What are the causes of Coronary Heart Disease?
Coronary heart disease initially caused by fat accumulation in the walls of the blood vessels of the heart (coronary arteries), and this long run is followed by various processes such as accumulation of connective tissue, calcification, blood clotting, etc., all of which will be narrowed or clogged arteries . This will cause the heart muscle in those areas experiencing shortages of blood flow and can cause many serious consequences, from angina pectoris (chest pain) until Infarction Heart, which in community known as a heart attack that can cause sudden death.
Some of the most important risk factor for coronary heart disease :
- Total and LDL Cholesterol Levels High
- Low HDL Cholesterol Levels
- High Blood Pressure (Hypertension)
- Smoking
- Diabetes Mellitus
- Obesity
- History of heart disease in the family descendants
- Lack of exercise
- Stress
When you carry one or several risk factors mentioned above, you are encouraged periodically check your heart health to an expert. The presence of two or more risk factors will be multiplied times the total raised risk of coronary heart disease.
Detection of Coronary Heart Disease
Several checks can be performed to detect coronary heart disease among others: ECG, Treadmill, Echokardiografi and coronary arteriography (often known as catheterization).
ECG can be detected by examination of the possibility of abnormalities in your heart with 40% accuracy level. Then if necessary you will be encouraged to perform examinations Echokardiografi Treadmill.
Based on the results of these chances are you will be encouraged to perform coronary arteriography examinations (catheterization), which has the highest level of accuracy (99-100%) to determine whether you have coronary heart disease.
What is cardiac catheterization?
Artery cross-section of a normal / healthy
Cardiac catheterization is an investigation that aims to examine the structure and functioning of the heart, including a heart, heart valves, heart muscle, and heart blood vessels including coronary arteries, especially to detect a clogged coronary arteries.
Cross-section that narrows arteries due to accumulation of cholesterol
The procedure is performed by a specialist by using angiography. By administering the contrast agent through the catheter, doctors can know the exact location, size, and weight or the degree of narrowing of the coronary arteries. Results will be recorded clearly in the movie or CD (Compact Disc).
What about the results of cardiac catheterization?
Your doctor will explain the results of movies recorded during the action and possible further treatment. When the results from these films show us the constriction of coronary arteries, your doctor will tell whether enough measures subsequent treatment with drugs or by act of widening the coronary arteries are narrowed or blocked by using certain tools or blown, Percutaneous Transluminal Coronary Angioplasty, abbreviated PTCA or lately called Percutaneous Coronary Intervention abbreviated PCI; or should be made Open Heart Surgery (Open Heart Surgery) to install new blood vessels to replace a clogged heart arteries Coronary Artery Bypass Surgery abbreviated CABS.
What about the risk of cardiac catheterization?
With increasingly sophisticated equipment and the development Angiography new techniques, in general, practically catheterization action is not considered a risk.
According to statistical data from the thousands of patients who have been running in RS Medistra Jakarta Indonesia, catheterization showed that his success rate is very high, on par with that done in the United States.
What is an act of “blowing” (PTCA-PCI)?
Act of “blowing,” or “ballonization” or “Angioplasty” aims to widen the narrowing of coronary arteries using a special catheter has a balloon tip. The balloon is inserted and expanded right where constriction of blood vessels of the heart. Thus narrowing the open.
To refine the results of these blowing, sometimes necessary action taken in the same time, such as the installation of the ring or ring buffer (Stents), drilling the crust in the blood vessels (Rotablation) or scale dredging vessels (Directional Atherectomy).
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