Coronary Artery Disease

Coronary Artery Disease (CAD)

Overview

Coronary Artery Disease (CAD) is a condition where the coronary arteries, which supply blood to the heart muscle, become narrowed or blocked due to the buildup of plaque (atherosclerosis).
This reduces blood flow to the heart and can lead to chest pain, heart attack, or heart failure.

Causes

CAD mainly develops due to:

  • Atherosclerosis (fatty deposits inside arteries)
  • High cholesterol
  • High blood pressure
  • Smoking
  • Diabetes
  • Obesity
  • Sedentary lifestyle
  • Poor diet (high in fats & sugars)
  • Family history of heart disease

Symptoms

CAD may show mild or no symptoms at first. Common symptoms include:

  • Chest pain or discomfort (Angina)
  • Shortness of breath
  • Pain in shoulder, arm, neck, or jaw
  • Fatigue
  • Rapid heartbeat
  • Dizziness
  • Nausea
  • Sweating
  • Symptoms often worsen during physical activity or stress

Diagnosis

Doctors may use:

  • ECG (Electrocardiogram)
  • Echocardiogram
  • Stress test
  • Coronary angiography
  • CT coronary angiogram
  • Blood tests (cholesterol, sugar levels)

Treatment Options

1. Lifestyle Changes

  • Quit smoking
  • Regular exercise
  • Heart-healthy diet
  • Stress management
  • Weight control

2. Medications

  • Cholesterol-lowering drugs (statins)
  • Aspirin / blood thinners
  • Blood pressure medications
  • Nitroglycerin for angina
  • Diabetes control medicines

3. Medical Procedures

  • Angioplasty & Stent Placement – opens blocked arteries
  • Coronary Artery Bypass Grafting (CABG) – bypass blocked arteries
  • Enhanced External Counterpulsation (EECP) – for chronic angina

Prevention Tips

  • Maintain healthy cholesterol levels
  • Control blood pressure & sugar
  • Exercise 30 minutes daily
  • Avoid smoking & alcohol
  • Include fruits, vegetables, whole grains
  • Reduce red meat & fried foods
  • Manage stress
  • Regular heart checkups

When to Seek Medical Help

Call emergency care if you experience:

  • Severe chest pain
  • Breathlessness
  • Pain spreading to arms or jaw
  • Sudden dizziness or fainting

Early treatment can prevent heart attack and save lives.

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