Diabetes Mellitus and heart disease Diabetes is well established risk factor Increases risk Two to four times Metabolic syndrome- big stomach, high trigycerides, high BP, diabetes.
Type A - Personality AmbitiousA Aggressive Very Actives Unsatisfieds Non-adjustable
Stress Test ECHO Diagnosis of CADECG Gold Standard
Coronary AngiographyRoutes1. Femoral artery approach2. Radial artery approachProcedure Time ≈ 10 minutesOPD – Day Care Procedure 4-5 hrs Hospitalisation CT angiography
ANGIOPLASTY Arm or leg One hour procedure 24 to 48 hr stay No anesthesia Back to work immediately
Medicated stents Special drug coating on the stent which gets liberated at the site of blockage and reduces the chance of recurrence.The drug is liberated over six weeks. Reduces reblockage chances to only 5-6%
TREATMENT Non drug Medical Angioplasty Bypass surgery
BYPASS SURGERY More traumatic, needs general anesthesia Useful when there are too many blocks One month to recover Long lasting if arterial grafts used - total arterial grafting Beating Heart Surgery Bypass surgery is done without stopping the heart – no heart lung machine