Coronary artery disease or CAD is the name given to the heart condition in which the major blood vessels that supply your heart with blood, oxygen and nutrients, also called coronary arteries, get blocked, damaged or diseased.

Blockages usually happen when cholesterol-containing deposits called plaque deposit in your arteries. Plaque narrows the lumen of your coronary artery which means your heart gets lesser and lesser oxygen and nutrients to function properly.
Inflammation is also to blame for coronary artery disease.
Common symptoms of CAD include

Angina or pain in the chest
Shortness of breath
If the blockage is complete, you can get a heart attack.
Common Diagnostic tests
When you go to a heart specialist, she will ask questions about your medical history and follow it up with a physical exam and order routine blood and diagnostic tests to confirm CAD like:

Electrocardiogram (ECG): An ECG records electrical signals as they travel through your heart revealing evidence of a previous heart attack or one that s happening. Holter monitoring is a type of ECG where you wear a portable monitor for 24 hours as you go about your normal daily activities. Abnormalities in the results suggest reduced blood flow to the heart signaling CAD.
Echocardiogram: This test uses sound waves to produce images of your heart. It helps your doctor determine whether all parts of your heart wall are contributing to your heart's pumping activity. If certain parts are moving weakly it can mean damage to muscle due to a heart attack or because of receiving too little oxygen- again signaling CAD.
Exercise Stress test: This test is done by making you do exercises like walking on a treadmill or riding a stationary bike during an ECG. Sometimes, medication to stimulate your heart may be used instead of exercise.
This again detects areas in your heart that receive less blood flow.

Cardiac catheterization or angiogram. A special dye is injected into your coronary arteries to observe blood flow through your heart in a test known as an angiogram.
The dye is sometimes also injected into the arteries through a long, thin, flexible tube called catheter that is threaded through an artery in your leg to the arteries in your heart. This procedure is called cardiac catheterization. This test is very good in diagnosing CAD as the dye outlines narrow spots and blockages on the X-ray images of your heart.
Heart scans. Computerized tomography or CT can help your doctor actually see calcium deposits in your arteries that can be narrowing your arteries. If a substantial amount of calcium deposits are found, coronary artery disease could be the reason.
MRI scans are also done to diagnose CAD.

Common Tests For Coronary Artery Disease!

Coronary artery disease is characterized by accumulation of plaque in the coronary artery that chokes blood supply to the heart. This plaque buildup usually starts with cholesterol accumulation and gradually other particles such as calcium and lipoproteins get deposited as well. Over time, the plaque accumulates, making the blood vessels narrow and choking the supply of blood. In some cases, if the plaque ruptures, it may lead to formation of blood clots resulting in stroke.

The symptoms of coronary artery disease are:

1. Breathing difficulties: This disorder may lead to shortness of breath as the blood pumping mechanism of the heart is impaired; this usually results in fatigue and exertion. It is advised to avoid advanced cardio exercises such as the high intensity interval training.

2. Chest pain: Stress related activities may cause intense pressure or tightness in your chest, resulting in pain in the middle or left portion of your chest. If you discontinue the activity, the pain would usually subside. In some cases, you may feel the pain in the arm and the neck.

3. Heart attack: If the level of plaque accumulation is excessive, then it may result in a heart attack. It is characterized by breathing difficulties, pain, tightness in the chest and sweating. You may also experience pain in the neck and the jaw.

The causes of coronary artery disease are:
1. Smoking and alcohol consumption
2. Leading a sedentary lifestyle ups the risk of coronary artery disease
3. Hypertension
4. High cholesterol levels in the body
5. Blood sugar problems

Treatment
1. Get your blood pressure under control: If you suffer from high blood pressure, then it is recommended to get it under control to prevent coronary artery disease.
2. Quit smoking: If you are a habitual smoker, then it is time to nip the habit in the bud. Smoking is known to constrict blood vessels as it is a vasoconstrictor.
3. Eat healthy: Eat a well balanced diet consisting of vegetables and fruits so that your body receives the essential nutrients to function well.
4. Beat stress: You need to control your stress levels through exercise or meditation. Take time off work and do activities that make you happy.

