coronary artery disease ( CAD ),Ischemic heart disease ( IHD )

1. CORONARY ARTERY
DISEASE...

2. DEFINITION...
• Coronary artery disease ( Also called coronary heart
artery disease or Ischemic heart disease) involves the
reduction of blood to the heart muscles due to the build
up of plaque in the arteries ( Atherosclerosis ) of the
heart.
• It is the most common cardiovascular disease.

3. TYPES
:
• Stable Angina
• Unstable Angina
• Myocardial infarction
• Heart attack

4. RISK FACTORS:
1. Modifiable
2. Non - modifiable

5. MODIFIABLE
• High blood cholesterol level
• cigratte smoking
• tobacco
• hypertension
• diabetes mellitus
• lack of oestrogen in women
• physical inactivity
• obesity

6. NON MODIFIABLE
• family history
• increase in age
• gender (male)
• non white population

7. SIGNS AND
SYMPTOMS
1. Chest pain ( Angina )
2. Diaphoresis
3. ECG changes
4. Dysarrithmias
5. Chest heaviness
6. Dyspnea
7. Fatigue
8. Syncope

8. DIAGNOSIS:
• ECG
• Echocardiogram
• Stress test
• Nuclear cardiac imaging
• Angiography

9. COMPLICATIONS:
• Angina
• Heart attack
• Heart failure
• Arrhythmia

10. MANAGEMENT :
1. Pharmacological Therapy:
💊 Nitrates
💊 Beta- Andregenic blockers
💊 calcium channel blocker
💊 ACE inhibitors
💊 statins
💊 imipramine for anaglesia

11. SURGICAL INTERVENTIONS
• Angioplasty
• Stent
• CABG
• PTCA

12. LIFE STYLE
CHANGES
• Weight control
• Smoking cessation
• Excercise
• Healthy diet