Essay On Coronary Artery Disease

Improved Essays
Coronary artery disease continues to maintain its status as the leading cause of morbidity and mortality in the United States. It is a high priority of clinicians not only to manage the acute symptoms of coronary artery disease, but also to prevent future major adverse cardiac events, such as acute myocardial infarction and cardiac death. Percutaneous coronary intervention is a nonsurgical procedure to treat atherosclerosis within the heart’s vessels (cite). Percutaneous coronary intervention, a balloon angioplasty procedure, involves inserting a metal wire stent within a constricted coronary artery. Using a balloon catheter with guided x-ray imaging, the stent is implanted as the balloon simultaneously inflates. The inflation of the balloon breaks up atherosclerotic …show more content…
The permanently inserted metal stent braces the vessel walls with structural support, encouraging adequate, non-turbulent blood flow through the vessel. Optimally, normal tissue proliferation and growth will occur to surround the stent. The use of bare metal stents in percutaneous coronary intervention, first clinically introduced in the 1980s, was an engineered advancement of its time in the treatment of coronary artery disease. Bare metal stents gained recognition for reduced rates of life-threatening cardiac events (pharm). As bare metal stents became a commonality of treatment for coronary artery disease, it became evident that optimal results were limited by restenosis from hyperplasia of smooth muscle cells (impact). In an effort to reduce the occurrence of restenosis following implantation of bare metal stents, drug-eluting stents were developed.
DRUG-ELUTING STENTS
Drug-eluting stents differ from bare metal stents in that they are coated in pharmacological agents that work against vessel restenosis and have successfully done so by suppressing tissue response. In 2003, the FDA approved

Related Documents

  • Improved Essays

    The surgeon uses x-ray imaging to direct the catheter to the heart. A guide wire with a deflated balloon and stent at the tip is passed through the catheter. When the guide wire reaches the narrowed section of the artery, the balloon will inflate and open up the artery and the stent [7]. The balloon is inflated using a fluid which diminishes the atheromatous plaques against the artery wall. The balloon is deflated and the fluid is drawn out [1].…

    • 1558 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Bio 202 Unit 1 Case Study

    • 1549 Words
    • 7 Pages

    Bio 202 - Unit #3 Case Studies: 1- Blood, Heart, and Vessels 1)WHy are lymph nodes enlarged (adenopathy)? How does this fit with his CBC test? J.T’s lymph nodes are enlarged due to a high count of white blood cell count . Jt has a high white blood cell count because his body is trying to fight off an infection. 2)…

    • 1549 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Cea Case Studies

    • 634 Words
    • 3 Pages

    CEA surgery is indicated if CVA occurred within the past 6 months in patients with documented ipsilateral carotid artery stenosis (70%–99%). Depending on age, gender and other comorbidities CEA is indicated in patients with recent CVA and documented moderate same sided carotid stenosis (50%– 69%) The estimated perioperative morbidity and mortality risk must be <50%. Include antiplatelet and statin in managing patients with carotid artery stenosis and stroke.…

    • 634 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    DES Observational Study

    • 615 Words
    • 3 Pages

    Furthermore, with the composite end point of death/MI/stroke there was no interaction between diabetics and non- diabetics with any of the revascularization strategies (p=0.65). With introduction of drug eluting stents(DES) in clinical practice, superiority of effectiveness of DES over BMS have been largely demonstrated in head to head comparison in several RCT as well observational studies and meta-analysis 15-19, therefore, we would expect a substantial improving in PCI results over CABG narrowing the gap of recurrences in favor of CABG. However, that was not the case and on the contrary all RCT and observational studies between DES and CABG showed that the gap in recurrences rate remained and there was also an unexpected increased rate of cardiac death and MI in patients treated with DES in both diabetic and non-diabetic populations 20-23.…

    • 615 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Ureteroscopy Essay

    • 335 Words
    • 2 Pages

    American Urological Association Endourological Society Guideline Statement 2016 recommends Ureteroscopy as first line therapy in patients with mid or distal ureteral stones who require intervention (who were not candidates for or who failed Medical Expulsive Therapy) with Evidence Level Grade B.1 European Association of Urology Guideline 2016 also recommends Ureteroscopy over Shock Wave Lithotripsy for ureteral stones if indicated for active stone removal - Recommendation Grade A.2 Semirigid ureteroscopes remain the most commonly used type of scope for access to the upper urinary tract.3 Stents should be inserted in patients who are at increased risk of complications (e.g., ureteral trauma, residual fragments, bleeding, perforation, Urinary Tract…

    • 335 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    Preoperative Evaluation

    • 2343 Words
    • 10 Pages

    Preoperative evaluation Cardiac surgery, including coronary artery bypass grafting and surgery for valvular disease, represents one of the most common classes of surgical procedures performed worldwide. Advances in the percutaneous management of coronary artery disease as well as in cardiac surgical techniques have led to improved outcomes with consequent longer life expectancy for patients. Greater numbers of patients with depressed left ventricular function, multiple comorbidities, failed interventional procedures, and prior revascularization operations are now referred for cardiac surgery. As a result, preoperative risk assessment is even more critical to ensure the safe performance of cardiac surgical procedures and the achievement…

