaparin (Lovenox)
rivaroxaban (Xarelto)
ticagrelor (Brilinta)
ticlopidine (Ticlid)
warfarin (Coumadin)
Health and Healing 2
Coronary Artery Disease Concept Map
Group 8: Tatiana Vostrikov, Jim Cadiz, Wilissa Leslie, Betty Mawanza