Ischemic Heart Disease: Diagnosis and Treatment

Ischemic Heart Disease: Diagnosis



- Ischemic Heart Disease (IHD) is usually diagnosed after any symptoms. 

- However, Many people have no symptoms, until they experience complications such as a heart attack or sudden cardiac arrest.

- When you seem any IHD symptoms immediately consult from doctor before make any serious situation.

 - The doctor will ask about your medical history, family history and suggest some diagnostic tests, including :

Blood test:


- Blood test can detect the Ischemic Heart Disease, such as,

- High blood cholesterol levels, have high blood pressure, high thyroid level, and high triglycerides level  etc

Cardiac catheterization:


- Cardiac catheterization used for view blood flow through tube.

- A long, thin flexible tube (dye) injected into the heart arteries through leg or arm, then Contrast material is injected through the dye and the dye detects narrow spots and blockages on the X-ray images.

Electrocardiogram (ECG):


- Electrocardiogram (ECG) measures the electrical activity and rhythms of the heart.

Stress testing:


- Stress test is conducted during exercise, the test can show changes to the heart rate, rhythm or electrical activity as well as blood pressure.

Echocardiogram:


- Echocardiogram is a ultrasound scan test. It uses sound waves to provide a  image of your heart.

Heart (Computerized tomography (CT) scan:


- CT scan test help to detect any fatty deposits calcium within that narrow heart arteries, and to characterize other heart abnormalities.

Holter monitor: 


- Holter monitor is a portable device that the patient wear under their clothes for 24 to 48 hours (2 days) It records all the electrical activity of the heart such as heartbeats and Certain abnormalities.

Ischemic Heart Disease: Treatment



- Treatment of ischemic heart disease help to reduce the risk of heart attack and many serious conditions.

- Treatment usually involved : lifestyle changes, drugs and surgery.

Lifestyle Changes:


- Everyone can use these Lifestyle Changes, It helps in getting rid of your body's disease.

-Stop smoking

-Control your blood pressure

-Check your cholesterol

-Keep diabetes under control

-Eat healthy foods

-Maintain a healthy weight

-Exercise regularly

-Managing stress

Drugs:


- ACE inhibitors and beta blockers :


- These drug commonly used to treat high blood pressure,

And beta blockers reduce the risk of future attacks.

- Calcium channel blockers :


- This can reduce blood pressure by allowing blood vessels to relax and reduce hypertension. These drugs can help improve symptoms of chest pain.

- Metformin :


- Metformin is used to control atherosclerosis, if you have diabetes.

- Nitrates :


- Nitrates relaxing your blood vessels, letting more blood pass through heart vessels and relieves the chest pain

- Ranolazine :


- Ranolazine medicine is used to reduce the chest pain, called angina.

- Aspirin : 


- Aspirin drug used to prevent blood clots.

- Statins :


- Statins drug control high blood cholesterol and decrease the risk of stroke or heart attack.

- Medicines to control blood sugar :


Such as:

- Empagliflozin

- Canagliflozin

- Liraglutide

Surgery :


- Laser surgery:


- Making several tiny holes in the heart muscle through Laser surgery, which encourage the formation of new blood vessels.

- Coronary artery bypass grafting (CABG):


- Coronary artery bypass grafting surgery creates a bypass around the narrowed coronary arteries by grafting arteries or veins taken from other parts of the body to improve blood flow.

- CABG surgery mostly used for those who have severe coronary artery disease in multiple coronary arteries.

- Angioplasty and stent placement: 


- In Angioplasty surgery doctor inserts a long, thin tube (catheter) into the narrow  artery. A wire with a deflated balloon is passed through the catheter to the narrowed area. The balloon is then inflated, it compresses the fatty deposits against the artery walls.

- And the stent is often left in the artery to help keep the artery open.

- Percutaneous coronary intervention (PCI):


- Percutaneous coronary intervention (PCI) treatment used for open coronary arteries that are narrowed or blocked by the buildup of Cholesterol-containing (plaque) deposits.


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August 11, 2019 at 11:24 PM delete

Thanks for sharing a great and useful information about ischemic heart disease and its diagnosis. It's the term given to heart problems caused by narrowed heart arteries. When arteries are narrowed, less blood and oxygen reaches the heart muscle. This is also called coronary artery disease and coronary heart disease.
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