What is coronary heart disease?

By | 11 May 2021

What is coronary heart disease?

Diseases caused by problems that block the coronary (feeding the heart) vessels are called ‘coronary artery disease. Some plaques, popularly known as ‘hardening of the arteries, can block the flow of blood in these veins. Chest pain that occurs with fatigue due to blocking of blood flow is observed. Complete occlusion of the vein causes a dangerous picture that we call ‘heart attack’, which is life-threatening and can result in death.

Is it possible to prevent this picture?

Obstruction of the vein can cause a life-threatening ‘heart attack’ that can result in death. That’s why; Considering the risk of coronary artery disease, every chest pain should be questioned. The cause of chest pain, especially with walking and climbing stairs, should be investigated. In fact, anyone with a sore chest should go to a doctor! Because if patients suffering from chest pain or having a heart attack apply to a health institution without wasting time, it is possible to detect and open these veins instantly. In another saying; Cardiac muscle damage due to vascular occlusion can be prevented by the intervention performed within the first six hours in patients with a heart attack. Just don’t be late!

How are we in terms of treatment for coronary heart disease?

All kinds of treatment methods applied in the most developed countries of the world are successfully applied in our country. In addition to treatment, precautions should be taken to prevent the disease. Negative factors such as bad eating habits, smoking, sedentary life should be changed. In some cases, medication is used. The vessels of the heart are imaged with the method we call coronary angiography. After determining the situation here, “Should a balloon? Should a stent be applied? Should surgery be done?” It is necessary to focus on the answer to this question.

How are balloon and stent applied?

Angioplasty procedure, popularly known as ‘balloon therapy’, is a method of dilating the occluded vessels of the heart with a device. It has been successfully maintained since the first day it was applied in the world. This method of treatment has been applied in Turkey for about 15-16 years. In the first applications, when it was seen that the vessels opened after the balloon treatment was frequently clogged again, devices called stents, made of rusted steel mounted on the balloons were started to be placed in the occluded vessel. If there is multi-angle stenosis in the vessel, it can be entered with the stent mounted on the balloon. If the vein is very narrow and cannot be passed with a stent, it is entered with a balloon first, and the stent can be applied after the vein is expanded a little. Stents are tightly mounted on the balloon. We use the balloon when placing the stent into the vein. After mounting the stent, we lower the balloon and take it out of the vein.

How is anesthesia applied during stent and balloon applications?

General anesthesia is not required for coronary angiography or stent and balloon application. We need to be in contact with patients while placing the stent and balloon. We do it by talking without putting the patient to sleep. We anesthetize the place we enter through the groin with local anesthesia.

When does the patient return to his normal life?

After angiography, a 4-5 hour rest period is required in the hospital. After the stent or balloon procedure, patients need to stay in the hospital for one day. One day after angiography, stent, or balloon procedures, the patient can return to his normal life.

How is the patient followed up after treatment?

Stent, balloon application, or even bypass treatment is not a radical solution. The arteriosclerosis continues after these treatments. During regular controls, the patient’s medications are reviewed, his cholesterol is checked, the presence of chest pain is questioned, and an effort test is applied. If there is a problem with the stress test, angiography may be reconsidered to visualize the heart’s vessels.

 

 

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