    • 2343 Words
    • 10 Pages
    Great Essays
  • Great Essays

    Macrophages literally "eat" the oxidized cholesterol leaving behind foamy cells that attach to the artery's smooth muscle cells. The foamy cells then buildup within the artery. After the immune system senses the foamy cells, it releases other factors called cytokines, which attract more white blood cells and perpetuate the whole cycle. This usually repeats itself forming atherosclerotic lesions (Mamashealth.com, 2004). Hypertension the formal name given to high blood pressure by the medical community…

    • 1783 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    Main Question Post: Week 4: Cardiovascular Disorders Myocardial Ischemia and Acute Coronary Syndrome Cardiovascular disease (CVD) persists as the principle source of death amongst the men and women globally, and has claimed further breathes yearly in the United States (U.S) than “cancer, chronic lung disease, and accidents” collectively (Dunlay, & Roger, 2012). Myocardial ischemia and acute coronary syndrome originate with the coronary artery disease. According to Huether and McCance (2012), coronary artery disease (CAD) can reduce the myocardial bloodstocks until scarcity ruins myocardial metabolism sufficiently enough to instigate ischemia, an indigenous state whereby the cells are provisional denied of blood supply. A persistent ischemia or an absolute blockage of the coronary artery triggers the acute coronary syndrome. This continual obstruction advances into an infarction generally branded as a heart attack; the hallmark of averting a heart attack is contingent on avoiding the inception of coronary artery disease (Huether & McCance, 2012; Dunlay, & Roger, 2012).…

    • 1073 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    According to Paikin and Eikelboom (2012), “Aspirin is one of the most widely used medical treatments worldwide. Aspirin reduces the risk of heart attacks and strokes by preventing blood clots from forming on the surface of ruptured atherosclerotic plaques. ”Besides the fact that it helps prevent blood clots from forming on surfaces of ripped atherosclerotic plaques, aspirin also works as a pain reliever. These plaques build up over years because of injuries from high blood pressure, high blood cholesterol levels, abnormal blood sugar levels, and toxins contained in smoke. Platelets…

    • 665 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Anticoagulants are medications that stop the blood from thickening as rapidly or as efficiently as normal. Anticoagulants medicines people referred to as blood thinners. However, the blood is made any thinner or the medicine make it more dilute. The blood thinners just prevents the blood from clotting. Anticoagulants are given to patient to treat and avoid blood from clotting in the blood vessels.…

    • 943 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Hypertension: A Summary

    • 935 Words
    • 4 Pages

    Author Robert M. Rose, MD is employed at the Associate Clinical Professor of Medicine, David Geffen School of Medicine UCLA, Clinical and Interventional Cardiology, And Fellow of the American College of Cardiology. Dr. Rose is recognized as an expert in numerous fields of cardiology; this includes consultive, clinical, and interventional. He is a member of the board at Brotman Medical Center, as well as a member of the Board of Directors. He received his initial education at Wayne State University in Detroit.…

    • 935 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Then from the lungs, the blood goes to the organs of the body bythe arteries. When the blood returns to the heart by the veins, it pumped to the lungs again. Coronary arteries’ function is to supply the heart with the oxygen that is needed during the phsyical activity. The author provides the symptoms, causes, risk factors, and diagnose of coronary heart disease. Also, the article includes the types of treatment that patients need, and preventation ways from coronary heart disease.…

    • 1668 Words
    • 7 Pages
    Improved Essays
  • Decent Essays

    Warfarin: A Case Study

    • 72 Words
    • 1 Pages

    Warfarin is used on people as an anticoagulant to stop clotting within blood vessels, for example those who are prone to blood clots such as deep vein thrombosis. If a patient on warfarin is cut, the blood will take a longer period of time to clot than normal. A styptic cover with a dressing can then be used to protect the clot. Patients on warfarin will carry a card to inform…

    • 72 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    Public Health Problem Cardiovascular disease, more commonly known as heart disease, is a noninfectious, chronic, degenerative disease that has extensive historical documentation from over the ages but has become progressively prevalent with the rise of modern society. Cardiovascular disease currently stands as the leading cause of death in the United States, affecting both genders indiscriminately and is responsible for almost fifty percent of deaths that occur. It has recently become an area of intense scientific and medical investigation in collaboration with Public Health to ameliorate this health crisis. Cardiovascular disease most commonly develops in people for the three following reasons: (A) genetic makeup (this includes disorders and familial inheritance), (B) smoking and its repercussions and finally (C) personal choices and lifestyle habits (particularly those relating to diet consumption and physical exercise).…

    • 1378 Words
    • 6 Pages
    Superior Essays
  • Superior Essays

    Collagen plays a various of important roles in healing, blood clotting and tissue growth.3, 42-43 The biomaterials are used as blood-contacting devices such as collagen .The platelets tend to adsorb onto the surface of biomaterials and become activated and then the activated platelets could further initiate thrombosis until leads to clotting.44 The mechanism of thrombosis and complement activation is good for hemostatic biomaterials because they could largely prevent blood loss. However, the generated of blood clots could cause damage on blood-contacting devices. Therefore, the balance of blood-contacting devices and hemostatic material are a critical issue in the different field applications.45…

    • 2223 Words
    • 9 Pages
    Superior Essays