CORONARY ARTERY DISEASES

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Coronary arteries are the blood vessels that supply oxygen-rich blood to your heart muscle to keep it pumping. The coronary arteries are on top of your heart muscle.

There are four main coronary arteries:

  • The right coronary artery.

  • The left coronary artery.

  • The left anterior descending artery.

  • The left circumflex artery.

Coronary artery syndrome is a common heart condition. The major blood vessels that supply the heart (coronary arteries) struggle to send enough blood, oxygen, and nutrients to the heart muscle. Cholesterol deposits (plaques) and inflammation are usually the cause of coronary artery disease. Coronary artery disease is also known as coronary heart disease, ischemic heart disease and heart disease.

 

SYMPTOMS

  • Chest pain (angina)

  • Shortness of breath. 

  • Heart attack. 

  • Feeling tired.

  • Dizziness

  • Nausea.

  • Weakness.

 

REASON

 

  • Diabetes or insulin resistance

  • High cholesterol

  • High blood pressure

  • Not getting enough exercise (sedentary lifestyle)

  • Smoking or tobacco use

  • Too little and too much sleep

  • A lot of stress

  • Excess body weight

  • Excessive consumption of alcohol

 

TREATMENT

Heart catheterization:


Cardiac catheterization is advised to diagnose coronary artery disease, heart failure, microvascular heart disease, and congenital heart disease. Cardiac catheterization is a medical procedure that measures the blood pressure and blood flow in and around the heart. Cardiologists use cardiac catheterization to diagnose and evolute common heart and blood vessels problem, like chest pain(angina) or an abnormal stress test due to coronary artery diseases, irregular heartbeats(arrhythmias), valves conditions like a leaky or narrow valve, a high blood pressure condition in the lungs, blood clots in the lungs from an embolism and an enlarged heart.


              There are two types of cardiac catheterization procedures:


  • Right heart catheterization 

  • Left heart catheterization.


Right heart catheterization is a test used to monetize the heartbeat and to measure the blood pressure in your heart and the main blood vessels in the lungs. The test is also called pulmonary artery catheterization. The procedure takes about an hour. Additional time is needed for the other test that may be done and to get ready and recover from the procedure.


Left heart catheterization is the passage of a thin flexible tube(catheter) into the left side of the heart. It is done to analyze heart problems. The process may last from less than 1 hour to several hours.

 



Required test before cardiac catheterization procedure:


Blood work

Electrocardiogram (EKG)

Chest X-RAY

Echocardiogram

Cardiac CT scan

Heart MRI

Stress test


 

RISK FACTORS

  • A hole going through your blood vessel 

  • Air embolism 

  • Allergic reaction

  • Bleeding

  • Blood clots

  • Bruise 

  • Heart attack

  • Infection

  • Kidney damage 

  • Stroke

  • Uneven or irregular heart rhythm (arrhythmia)

Accounting for thorough experience and practice, Dr Aritra Konar is a Consultant Interventional Cardiologist at Apollo Gleneagles Hospital, Kolkata. He has been deemed one of the best cardiologists in Kolkata for his expertise lies in Coronary (femoral & radial routes) angiography, Coronary angioplasty (including primary angioplasty), Peripheral angiography and angioplasty, Permanent pacemaker, ICD, CRT implantation, BMV, BPV, Right heart catheterization and so on, in procedural skills. His guidance is trusted and so are his skills.

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