Coronary disease resembles a disease in which the interior diameter of the coronary arteries is narrowed. This is usually caused by plaque, which is a consequence of a long term damage done to the arteries with either chemical (cholesterol, diabetes, and smoking) or mechanical factors (arterial hypertension). This leads to an inflammation process, causing fat to accumulate. As the process gradually advances, the amount of plaque is increased which causes a reduced rate of blood flow through the coronary artery. A blood vessel narrowed by the atherosclerotic plaque is not able to supply the heart muscle with enough oxygen, especially during stressful events, whether these were of physical or psychological nature. Patients suffering from coronary heart disease will feel this as a numb pain in heart region, also known as angina pectoris. The heart muscle which doesn’t get enough oxygen is weakened over time which can lead to heart failure. In case the plaque breaks, a clot is created on that spot which then completely obstructs the blood flow, leading to death of the heart muscle. This causes heart attack which may or may not be fatal.
This disease has a slow rate of progress, usually without any symptoms. First sign of the condition are usually chest pain episodes which can occur during physical stress, but also while lying down. The pain can exist in forms of squeezing, pressure and lack of breath, with a tendency to radiate into the arms, especially the left one. It may also be followed by noxiousness, vomiting and severe sweating.
In case you’re at high risk of getting this disease, the first step of establishing a diagnosis is to go under a load test. During this test, a detailed EKG is monitored at all times as well as quickly after it, noting any eventual changes which may happen to hint towards coronary condition. Ultrasound of the heart can also show changes which are characteristic of coronary disease.
Treatment for this condition consists of many different parts, all of which need to work and fulfill each other. Generally, all patients need to quit smoking, reduce the amount of fats and alcohol and make sure that salt intake is within recommended boundaries. It is also required for one to do some physical activities during the day which supplements to the degree of probable heart damage. Overall, it is important to maintain a decent body weight and reduce the influence of stress.
All patients require a medication therapy, which will make sure that artery hypertension is solved, as well as diabetes and high blood fats. Besides medications, a necessary permanent therapy is required with drugs designed to reduce the frequency of chest pain as well as some medications which are known to reduce the probability of a heart attack.
All of these methods need to be carefully synchronized together so a couple of detailed checkups will be needed for your doctor in order for him to establish a proper treatment procedure.