1. Heart disease
prevention and treatment
Dr Jamshed J Dalal
Kokilaben Dhirubhai Ambani
Hospital

4. Treatment of
Coronary Artery Disease
Early Diagnosis
Early Recognisation of Risk Factor
& Modification of Risk Factor
Early Treatment
- Medical Management
- Coronary Angioplasty
Bypass Surgery (CABG)

6. Family History and IHD
 Genetic factors
 Environmental factors
 Psychological social factors

7. WHAT IS CHOLESTEROL ?

8. Management of Hypercholesterolemia :
1) Education
2) Diet
3) Exercise
4) Drug therapy

9. PINCH TEST

11. 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.

12. Type A - Personality
Ambitious
A Aggressive
Very Active
s Unsatisfied
s Non-adjustable

13. Stress Test
ECHO
Diagnosis of CAD
ECG
Gold Standard

14. Coronary Angiography
Routes
1. Femoral artery approach
2. Radial artery approach
Procedure Time
≈ 10 minutes
OPD – Day Care Procedure
4-5 hrs Hospitalisation
CT angiography

15. ANGIOPLASTY
 Arm or leg
 One hour procedure
 24 to 48 hr stay
 No anesthesia
 Back to work immediately

17. 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%

18. TREATMENT
 Non drug
 Medical
 Angioplasty
 Bypass surgery

19. Medical Management
 Aspirin
 β -blocker
 Ace Inhibitors
 Lipid Lower Agents
 Statins

20. 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

21. W
H
E
R
E
Y
O
U
E
A
T

22. Type A – Personality :
Treatment
 Stretches
 Relaxation
 Meditation
 Yogic Behavior
 Psychotherapy

23. 20
minutes

24. Prevention of Coronary Artery Disease
Control
Control Fats
Stress-yoga
Control
Control Blood Pressure
Obesity
Control Relaxation
Diabetes
Regular
Exercise Avoid Smoking

25. Prevention is better,
cheaper, and
easier, than treatment
& remember there is
no real cure