Coronary Artery Disease: Causes and Treatment

Varicose veins are twisted, enlarged superficial veins that typically appear in the feet and legs.
For many people, the condition is simply a cosmetic concern while for others varicose veins include symptoms like swelling, discomfort and aching.

What Causes Varicose Veins?
Doctors believe that damaged or weak valves may cause varicose veins. Arteries carry oxygenated blood from your heart to other parts of the body and the veins send it back to your heart for recirculation. The veins of your lower body need to work against gravity in order to return the blood to your heart.
Muscle contractions in the extremities act as pumps while the elastic vein walls send blood back to the heart. Small valves open in your veins as blood flows to your heart, and then close again to prevent the blood from flowing back. If these valves become damaged or weak, blood may flow back and accumulate in the veins, causing it to twist or stretch.

Symptoms of Varicose Veins
You may experience the following signs if you have varicose veins  
  Discoloration of the veins   usually they appear blue or dark purple
  Legs feel heavy
  Itching around the affected veins
  Muscle cramps
  A throbbing, burning sensation
  Swelling and bruising
  Discomfort and pain the veins of the legs

The symptoms of varicose veins are quite prominent and require treatment. If the condition is not that severe, exercises and compression stockings may be prescribed to manage the symptoms. However, if you are looking for a long-term cure, laser treatment may be the best option for you.

Can Laser Treatment Cure Varicose Veins?
Your doctor may use highly focused laser beams to treat varicose veins. The laser emits heat, which forms scar tissues. The scar tissue closes the vein so it loses its source of blood and eventually dies. In a year or two, the vein is likely to disappear.

Here are the different types of laser treatment you can opt for  
  Simple Laser Treatment   The laser beams are focused on the outer surface of the skin. It helps cure the tiny veins that are located just beneath the skin. Normally, more than one session of laser treatment is required. Your doctor may schedule you for a session every 6-12 weeks.

  Endovenous Laser Treatment   This type of laser treatment is directed towards treating larger varicose veins that appear in the legs. The doctor passes a laser fiber through a catheter (a long, thin tube) into the veins. While doing this, he/she keeps a close watch on the veins through a duplex ultrasound screen.

Laser treatment is less painful than other procedures like vein stripping and ligation. The entire procedure can be done while you are on local anesthesia or sedatives. Moreover, the time for recovery is relatively short. You can expect to get back to your routine activities in a week or two following laser treatment.

Laser Treatment For Varicose Vein!

Varicose veins are bulging blue veins on the legs that can cause leg swelling, skin blackening and even open wounds called ulcers. It is commonly seen in people aged 35 and above who have to stand a lot. Here are a few tips to prevent these:

1. Avoid standing for long periods: standing for long periods of time causes blood to pool in your leg veins and they begin to bulge out like a balloon. Avoid standing desks at your work. If you have to stand, take a 5-minute break every hour and walk around or sit down.

2. Keep weight in check: overweight people have a higher incidence of varicose veins. Keeping your weight in check would also prevent varicose veins.

3. Exercise 30 minutes a day: exercise, especially brisk walking or jogging, will get the blood in your leg veins to circulate and thus prevent varicose veins.

4. Take the stairs: this simple exercise activates your calf muscles and gets blood to circulate in your veins.

5. Be vigilant: calf cramps, swelling, change in colour of skin over foot and open wounds over the feet are a few signs that you need to look out for. Seek medical help to prevent worsening of this disease.

Follow these simple steps and you would be able to prevent varicose veins and have healthy feet.


5 Tips To Prevent Varicose Veins and Varicose Ulcers

Varicose veins are enlarged and gnarly veins and they commonly appear in the feet and legs. They occur when veins get filled with blood and they are often red or bluish purple in color.

The main cause of varicose veins is the when the vein dysfunctions. Veins have valves in them that are supposed to keep the blood flowing forward, but if they fail to do so, blood in the vein starts to collect rather than continue towards the heart. Since the legs are furthest from the heart, varicose veins mostly affect the legs. Gravity, too, is a contributing factor as it makes it hard for the blood to flow up the vein.
Out of all the treatments available for varicose veins, sclerotherapy is the most effective.

