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Anti-coagulation should be discontinued upon diagnosis of SCAD on coronary angiography as continuation of anti-coagulation may lead to hematoma and dissection propagation. [ 18 ] In cases involving high-risk coronaries, hemodynamic instability, or a lack of improvement or worsening after initial attempts at treatment, urgent treatment with ...
A healthy diet is a very important factor in preventing coronary ischemia or coronary artery disease. [38] A heart-healthy diet is low in saturated fat and cholesterol and high in fruits, vegetables, and whole grains. [39] Recent studies have shown that there is an inverse correlation between increased fruit and vegetable intake and the risk of ...
The diagnosis of microvascular angina (previously known as cardiac syndrome X – the rare coronary artery disease that is more common in females, as mentioned, is a diagnosis of exclusion. Therefore, usually, the same tests are used as in any person suspected of having coronary artery disease: [77] Intravascular ultrasound
The risk factors include abdominal obesity, meaning excessive visceral fat tissue in and around the abdomen, atherogenic dyslipidemia which is a blood fat disorder, and elevated blood pressure. [7] Other risk factors are insulin resistance or intolerance to glucose , prothrombotic state or proinflammatory state.
It is estimated that dietary risk factors are associated with 53% of CVD deaths. [6] Coronary artery disease, stroke, and peripheral artery disease involve atherosclerosis . [ 3 ] This may be caused by high blood pressure , smoking , diabetes mellitus , lack of exercise , obesity , high blood cholesterol , poor diet, excessive alcohol ...
[6] [7] The following risk factors are thought to be associated with coronary artery aneurysms: Individual's genetic make-up, especially in patients with congenital coronary artery aneurysms; Coronary artery disease (atherosclerosis) Vasculitic and connective tissue diseases (Kawasaki and Marfan)
The TIMI risk score can identify high risk patients in ST-elevation and non-ST segment elevation MI ACS [30] [31] and has been independently validated. [ 32 ] [ 33 ] Based on a global registry of 102,341 patients, the GRACE risk score estimates in-hospital, 6 months, 1 year, and 3-year mortality risk after a heart attack. [ 34 ]
Many risk factors for myocardial infarction are potentially modifiable, with the most important being tobacco smoking (including secondhand smoke). [16] Smoking appears to be the cause of about 36% and obesity the cause of 20% of coronary artery disease. [47] Lack of physical activity has been linked to 7–12% of cases.
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