Coronary Artery Disease

A 38-year old engineer began feeling minor pains in his chest.  The pains usually subsided upon rest. As a precautionary measure, the engineer went for a medical; examination, which was conducted by a qualified cardiovascular specialist.  The angiogram and medical examination results indicated that the engineer had narrowed coronary arteries, which indicated the sign of the blockage in the future, a condition known as angina (Phillips, 2015).  The medical examiner cited thrombosis as the cause of the problem, and this led to the reduced flow of blood to the engineer’s heart (Phillips, 2015).  Upon a discussion of the results with the patient, it was found out that his family had a heart of heart diseases, as three close family members had suffered a stroke in the past 30 years.


The Cardiac Evaluation Revealed The Following


Description                                     Artery occluded


Inferior                         RCA


Anteroapical                         Distal LAD


Anterolateral                        Circumflex artery


Extensive anterior                     Proximal LCA


True posterior                         RCA


Discussion


The condition of the patient shows symptom related to lack of enough oxygen being supplied to the heart as a result of the coronary arteries narrowing down (American Heart Association, 2017). The symptoms can lead to more serious problems such as myocardial infarction. The symptoms arise when a person is a smoker, when a person has thrombosis, high blood pressure or diabetes. Coronary angioplasty is the term used for the immediate treatment for this condition (Stanley, 2018). Atherosclerotic plague is what needs to pushed aside to resume constant blood flow to the heart. Artery bypass can also be used to deal with the condition through inserting an artificial artery in a patient’s heart.


Conclusion


The cardiovascular vasculature reveals that a blockage of the coronary arteries leads to angina; a disease which when not treated could lead to stroke or a heart attack. The disease is evidenced by chest pains and a reduced flow of blood to the heart. Treatment of the disease is through Coronary angioplasty or an artery by-pass. Research has proven that the diseases can be hereditary or offset by lifestyle behaviors such as smoking.


Discussion Questions


1.    How many types of coronary arteries are affected by angina


The right coronary, right marginal, posterior interventricular and the left coronary.


2.    What other the other  major treatments for  cardiovascular diseases


Heart valve surgery, implanting a pacemaker, medications, and


Carotid Endarterectomy.


References


American Heart Association (2017). What is Cardiovascular Disease? Retrieved from http://www.heart.org/HEARTORG/Conditions/What-is-Cardiovascular-Disease_UCM_301852_Article.jsp#.Wp-_NbOx_hk


Phillips, S. A (2015).  The  Vasculature in Cardiovascular Diseases: Will the Vasculature Tell Us What the Future Holds. Progress in Cardiovascular Diseases, 57, 407–408


Stanley, S. (2018). Vasculature of the heart. Retrieved from http://teachmeanatomy.info/thorax/organs/heart/heart-vasculature/

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