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Overview

Ischemic Heart Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Ischemic Heart Disease, also known as Coronary Artery Disease, is a condition that affects the supply of blood to the heart. The blood vessels are narrowed or blocked due to the deposition of cholesterol on their walls. This reduces the supply of oxygen and nutrients to the heart muscles, which is essential for proper functioning of the heart. This may eventually result in a portion of the heart being suddenly deprived of its blood supply leading to the death of that area of heart tissue, resulting in a heart attack.

The major risk factors of ischemic heart disease include smoking, diabetes, and high levels of cholesterol in the blood. Those with Hypercholesterolemia have a much higher tendency to develop the disease. Additionally, genetic and hereditary factors may also be responsible for the disease, and stress is often a risk factor as well.

There are a variety of treatments for ischemic heart disease, which include heart-healthy lifestyle changes, medicines, medical procedures and surgery, and cardiac rehabilitation. The treatment is aimed to help lower the risk of formation of blood clots, which can cause a heart attack, and to reduce risk factors in an effort to slow, stop, or reverse the buildup of plaque. Treatment for ischemic heart disease also aims to prevent any complications that might lead to coronary heart disease, as well as to help widen or bypass clogged arteries, which can also result in heart attacks.

How is the treatment done?

Ischemic heart disease, of coronary artery disease can be treated in a number of ways, which include heart-healthy lifestyle changes, medicines, medical procedures and surgery, and cardiac rehabilitation.

Heart healthy lifestyle changes include eating food that is healthy for the heart, managing stress levels, maintaining a healthy weight, doing regular physical exercise, and quitting habits such as drinking and smoking. While following a heart healthy diet, the patient is advised to eat fat-free or low-fat dairy products, such as fat-free milk; fish high in omega-3 fatty acids; fruits, vegetables and whole grains. Intake of sodium has to be restricted as well.

Maintaining a healthy weight is important for overall health and can lower the risk for ischemic heart disease. Patients are required to maintain healthy BMI levels, as well as to try and lose weight, escepically for patients who are obese. Managing stress and taking part in routine physical activity are additionaly ways to help prevent onset of ischemic heart disease.

Medical procedures and suregries to treat ischemic heart disease include Percutaneous Coronary Intervention (PCI), and Coronary Artery Bypass Grafting (CABG). Percutaneous coronary intervention, commonly known as angioplasty, is a nonsurgical procedure that opens blocked or narrowed coronary arteries. CABG is a type of surgery in which arteries or veins from other areas in your body are used to bypass the affected narrowed coronary arteries.

Lastly, your doctor may prescribe cardiac rehabilitation (rehab) for angina or after CABG, angioplasty, or a heart attack. Nearly everyone who has coronary heart disease can benefit from cardiac rehab. Cardiac rehab is a medically supervised program that may help improve the health and well-being of people who have heart problems.

Who is eligible for the treatment? (When is the treatment done?)

Ischemic heart disease means that the heart muscle is being deprived of the oxygen-rich blood it needs to function, as a result of clogged coronary arteries. People who experience chest pain during exercise or any kind of strenuous activity are at a risk of developing ischemic heart disease, and need to get themselves checked by a doctor.

Who is not eligible for the treatment?

Heavy or irregular breathing during exercise of any kind of strenuous activity is normal, and if you don not experience any chest pains, there is no need to get yourself checked or treated for ischemic heart disease.

Are there any side effects?

Side effects while treating ischemic heart disease are generally side effects of medicines prescribed by the doctor. Many different types of medications are used to treat coronary heart disease, each of which have different kinds of side effects. Antiplatelet drugs can cause diarrhea, rash, or itching, abdominal pain, headache, chest pain, muscle aches, and dizziness. Side effects of anticoagulants are bleeding and necrosis (gangrene) of the skin. Side effects of angiotensin converting enzyme (ACE) inhibitors include cough, elevated blood potassium levels (hyperkalemia), low blood pressure, dizziness, headache, drowsiness, weakness, abnormal taste, and rash. Taking vasodilators may cause lightheadedness or dizziness, increased or irregular heart rate, or headache. Side effects of calcium channel blockers include constipation, nausea, headache, rash, edema, low blood pressure, drowsiness, and dizziness. Anti-arrhythmics may cause dizziness, blurred vision, anorexia, unusual taste, fatigue, nausea and vomiting.

What are the post-treatment guidelines?

Treating ischemic heart disease is not a one-time process. Apart from changing your lifestyle and indulging in heart healthy eating, even if your doctor has performed surgical procedures to help treat the disease, following it up is very important. Keep a lookout for any complications, including heart failure or arrhythmias. Also, patients need to keep an eye on risk factors such as cholesterol levels, blood pressure, and diabetes control. Make sure you follow the medication plan prescribed to you by your doctor. Order a stress test if you are having problems with new or worsening symptoms, such as chest pain or shortness of breath.

