Does stress cause a heart attack? When is angiography necessary?.. Answers to the 10 most frequently asked questions about cardiovascular diseases and treatment methods…

Does stress cause a heart attack? When is angiography necessary?.. Answers to the 10 most frequently asked questions about cardiovascular diseases and treatment methods…

1. How common are cardiovascular diseases in our country?

Cardiovascular diseases are the leading cause of death in Turkey with a rate of 43 percent. According to the Turkish Society of Cardiology, 330 thousand new people develop cardiovascular disease every year in our country. In order to prevent cardiovascular diseases, first of all, adopting an active life, eating a Mediterranean diet, not smoking, high cholesterol,
Problems such as metabolic syndrome and high blood pressure must also be controlled.

2. Does stress cause a heart attack?

One of the most curious subjects in cardiovascular disease is whether stress has an effect on a heart attack. Acute stress, such as experiencing a major disaster, the death of a loved one, or going into a serious financial crisis, does not play a decisive role in a heart attack. This kind of stress, which is defined as acute stress, can only bring forward the date of an infarction that will already be passed. On the other hand, chronic stress, depression and anxiety, which are important problems of our age, almost invite heart attacks. Therefore, it is useful to regularly practice stress-relieving methods such as meditation to prevent heart attack.

3. Why do heart diseases take the first place in deaths?

The most important reason for this is the adoption of a sedentary life and fast food type nutrition today. In addition, cardiovascular diseases progress insidiously. So much so that about one third of coronary artery patients die as a result of a sudden heart attack without knowing that they have this disease. In approximately one third of the patients, the first symptom appears as an infarction. Therefore, only 25 percent of these patients understand that they have coronary artery disease with symptoms such as chest pain.

4- How do we know that we have cardiovascular disease?

prof. Dr. According to Koylan, there is no practical answer to this question. Frequently used electrocardiography can make a clear diagnosis in only 10 percent of patients. Biochemical studies only help determine how high the risk is. The thallium test, angiography, computed tomography, calcium scoring and other tests that can give more concrete results also have a significant margin of error. Moreover, the cost of these methods is quite high. Therefore, it remains a question mark what a person’s risk of having an infarction is or whether such a danger will develop in the near future.

5. When to apply angiography method?

prof. Dr. Koylan points out that coronary angiography is not a diagnostic method. This method should only be used in the presence of strong evidence of cardiovascular disease to determine the type of intervention to be performed. “Is there anything wrong with my veins?” According to experts, it is inconvenient to have an angiography done. Because, although it is rare, this technique can lead to serious bleeding or death.

6. What should a person who suspects heart disease do?

prof. Dr. Koylan states that they benefit greatly from risk calculations in the diagnosis of cardiovascular disease. For this reason, it is necessary to calculate the risk first and to apply preventive treatments for the emerging risk factors. Changes to be made in lifestyle are the most important measures to be taken.

7. How is it treated?

Coronary artery disease; It can be treated with three methods: medication, stent and by-pass. Factors such as the location of the clogged area and how many veins should be intervened determine the type of treatment. Today, both emergency by-pass and emergency angioplasty have almost revolutionized the treatment of acute infarction. Especially the primary angioplasty method and the opening of the clogged vessel with a stent during a heart attack provide very serious benefits. Patients can now live a healthy life as if they had never had an infarction after treatment, with very little damage. However, for this, the patient should be transported to the hospital in the first hour or two after the crisis, if possible.

8. Stent or by-pass?

Today, two methods are used most frequently in cardiovascular disease; stents and by-pass operation. In particular, drug-eluting stent technology provides great benefits in the treatment of this disease. These stents, also called steel cages, can reduce the risk of blockage of the treated vessel by up to 5 percent by secreting drugs. The choice between bypass and stent is determined by the patient’s vascular structure. If the clogged vessel can be opened with a stent, this method is preferred first. In cases where results cannot be obtained, the bypass method is used.

9. When drug therapy?

Experts generally resort to drug therapy in cases where by-pass cannot be applied. This is because patients prefer short-term solutions. However, if the patient does not complain of chest pain and there is no problem in heart functions, then there is little point in resorting to by-pass or stent methods. Very successful results can be obtained with drug treatment applied to these patients. In large-scale studies conducted in the USA, those who received only drug treatment and those who received by-pass or stent were compared. As a result of this research, it was revealed that by-pass and stent methods did not have any effect on prolonging the life of the patients.

10. What should be considered after the treatment?

The cardiovascular patient should definitely adjust his lifestyle after treatment. It is possible to live a healthy life with simple precautions to be taken. The first thing to do for this is to adopt an active life. For example, preferring the stairs instead of the elevator, walking short distances instead of using the car. According to experts, it is necessary to walk ten thousand steps every day for a healthy life. Smoking should be stopped, plenty of vegetables and fruits should be consumed, and excessive fatty foods should be avoided. In addition to these, those who suffer from diabetes, metabolic syndrome, high cholesterol or blood pressure should not neglect to control these risk factors.

prof. Dr. Nevrez Koylan

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