Coronary Atherosclerosis: Management

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Questions and Answers

Describe the primary mechanism by which coronary atherosclerosis leads to myocardial ischemia.

Plaque buildup narrows the coronary arteries, reducing blood flow to the heart muscle, leading to ischemia.

What is the significance of LDL cholesterol in the pathophysiology of coronary atherosclerosis?

Elevated LDL cholesterol contributes to the formation and growth of atherosclerotic plaques in coronary arteries.

Explain how endothelial dysfunction contributes to the development of coronary atherosclerosis.

Damaged endothelium allows lipids and inflammatory cells to accumulate in the arterial wall, initiating plaque formation.

List three modifiable risk factors that significantly contribute to the progression of coronary atherosclerosis.

<p>Smoking, hypertension, and hyperlipidemia (high cholesterol) are major modifiable risk factors.</p> Signup and view all the answers

How does coronary artery bypass grafting (CABG) improve myocardial perfusion in patients with coronary atherosclerosis?

<p>CABG creates new pathways for blood to flow around blocked coronary arteries, restoring blood supply to the heart muscle.</p> Signup and view all the answers

What is the primary goal of percutaneous coronary intervention (PCI) in the management of coronary atherosclerosis?

<p>PCI aims to open blocked coronary arteries, typically using balloon angioplasty and stent placement, to improve blood flow.</p> Signup and view all the answers

Describe the role of antiplatelet medications in managing coronary atherosclerosis following PCI or CABG.

<p>Antiplatelet drugs prevent blood clot formation on stents or grafts, reducing the risk of thrombosis and vessel occlusion.</p> Signup and view all the answers

Explain how beta-blockers can alleviate symptoms of angina in patients with coronary atherosclerosis.

<p>Beta-blockers reduce heart rate and contractility, decreasing myocardial oxygen demand and preventing ischemia.</p> Signup and view all the answers

What is the purpose of using statins in the medical management of coronary atherosclerosis?

<p>Statins lower LDL cholesterol levels, stabilizing plaques and reducing the risk of cardiovascular events.</p> Signup and view all the answers

Describe one important physiotherapy intervention for patients recovering from CABG, and explain why it is beneficial.

<p>Early mobilization helps prevent complications like pneumonia and deep vein thrombosis, improving overall recovery and function.</p> Signup and view all the answers

Flashcards

Coronary Atherosclerosis

A condition where plaque builds up inside the coronary arteries, leading to reduced blood flow to the heart muscle.

Medical Management

Medical management aims to control risk factors, alleviate symptoms, and prevent disease progression through medications.

Surgical Management

Invasive procedures such as angioplasty (with or without stenting) or coronary artery bypass grafting (CABG) to improve blood flow to the heart.

Cardiac Rehabilitation

Cardiac rehabilitation involves exercise training, education, and counseling to improve cardiovascular health and overall well-being.

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Exercise Training

Exercise training helps improve cardiovascular fitness, reduce symptoms like chest pain and shortness of breath, and enhance overall functional capacity.

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Patient education and counseling

Includes education on heart-healthy lifestyle choices, such as diet, smoking cessation, stress management, and medication adherence.

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Study Notes

  • Coronary atherosclerosis involves the buildup of plaque in the coronary arteries, leading to reduced blood flow to the heart.
  • Management includes medical, surgical, and physiotherapy approaches.

Medical Management

  • Focuses on medications to manage risk factors and symptoms.
  • Statins lower cholesterol levels.
  • Antiplatelet drugs prevent blood clot formation.
  • Beta-blockers reduce heart rate and blood pressure.
  • ACE inhibitors help manage blood pressure and protect the heart.

Surgical Management

  • Percutaneous coronary intervention (PCI) involves inserting a catheter with a balloon to open blocked arteries, often with stent placement.
  • Coronary artery bypass grafting (CABG) involves using a blood vessel from another part of the body to bypass blocked coronary arteries.

Physiotherapy Management

  • Aims to improve cardiovascular fitness, reduce symptoms, and enhance quality of life through exercise and lifestyle modifications.
  • Cardiac rehabilitation programs are tailored to individual patient needs and include exercise training, education, and counseling.
  • Exercise training involves aerobic exercises (e.g., walking, cycling) and resistance training to improve strength and endurance.
  • Education focuses on risk factor modification, medication adherence, and lifestyle changes.
  • Counseling addresses psychological and emotional aspects of the condition.

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