How long does it take to recover?

In case your doctor has only prescribed lifestyle changes and medicines for treatment of your heart disease, then there is no recovery time as such. But in case you have to undergo surgical treatment, then a full recovery after CABG or PCI takes around 12 to 15 weeks, or even more.

What is the price of the treatment in India?

While lifestyle changes don’t require any money, treatment of ischemic heart disease via medicines or surgical procedures is an expensive treatment, and cost anywhere between Rs. 2 to Rs. 10 lakhs.

Are the results of the treatment permanent?

If your doctor has prescribed medicines for the patient, and has asked him to maintain a proper and healthy lifestyle, then it is actually up to the patient to make sure that they do not develop symptoms of ischemic heart disease again. In case the patient has undergone surgery for ischemic heart disease, then the results are generally permanent, unless the patient goes back to their previous unhealthy lifestyle, and fails to follow up on medications and further visits to the doctor.

What are the alternatives to the treatment?

Ischemic heart disease treatment does not always require surgery. There are other methods to help treat coronary artery disease, such as heart-healthy lifestyle changes, maintaining a healthy weight. managing stress and taking part in routine physical activity, as well as quitting habits such as smoking and drinking. Surgical procedures such as PCI and CABG are always the last resort when it comes to treating ischemic heart disease.

Safety: Low Effectiveness: Medium Timeliness: Medium Relative Risk: High Side Effects: High Time For Recovery: High Price Range:

Rs 2 to 10 lakhs

Popular Health Tips

Heart Problems - Ayurvedic Remedies To Prevent Them!

Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Ayurveda, Indore
Heart Problems - Ayurvedic Remedies To Prevent Them!

The modern age is full of tensions and stress, expecting peaceful mind and healthy lifestyle is just impossible. To prevent common diseases and living a healthy life requires keen knowledge of the main organ of the body, that is the Heart. The heart is a muscular organ which works like an engine and provides fuel to run human body by pumping blood. Our heart has two chambers which separates the oxygen rich blood from oxygen poor blood and each time you breathe the valves of heart opens and closes. There are many cardiovascular diseases that are caused due to the blood vessel and heart issues like lack of flexibility, blockage, fatty plaques of the arteries or lack of strength of the parties.

The modern medical systems suggest surgical treatment for the cure of the heart problems but on another hand, Ayurveda targets the deep root cause of the disease. The best cure for heart diseases is to adopt a holistic approach named Ayurveda the part of the great Indian heritage. This is not only based upon the ancient principle but many researchers worked and proofed that heart issues are reversible with the help of Ayurvedic treatment.

As Ayurveda believes in the natural ingredients for treatment, many remedies are available in our surrounding. Here are some commonly recommended remedies to prevent and cure heart diseases by Ayurveda.

  1. Triphala: To reduce the blood fat level and high cholesterol Triphala- the mixture of three herbs named Amalaki, Bibhitaki, and Haritaki. This handles the causative issues of blood fat and cholesterol and keeps the heart healthy.
  2. Ashwagandha: This is a wonder herb to reduce tension from mind and body and provide strength to the heart muscles.
  3. Chaywanprash: this is the mixture of various herbs like sugar, honey, ghee, Indian Gooseberry (amla), jam, sesame oil, berries, herbs and various spices. Chaywanprash is an herbal jam which strengthens the heart muscles and boosts up the immune system as well.

These three are the most common and easily available remedies for heart problems. Other than these three garlic, ginger, turmeric, saffron, arjuna, guggul, etc. herbs which are good for heart diseases and provides a complete cure. I would suggest consulting an expert Ayurvedic physician for the better results and proper guidance instant of trying self treatment.

2 people found this helpful

Heart Diseases In Women - Know The Facts!

DNB (Cardiology), DM - Cardiology, MD - General Medicine, MBBS
Cardiologist, Delhi
Heart Diseases In Women - Know The Facts!

Heart disease doesn't affect all women in the same way and neither does it have the same warning signs as heart diseases in men. For women, heart disease is a bigger threat than breast cancer. Cardiovascular diseases also kill more women than men as the disease progresses differently in men and women. Here are a few things you should know about heart diseases.

Women have more atypical symptoms of heart attacks: The classic symptoms of heart attacks are pain in the left arm, chest pain and heart palpitations. Though women may exhibit these symptoms, they are more likely to have atypical symptoms. These include nausea, stomach aches, pain in the shoulders and upper back and extreme fatigue.

Preeclampsia and gestational diabetes can increase risks of heart disease: Even though your blood pressure may go back to normal and conditions like preeclampsia or gestational diabetes may go away post pregnancy, their effects linger on. The risk of heart disease for a woman who suffered from preeclampsia doubles while gestational diabetes can cause glucose intolerance leading to obesity or other such conditions which are risk factors for heart diseases.

Hot flashes could be a sign of heart problems: Hot flashes are usually associated with menopause but may also be a symptom of underlying heart problems. Hot flashes that occur after a exerting a strenuous effort on something can be a sign of angina in women.

Men and women do not face equal risks: Traditional risks to heart diseases such as cholesterol, obesity and high blood pressure affect both men and women but some factors such as diabetes, stress, depression and smoking affect women more than they affect men. Since women tend to lead a more sedentary lifestyle than men, a lack of exercise also affects them more than it affects men. In addition, a low level of estrogen can also increase the risk of cardiovascular conditions. This is usually seen after menopause.

Metabolic syndrome increase your risk of getting a stroke:

There are five metabolic risk factors for heart disease. If you have 3 or more of them, it is termed as metabolic syndrome. These risk factors are:

  1. A waist circumference of more than 35". This is also called abdominal obesity
  2. A triglyceride level higher than 150 mg/dL
  3. A low level of good cholesterol i.e. HDL cholesterol that is less than 50mg/dL
  4. High blood pressure
  5. High blood sugar. This could also be a sign of diabetes.

While some factors like genetics are out of our control, most of these factors can be controlled by conscious lifestyle changes. Your doctor may also prescribe medication for the same. Heart disease can occur at any time so do not take your heart for granted.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1812 people found this helpful

How to Prevent Heart Disease - At Any Age!

Clinical Cardiology, MD - Consultant Physician
Cardiologist, Surat
How to Prevent Heart Disease - At Any Age!

In today’s time, modern lifestyle certainly has made a living a lot simpler, but it has also invited early death rate.

What does study say?
As per the data made by the National Healthcare Center, it has been found out that over the past few years, the number of death rates is increasing due to heart attack and the prime reason for the same is stress and an unhealthy diet. Often we tend to search online for what things can be done to prevent such early death due to a heart attack. In that case, you have to make up your mind and ensure that the diet regimen, workout session and changes in lifestyle are followed in the right manner.

Preventive measures to reduce risk of a heart attack:
It does not matter what is your current age, looking at the changes that a human is going through with the lifestyle there is no doubt that even young people are prone to this problem.

Here are some important tips that can help you from a heart attack.

  1. A healthy diet is the best option: Avoid eating junk food, cholesterol based food, or the do no drink much as these slowly reduce your life quality. Cholesterol based or high-fat food increases the risk of heart attack. Junk food is all about taste, and there is nothing healthy included in it. Instead switch to healthy diet plan rich in fibre, vitamins, and minerals that can regulate the body. Choosing healthy meat with the leanest cuts and restricting down the sugar intake will have a good impact on your overall health.
  2. Workout is another answer for All Your Problem: It is always better that you are physically active so that you can keep the heart rate at a good speed. This will speed up metabolism rate, burn unnecessary calories, and increase the rate of your heart so that you can lose weight at the same time stay active. Besides, physical activities like aerobics and swimming are some high-intensity workout that reduces the risk of heart attack to a great extent. Right from kids to adults above 60 years of age should perform a workout of at least 30 minutes even a walk is fine, but staying physically active is extremely important.
  3. Regular preventive health checkup should be done.

These are just some of the tips that can help you improve your quality of life. Your doctor is your life saver. He is the one who can guide you at every step and help you understand the right way to stay fit and healthy in the long run. Instead of just ignoring the symptoms, if you notice any make sure you speak with your doctor about the same and take necessary preventive measures as advised. In case you have a concern or query you can always consult an expert & get answers to your questions!

4700 people found this helpful

Ischemic Heart Disease - Symptoms, Risk Factors and Diagnosis

MBBS, PG Diploma in Clinical Cardiology, Fellowship in Non invasive cardiology
Cardiologist, Gurgaon
Ischemic Heart Disease - Symptoms, Risk Factors and Diagnosis

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. If you wish to discuss about any specific problem, you can consult a Cardiologist.

3192 people found this helpful

Symptoms Of An Unhealthy Heart!

Non-invasive Cardiology
Ayurveda, Thane
Symptoms Of An Unhealthy Heart!

The heart is a muscular organ that helps to pump blood through the circulatory system by periodic contractions and relaxations. The heart is one of the most important organs of the body so much so that a single cardiac arrest or a heart attack can lead to fatal consequences. Even so, a heart attack is one of the most leading causes of death in the country. But there are some earlier symptoms that could alert you ahead of time. The following are signs of an unhealthy heart:

1. Sexual problems - Erectile dysfunction (ED) is one of the most predictable reasons for cardiovascular conditions. Today, patients who are diagnosed with ED are also considered as cardiovascular patients. This is because the heart is supposedly not able to pump enough blood to the genital area. In case of women, reduced blood flow can hamper arousal and delay orgasms.

2. Snoring and sleep apneaIf one snores loudly enough to prevent their partner's from sleeping or resort to using earplugs, one may be at a risk of having a weak heart. Restricted breathing during sleep is connected with a host of cardiovascular diseases. Sleep apnea, a condition where breathing stops for a brief span of time, is linked with higher cardiovascular risks.

3. Swollen, sore and bleeding gumsSwollen and bleeding gums are not only symptoms of dental conditions but also of cardiovascular difficulties. Medical experts believe poor circulation of blood arises due to underlying heart conditions. Recent studies are focusing on bacteria that are believed to cause gum disease as well as plaque inside the arteries of the heart.

4. Heart Arrhythmia - Irregular heartbeat or heart arrhythmia is a common sign of a weak heart. It is characterized by both fast and slow beating of the heart. Restricted blood flow to the heart strains the electrical signals that maintain the normal beating of the heart. This is one of the common causes of coronary artery diseases.

5. Chest pain - One of the most apparent signs of coronary artery diseases is chest pain. The cause of the sharp, clutching pain in your chest can be build-up of plaque in the arteries, which could lead to fatal consequences.
 

In case of these symptoms, it is advised to get your risks assessed at a timely basis. If you wish to discuss about any specific problem, you can consult a Cardiologist.

4472 people found this helpful

Popular Questions & Answers

My age 68. TMT result shows positive for inducible ischemia. Total exercise time 7 mns. 8.4METS max hr 147bpm 96% of max predicted 153. Max BP 170/110. No chest pain. 1.5 MM st depression seen in infero lateral leads. No sugar no bp no cholesterol for me. Kindly suggest.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Avoid further tests. Your TMT is better than normal, ST segment abnormalities are common and don't mean too much.
1 person found this helpful

Hi, Please suggest me What is mean by TMT is negative for inducible ischemia please explain.

MD - General Medicine
General Physician, Mumbai
On giving physical stress to heart, your heart handles it well, that's it. So nothing looks like cardiac pain.

Hi, Greetings! I am 30 years old male. My weight is around 72 Kgs. Recently I have done my all blood checkups. Liver function test, kidney function test and Blood sugar level is normal but the lipid profile result is abnormal. TOTAL CHOLESTEROL level is 300, LDL CHOLESTEROL – DIRECT is 209, TRIGLYCERIDES is 184, TC/ HDL CHOLESTEROL RATIO is 6.1, LDL / HDL RATIO is 4.2 and NON-HDL CHOLESTEROL is 252. I am frightened and very much anxious. Kindly advise any safe effective medicine. Is there any homoeopathy medicine.

BHMS
Homeopath, Murshidabad
Dear Lybrate User, Cholesterol is naturally produced inside the body of every living animal. Human beings are no exception to that. But when we take mutton, chicken, yellow part of a boiled egg, ghee, butter etc we intake cholesterol from external source. This extra cholesterol from external sources increase the total cholesterol content of human body. You should always keep your cholesterol level within normal limits as high cholesterol serves as a precursor to various cardiac diseases. Avoid the aforesaid food. Walk at least 1 hour in a day without any interval. Also you can take Homoeopathic Mother Tincture FUCUS VESICULOSUS Q, 30 drops, thrice daily, after meals, in a cup of water.
1 person found this helpful

I am diabetic, having hypertension and heart disease, can I take thyronorm tablets.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. To treat hypothyroidism only available drug is Levothyroxine tablets. Hence, if you have that condition, then it may be necessary to take Thyroxine tablets. But I can only give a proper yes or know based on actual TSH value, BP reading plus some details on the heart condition. Since nothing is mentioned, it is difficult to give any opinion. Thanks.

I am taking vilano40. Doctor gave me melazeep20 for Sos. I forget to take vilano40. Today. I am feeling I could die in sleep .if I sleep by heart attack. Should I take melazeep0. 25.ow. As I wake up early at 7.please advice.

DHMS (Hons.)
Homeopath, Patna
Hello, Vilano 40 being a anti-depressant can cause insomnia, of course. I being a homoeopath can pass no comment on your medication. It would be better & safe to consult your physician in this regards. Tk, care.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?