Coronary heart disease (CHD) - a disease that combines angina, myocardial infarction, atherosclerotic cardiosclerosis. IBS develops due to insufficient blood supply to the coronary arteries of the heart due to narrowing of the lumen.
Coronary heart disease is by far one of the most common diseases in the world.
Unfortunately doctors and patients, the treatment of this "disease of the century" drugs is not efficient enough. After the tablet is unable to "dissolve" cholesterol plaques inside the vessel of the heart. Over the years, the plaque grows, making it difficult for blood flow, and the prospect of myocardial infarction becomes threatening. Required coronary artery bypass grafting - Heavy surgery. Unrest close, long months of recovery, the frightening word "disability" ...
However, do not despair. In our Cardiology there is an alternative and tablets, and complex operation: high-tech catheter sparing intervention - coronary angiography and balloon angioplasty with stenting of coronary arteries.
Judge for yourself: these procedures do not require anesthesia to be safe and well tolerated.
The very next day after the intervention you will walk, and less than a week - go back to their normal work without any restrictions.
Why there is coronary heart disease?
With age, the inner shell along the coronary arteries appear deposits of fatty substances such as cholesterol. These fatty deposits called atherosclerotic plaques. Over time, they grow, narrowing the lumen of the artery and impeding the flow of blood to the heart muscle. As a result of atherosclerotic plaques impede blood flow to the heart muscle, as we signaled chest pain - angina. So developing coronary heart disease.
Signs of coronary heart disease
In ischemic heart disease develop signs of cardiac activity - pain attacks in the heart, irregular heart rate, marked changes in the electrocardiogram.
We must bear in mind that CHD - is a disease that progresses very slowly. And it is very important to detect the disease in the early stages of development.
Important diagnostic sign of coronary heart disease is a feeling of discomfort in the chest or back, occurs while walking, a certain physical or emotional stress and passing after the termination of this load. A characteristic feature of angina is also the rapid disappearance of discomfort after taking nitroglycerin (10-15 sec.).
In recent years, an increasing number of cases of sudden death in patients with coronary artery disease. The defeat of the arteries supplying the heart, leading to stenosis and obstruction of them; resulting in disturbed blood supply to the heart muscle.
That contributes to the development of coronary heart disease?
hypertension (high blood pressure more than 140/90 mm Hg. Art.)
sedentary lifestyle
overweight / unhealthy diet
tobacco smoking
bad heredity (eg, hypertension or myocardial infarction with relatives)
diabetes
excessive emotional stress, frequent stressful situations.
How to establish the diagnosis of coronary heart disease?
For an accurate diagnosis is necessary, first of all, seek a qualified cardiologist.
Credo professionals Tyumen Cardiology - individual approach to each patient.
Your doctor will carefully consider the causes and progression of the disease, prescribe the research needed to confirm the diagnosis. Comprehensive survey can go without leaving the building Tyumen Cardiology.
The final stage is a diagnostic coronary angiography. This is the most modern method is detailed, that allows to determine the number and size of atherosclerotic plaques, as well as their location in the heart vessels.
Diagnosis and treatment of coronary heart disease
Radiopaque research method that allows to precisely determine the nature, location and degree of narrowing of the coronary arteries is coronary angiography.
The procedure is performed (in most cases) under local anesthesia. Dr. introducer sets (tube for insertion of a catheter) into the femoral or radial artery. Through it introduces a long narrow tube - guiding catheter and promote it to the place of narrowing of the coronary arteries. At the time of administration of contrast medium doctor clearly sees on the screen all the disruption of blood flow.
If necessary, immediately after angiography, the doctor will angioplasty to restore blood flow to the damaged vessel.
From May 31, 1988 in Tyumen Cardiology held more than 10 000 coronary angiographies. In the training of doctors, having such a great experience, there is no doubt.
The main high-tech way to restore coronary artery is percutaneous transluminal coronary balloon angioplasty. You can judge the essence of this manipulation on the basis of its name:
Percutaneous - indicates that the introduction of the catheter into the vessel through a skin puncture.
Transluminal - means that all manipulations are carried out through the vessels.
Balloon - means that the restoration of the lumen of the affected coronary artery by balloon inflation occurs at the site of vessel narrowing.
Coronary - means that the exposures are the coronary arteries, ie the arteries supplying the heart.
Angioplasty - means that the impact made on the vessel (from the word "angio" - a vessel).
By the end of 2007 (data B.Alekyana, Moscow, 2008) Tyumen Cardiology Center has entered the top five on the number of angioplasty and coronary artery stenting among 118 specialized clinics in Russia.
Transluminal coronary balloon angioplasty is by far the safest method of treatment of coronary heart disease worldwide.
Glossary of key terms
Cholesterol - a fat-like substance that enters the body with food of animal origin (fatty meat, butter, egg yolk, etc.). Cholesterol is "good" going to build cells and "bad." It is the "bad" cholesterol is deposited over the years on the walls of blood vessels, gradually narrowing their lumen.
Coronary heart disease - atherosclerosis of the coronary arteries (heart blood vessels), which leads to their narrowing (stenosis) and, as a consequence, to ischemia (lack of blood supply) of the heart muscle.
Angina - pain or discomfort in the chest while walking or other physical activity, coming to rest or nitroglycerin.
Invasive procedure - a procedure that is performed by the surgeon through a puncture or minimal incision using special equipment. In cardiology this term mean catheter interventions that do not require a large incision of the chest.
Stent - a small metal tube, made of a special alloy. Nerazdutom unexpanded stent on the balloon is in place necked vessel, whereupon the balloon is inflated under high pressure, and the stent being opened and strengthens the affected vessel wall and further serves as a frame.
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