Ischemic heart disease is also known as ischemic cardiomyopathy in medical lingo. It generally results from weakened heart muscles due to previous conditions such as heart attack or other coronary diseases. The left ventricle of an IC patient tends to enlarge and gets dilated. As a result of this, the heart fails to pump an adequate amount of blood into the body resulting in a heart failure.
A doctor typically tries to find out the underlying cause of the condition and evaluate the extent of damage that has already happened. A combination of surgery, lifestyle changes, medication and other methods could be recommended to fix the condition.
Symptoms of Ischemic Heart Disease:
An early stage ischemic heart disease could not show any symptom at all. However, if the IC results from diseases related to the coronary artery, some of the common symptoms that are encountered include dizziness and fainting, unexplained weight gain, fatigue, congestion in the lungs, chest pain, swelling in the abdomen, sleeping problems, swelling of the feet and the leg, shortness of breath etc.
Risk Factor of Ischemic Heart Disease:
IC is typically caused by coronary artery diseases and heart attacks. Some of the other risk factors of this disease include diabetes, high cholesterol, long history of drug abuse, obesity, family history of cardiac diseases, amyloidosis, blood pressure, long history of smoking and bad lifestyle. Men are at increased risk of developing ischemic heart disease. Women above the age of 30 who is an active smoker and consume contraceptive pills are also at a high risk of developing ischemic cardiomyopathy.
How Is IC Diagnosed?
A cardiologist will perform a physical exam and conducts one or several tests to diagnose the condition. A blood work measuring the level of triglyceride and cholesterol is the first step towards it. This can be followed up by several imagery tests such as MRI and CT scan to examine the internal tissues. Some other tests that could be done by a cardiologist include ECG, angiography, EKG and radionuclide studies.
How Is The Condition Treated?
There is a step approach to treatment for ischemic heart disease. The first is lifestyle related. A healthy diet must be followed on a regular basis. Diet should be free from cholesterol, sodium and processed fat. Quitting smoking and drinking is a key lifestyle change that a person will have to undergo. In the medication front, a cardiologist might prescribe beta blockers, blockers of calcium channels, aldosterone inhibitor and blood thinners. The idea behind every medication is to ensure that the heart muscle works at the optimum level. If medication doesn’t work, a doctor might suggest procedures such as stent insertion, pacemaker implant, angioplasty and radiation therapy.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Sedentary lifestyle and unhealthy food habits result in many lifestyle diseases, coronary heart diseases being one among them. One of the top 10 leading causes of death, heart attack might scare you, and it is necessary to know the facts to avoid risk factors and seek the best treatment.
The coronary arteries supply blood to your heart muscle. But at times, they can become blocked owing to the buildup of cholesterol and other substances known as plaque. It can reduce the flow of blood to the heart. When the blood flow is entirely restricted, it may result in a heart attack.
Doctors typically recommend angiography during or after a heart attack or in the case of angina to find out about the condition of the heart and proceed accordingly. If any blockages are observed, angioplasty would be advised to improve the blood flow to the heart by widening the narrowed arteries. Read on to know further details regarding this.
What is coronary angiogram?
A coronary angiogram is a special X-ray test which helps in detecting if any of the coronary arteries are narrowed or blocked, hindering the optimal flow of blood. It can help your cardiologist understand whether you need any treatment such as stent or angioplasty or simple medical therapy.
During the process of angiography, your doctor would numb a spot in the arm or groin for inserting a thin catheter into the artery. You will get the feeling of a pinprick, and x-rays would be taken as the fluid goes through the coronary artery. After the process is completed, your doctor would discuss the results of the test with you and determine whether you need to undergo angioplasty.
What is coronary angioplasty?
A coronary angioplasty is a process which is used for widening blocked or narrowed blood vessels that supply blood to the heart. The term angioplasty entails using a balloon for stretching open the blocked artery. But the modern approaches to angioplasty procedures involve insertion of a short-wire mesh tube known as a stent. This stent is permanently left alone in the deployed state to allow free flow of blood to the heart.
Coronary angioplasty is often referred to as percutaneous transluminal coronary angioplasty or PTCA. The combination of angioplasty together with stenting is known as a percutaneous coronary intervention. Even though angina can be easily treated with the help of medicine and some lifestyle changes, a coronary angioplasty may be required for restoring the flow of blood to the heart. Doctors recommend undergoing coronary angioplasty as an emergency treatment after a heart attack.
What are the benefits of coronary angioplasty?
The flow of blood through the coronary arteries is massively improved after the coronary angioplasty. Many people find that the symptoms and discomfort are improved after undergoing this treatment. For individuals who have suffered a heart attack, angioplasty can significantly improve the chances of survival.
So, with this awareness, follow the doctor’s advice for a complete recovery from a heart attack. In case you have a concern or query you can always consult an expert & get answers to your questions!
An AV Fistula is the term used for a surgically created connection between an artery and a vein, usually on the arm or forearm.
A surgically created AV Fistula for dialysis
There are many options of the combination of artery and vein to be used for AV fistula on both arms. A good ultrasound doppler of the arm veins helps us to decide which is the best site for an AV Fistula surgery.
After an AV fistula is surgically created, it needs a maturation time of about 4 - 6 weeks, after which it may be used for dialysis access.
A fully matured AV Fistula, ready for dialysis access
The biggest advantage of an AV fistula is that it is a permanent solution for Dialysis throughout the lifetime of a patient, and carries minimal chances of failure and infection as it does not involve any artificial tube or graft to be placed inside the body.
If an AV fistula surgery is not possible due to unsuitable veins on the arms, a synthetic tube graft known as an AV graft may be surgically placed on the arm.
A surgically placed AV Graft for dialysis access
If an AV Fistula is failing, does not mature or gets blocked, there are many options for salvage of the fistula both surgically (thrombus removal) and endovascularly (Balloon angioplasty), to make it functional again.
A temporary venous access using different types of catheters may also be attained for dialysis, and involves placement of simple (Temporary) as well as complex (Permanent) catheters such as the PERMACATH for dialysis patients.