Cardiovascular Occlusion (Ischemic Heart Disease)

Diseases that occur as a result of the inability of the heart muscle to be fed due to various reasons are called ischemic heart disease. The occlusion or narrowing of the coronary vessels feeding the heart due to atherosclerosis is called atherosclerosis. As a result of this blockage or contraction, the heart cannot receive the oxygen and nutrients it needs. Thus, the normal function of the heart is disrupted and the symptoms of the disease appear.

Many factors such as high cholesterol, high blood pressure, diabetes and smoking cause plaques to form on the vessel wall over time. These plaques enlarge, narrow the vessel and prevent adequate blood flow, creating the disease.

Symptoms of Ischemic Heart Disease

Clinical symptoms occur according to the degree of occlusion and narrowing of the coronary vessels.

  • Chest pain is in the form of pressure, squeezing or burning. It spreads to the neck, shoulders and chin. But the elderly and those with diabetes can have ischemic heart disease without chest pain.
  • Shortness of breath
  • Palpitations, fatigue
  • numbness in arms, loss of strength
  • Fainting

The diagnosis of ischemic heart disease can be made using many different tests such as ECG, ECO, computed tomography, myocardial perfusion scintigraphy, and MRI examination. The decision can be made according to the risk factors and clinic of the patient. Sometimes, direct coronary angiography is required, but sometimes clinical evaluation, physical examination and ECG may be sufficient.

What Are the Risk Factors for Ischemic Heart Disease?

  • Early family history of heart disease
  • Hypertension
  • having high cholesterol
  • Diabetes
  • Abdominal fat and obesity
  • Smoking

Ischemic Heart Disease Treatment

Two different goals are determined in the treatment of the disease. The first is to improve the course of the disease, and the second is to minimize the symptoms caused by the disease. These goals are started by applying drug therapy first. If the patient does not respond to drug therapy and is a high-risk patient, stent or coronary surgery methods are applied after coronary angiography. Even if a stent or surgical method is applied, drug therapy should not be discontinued. This is because drugs slow the progression of the disease and reduce symptoms in the long term.

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