What is sclerotherapy?
Sclerotherapy is a form of injection therapy that is designed to improve the way the varicose veins appear on your legs.

The Procedure
During the procedure, a solution called sclerosant is injected in the veins that scars and destroys the vein's internal lining which causes the blood to clot. After the solution is injected, pressure over the veins is applied to prevent the return of the blood as you stand up. Compression stockings are worn for maintaining the pressure.

After the Procedure
There is no prolonged recovery time for sclerotherapy. You can move around immediately after the procedure, but do not strain yourself too much. However, bed rest is not recommended as it might stress the vein. You probably have to keep wearing the compression stockings for a few days more.

Reasons for Choosing Sclerotherapy
Sclerotherapy is best for treating the following problems-
1. Small veins and spider veins that do not cause severe damages
2. Smaller varicose veins that might return even after vein stripping surgery (the surgical removal of the superficial saphenous vein with minimal incisions to treat varicose veins).
3. Larger varicose veins
4. Follow up to any other surgery to treat varicose veins

Risks involved
Sclerotherapy, like any other treatment, has certain risks. The risks include-
1. Skin discoloration
2. The varicose veins can still return after the treatment
3. Bruising, itching, blistering and pain in the treated area
4. Mild or severe allergic reaction to the solution (sclerosant) used
5. Blood clots in the deep vein system.

Varicose Veins: Using Sclerotherapy to Get Rid of It

Peripheral Artery Disease (PAD) is caused by atherosclerosis or plaque build-up in the leg arteries. Mostly, individuals with PAD have mild or no symptoms. But with the extension of the blockages, individuals may experience disability and pain that restricts free walking. In more severe cases, individuals may develop a risk of losing their limb if the circulation is not improved. 

There are various ways to improve the flow of blood in the leg, especially for individuals with severe PAD. The objectives of improving the blood flow in the limb include improving functional ability, reducing pain, preventing amputation, and providing a better quality of life. 

Symptoms 

Symptoms of Peripheral Artery Disease may include gangrene, claudication or pain in leg muscle while walking, pain at night mainly in the feet and leg, and feet sores.

Bypass Surgery

There are a number of treating methods for PAD. Both invasive and traditional methods are used to treat Peripheral Artery Disease. 

Stenting and Angioplasty are invasive treatment methods. The traditional method includes bypass surgery. The best available treatment method for an individual depends upon various factors such as severity, location of the artery blockage in the leg, general health of the patient, history of any vascular problems, and previous treatments.

Surgical bypass in the leg or Lower Extremity Bypass Surgery is usually the last option for the patients with PAD. This method is used when all the other alternative treatment methods fail or are not suitable for the individual. During the Leg Bypass Surgery, the surgeon forms an alternative channel for blood flow to bypass or avoid the blocked area and restore the direct flow of blood to the lower leg and foot. 

The risks and benefits of the surgery are calculated prior to the surgery. For the best result of the surgery, surgeons try to use the patient s own saphenous vein, from inside the leg, to execute these grafts. Surgeons may also use veins from other leg or arms or use prosthetic or artificial graft, in case the required length of the saphenous vein cannot be achieved. 

The results of artificial and saphenous vein from other limbs are not as effective as the saphenous vein from the same leg. Thus, the availability of an appropriate vein to execute this method is an important consideration that is taken into account before the surgery. 

Takeaway

Leg Bypass Surgery is one of the medical procedures for the treatment of Peripheral Artery Disease. In PAD, the artery of the leg is blocked which can hinder the daily life of the individual. 

The symptoms can be mild or absent but, in the case, where symptoms are severe, and affecting the quality of life of the patient, treatment becomes a necessity. Bypass surgery is the last option used when other alternative methods fail to help the patient. 

Leg Bypass - Know More About It!

Don't wait any longer, manage your Vascular Surgery online with a Lybrate doctor today

Consult for Vascular Surgery - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES