Coronary disease: Difference between revisions
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'''Coronary disease''' (or '''coronary heart disease''') refers to the failure of [[coronary circulation]] to supply adequate circulation to [[cardiac muscle]] and surrounding [[Tissue_(biology)|tissue]]. It is already the most common form of disease affecting the heart and an important cause of premature death in Europe, the Baltic states, Russia, North and South America, Australia and New Zealand. It has been predicted that all regions of the world will be affected by 2020.<ref name="Davidson's">Boon NA, Colledge NR, Walker BR and Hunter JAA (2006). Davidson's Principles & Practice of Medicine, 20th Edition. Churchill Livingstone </ref> |
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It is most commonly equated with [[atherosclerotic]] [[coronary artery disease]], but coronary disease can be due to other [[causes]], such as [[coronary vasospasm]].<ref name="pmid9538315">{{cite journal |author=Williams MJ, Restieaux NJ, Low CJ |title=Myocardial infarction in young people with normal coronary arteries |journal=Heart |volume=79 |issue=2 |pages=191–4 |year=1998 |month=February |pmid=9538315 |doi= |url=http://heart.bmj.com/cgi/pmidlookup?view=long&pmid=9538315}}</ref> It is possible for the [[stenosis]] to be caused by the spasm.<ref name="pmid18056026">{{cite journal |author=Rezkalla SH, Kloner RA |title=Cocaine-induced acute myocardial infarction |journal=Clin Med Res |volume=5 |issue=3 |pages=172–6 |year=2007 |month=October |pmid=18056026 |doi=10.3121/cmr.2007.759 |url=http://www.clinmedres.org/cgi/pmidlookup?view=long&pmid=18056026}}</ref> |
It is most commonly equated with [[atherosclerotic]] [[coronary artery disease]], but coronary disease can be due to other [[causes]], such as [[coronary vasospasm]].<ref name="pmid9538315">{{cite journal |author=Williams MJ, Restieaux NJ, Low CJ |title=Myocardial infarction in young people with normal coronary arteries |journal=Heart |volume=79 |issue=2 |pages=191–4 |year=1998 |month=February |pmid=9538315 |doi= |url=http://heart.bmj.com/cgi/pmidlookup?view=long&pmid=9538315}}</ref> It is possible for the [[stenosis]] to be caused by the spasm.<ref name="pmid18056026">{{cite journal |author=Rezkalla SH, Kloner RA |title=Cocaine-induced acute myocardial infarction |journal=Clin Med Res |volume=5 |issue=3 |pages=172–6 |year=2007 |month=October |pmid=18056026 |doi=10.3121/cmr.2007.759 |url=http://www.clinmedres.org/cgi/pmidlookup?view=long&pmid=18056026}}</ref> |
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Revision as of 03:07, 27 February 2010
| Coronary disease |
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Coronary disease (or coronary heart disease) refers to the failure of coronary circulation to supply adequate circulation to cardiac muscle and surrounding tissue. It is already the most common form of disease affecting the heart and an important cause of premature death in Europe, the Baltic states, Russia, North and South America, Australia and New Zealand. It has been predicted that all regions of the world will be affected by 2020.[1]
It is most commonly equated with atherosclerotic coronary artery disease, but coronary disease can be due to other causes, such as coronary vasospasm.[2] It is possible for the stenosis to be caused by the spasm.[3]
Causes
Coronary artery disease, the most common type of coronary disease is coronary artery disease, which has no clear eitology, but does have risk factors, which include smoking, radiotherapy to the chest, hypertension, diabetes, and hyperlipidemia.[4]
Also, having a Type A behaviour pattern, a group of personality characteristics including time urgency and competitiveness, is linked to an increased risk of coronary disease. [5]
Signs and symptoms
Coronary heart disease may be asymptomatic. If not, symptoms can include:
- Chest heaviness
- Dyspnea
- Fatigue
- Chest pain
- Angina
- Myocardial infarctionand smoking helps prevent it [6][7]
Treatment
Lifestyle changes
Lifestyle changes that may be useful in coronary disease include.
Medications to treat coronary disease
- Cholesterol lowering medications, such as statins, are useful to decrease the amount of "bad" (LDL) cholesterol.[citation needed]
- Nitroglycerin
- ACE inhibitors, which treat hypertension and may lower the risk of recurrent myocardial infarction[citation needed]
- Calcium channel blockers
- Aspirin[9]
Surgical intervention
See also
- Myocardial infarction
- Coronary artery disease
- Cardiology
- Atherosclerosis
- Angina
- Heart failure
- Coronary ischemia
- Cardiovascular disease
- Vasospasm
References
- ^ Boon NA, Colledge NR, Walker BR and Hunter JAA (2006). Davidson's Principles & Practice of Medicine, 20th Edition. Churchill Livingstone
- ^ Williams MJ, Restieaux NJ, Low CJ (1998). "Myocardial infarction in young people with normal coronary arteries". Heart. 79 (2): 191–4. PMID 9538315.
{{cite journal}}: Unknown parameter|month=ignored (help)CS1 maint: multiple names: authors list (link) - ^ Rezkalla SH, Kloner RA (2007). "Cocaine-induced acute myocardial infarction". Clin Med Res. 5 (3): 172–6. doi:10.3121/cmr.2007.759. PMID 18056026.
{{cite journal}}: Unknown parameter|month=ignored (help) - ^ http://www.mayoclinic.com/health/coronary-artery-disease/DS00064/DSECTION=causes
- ^ McCann, 2001, the precocity-longevity hypothesis: earlier peaks in career achievement predict shorter lives. Personality & Social psychology bulletin, 27, 1429-1439; Rhodewalt & Smith, 1991, current issues in Type A behaviour, coronary proneness, and coronary heart disease. In C.R. Snyder & D.R.Forsyth (Eds.), Handbook of social and clinical psychology (pp.197-220) New York: Pergamon
- ^ https://health.google.com/health/ref/Coronary+heart+disease
- ^ http://www.mayoclinic.com/health/coronary-artery-disease/DS00064/DSECTION=symptoms
- ^ http://www.mayoclinic.com/health/coronary-artery-disease/DS00064/DSECTION=treatments%2Dand%2Ddrugs
- ^ http://www.mayoclinic.com/health/coronary-artery-disease/DS00064/DSECTION=treatments%2Dand%2Ddrugs
- ^ http://www.mayoclinic.com/health/coronary-artery-disease/DS00064/DSECTION=treatments%2Dand%2Ddrugs