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Heart Disease: Ischemic Heart Disease
Risk Factors for Ischemic Heart Disease (I.H.D):
These are factors, which either accelerate the rate of formation of
or increase the risk of plaque rupture. Some of the factors cannot be modified at present. These are increased age, family history of A.M.I and male gender.
Other risk factors are modifiable, being directly or indirectly under the control of the individual.
Other Ischemic Heart Disease Risk Factors are:
High blood cholesterol (hyperlipidemia
Prevention of Ischemic Heart Disease (I.H.D):
Prevention is largely by actively attending to the modifiable risk factors: -exercise, diet, weight reduction etc. Attacks of
can be prevented by the use of
before commencing an activity that would normally produce symptoms. For certain types of
, the nitrates may be supplied in the form of a patch applied to the skin. Removing the patch at the specified time and specified interest is essential for maximum efficiency. Other medication called calcium channel blockers can be used in addition to nitrates especially in those variants of angina where there is an element of
coronary artery spasm.
The use of
, whose genuine names usually end in ‘olol’, significantly raises the threshold of physical activity that can be achieved before experiencing
There is a role for surgery in the management of crippling
. The two standard methods are either the minor, but highly skilled procedure of
Percutaneous Coronary Angioplasty
or the major open-heart surgery for
Coronary Artery Bypass Grafting. (C A B G)
In the case of
, there is a role for the
agent aspirin in its prevention. During the past two decades, the morbidity and mortality of this condition has been considerably reduced by the introduction of
Thrombolytic (clot dissolving)
therapy during the early stages of an attack. This approach often restores blood flow through a treated coronary artery and saves the underling heart muscle. There is also the role for surgery to play in a small subset of those patients who experience a coronary thrombosis. These measures are in addition to the routine pain management, treatment of arrhythmias, heart failure and acute circulatory failure (shock) as well as prevention of other complications.