There are almost 7 million Americans in the United States that suffer from Coronary Artery Disease today. The prognosis for many of these patients depends upon the major therapeutic option of medical management that they choose to receive, the most essential variables that predict the prognosis and likelihood for future events are the extent and severity of the disease at the time of diagnosis. Basically, this translates to mean that the more abnormal the scans and tests are, the higher the prognosis is going to be for future coronary events to occur and therefore the higher the prognosis is going to be for a shorter life span, the lower the progression of the disease the higher the chance is going to be for a longer life span for the patient. A higher risk patient is going to be one with extensive defects from the disease, a patient with little to no defects is going to be low risk, and those with limited defects are going to be at a more intermediate risk. Whether it is because of their familial history of the disease or because of risk factors such as smoking, high blood pressure, high cholesterol, or obesity really does not matter considerably because many of the 500,000 deaths that occur from this disease could be prevented if more of the risk factors were prevented. This disease is the number one killer of both men and women older than 65 years of age because coronary artery disease in contracted as a result from the narrowing of the coronary arteries that feed the heart, and when those arteries become clogged and cannot supply enough blood, oxygen and nutrients in the coronary arteries, people develop chest pains, also more commonly known as angina which is a secondary condition of having Coronary Artery Disease. . These t... ... middle of paper ... ...ital if you have symptoms such as dizziness, fatigue, chest pain, or heartburn it is essential that you get to a hospital immediately, just to make sure that you can get the treatment that you need so you and your family do not have to experience a myocardial infraction. Even though coronary artery disease usually affects persons over age 60, the disease can still be seen in people who are much younger for various reasons. The diagnosis of coronary artery disease remains the number one cause of hospitalization and death in the adult population in the United States today, but with the proper treatments, knowing the risk factors of coronary artery disease and medical technology such as stents, coronary endocartomy, and coronary bypass grafting that we have available to us today the prognosis can be positive for many patients and will save more lives than not knowing.
Coronary artery disease is a heart disease characterized by narrow arteries and restricted blood flow in arteries and is the major cause of morbidity and mortality globally.[1] According to WHO estimation, 6.8% in men and 5.3% in women are affected globally.[2-4] Cardiovascular disease account for 29% of all deaths in Canada; of all the cardiovascular death, 54% and 23% was due to ischemic heart disease and heart attack, respectively. The total costs for heart disease and stroke were more than $20.9 billion every year. [5,6] With more than 1 artery impacted, multivessel coronary artery disease is more complex and more likely accompanied by other comorbidities including diabetes or high blood pressure; multivessel coronary artery disease usually is more difficult to deal with, has worse prognosis and cost more compared with single coronary artery disease. [7]
After review of the clinical information provided by North Central Bronx Hospital, the Medical Director has denied your admission to North Central Bronx Hospital. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 56 year old female with complaints of worsening pressure-like chest pain on the left sided that radiated to your left arm and neck. The symptoms began when you were at rest and woke you from your sleep. Based on the Interqual guideline (a decision based program to determine medical need) criteria to for acute coronary syndrome the clinical guidelines were not met because troponins were negative, there was no diagnostic testing such as a stress test, or documentation of ischemia in the clinical information that was submitted.
In a conclusion, although cardiovascular disease remains the major concern to many citizens, the survival rate is still high for those who admitted to hospital as the improvement in medical care and emergency treatment plan. However, one should instantly seek for medical aid when developing symptoms of myocardial infarction such as chest pain, shortness of breath and nausea. Precautions are always better than cure, one should maintain a healthy diet, exercise regularly and quit smoking in order to avoid the occurring of cardiovascular disease.
Most individual would think that the cause of diabetes, heart disease, or other chronic disease is because of their own unhealthy lifestyle decisions. For instance, most people would think because of smoking, stress, and not enough exercise can have a higher chance of attending those disease. However, Barker have a different point of view. As D.J.P Barker state in his article titled, Fetal and Infant Origins of Adult Disease Hypothesis that adaptations that fetus make when is under-nourished rather than adaptations made in adult life and those made during early development tends to have permanent effect on body's structure and function (Barker, 2001). He hypothesize that low birth weight is a factor contributing to development of coronary heart disease in adulthood but he neglected there are sociological factors during adult life can also trigger the development of coronary heart disease as well. Even though the Fetal Origins Hypothesis used an biological explanation to the development of coronary heart disease but it fails to recognize the sociological factors to coronary heart disease. One's position on the socioeconomic gradient has a contribution to the risk of coronary heart disease.
Cardiovascular disease is currently the leading cause of death in the United States. It is responsible for one in four deaths every year, about 600,000 mortalities. This disease affects men and women, as well as every ethnic group. Coronary artery disease is the most common cardiovascular disease, representing approximately 400,000 deaths per year of the aforementioned 600,000 total deaths from cardiovascular diseases as a whole. In 2010 alone, coronary artery disease cost the United States $108.9 billion for health care services, medication, and lost productivity. These chilling statistics, published every year by the American Medical Association, demonstrate the immediate need for new and innovative ways to prevent, detect, and treat coronary heart disease. This paper will explore the molecular biology behind the disease while explaining the current treatments and prevention that are available today, why they work and what can be done to improve them.
Since 1960 the age-adjusted mortality rates for cardiovascular disease (CVD) has declined steadily in the U.S. due to multiple factors, but still remains one of the primary causes of morbidity and premature mortality worldwide. Greater control of risk factors and improved treatments for cardiovascular disease has significantly contributed to this decline (Centers for Disease Control and Prevention, 2011). In the U.S. alone it claims approximately 830,000 each year and accounts for 1/6 of all deaths under the age of 65 (Weiss and Lonnquist, 2011). Based on the 2007 mortality rate data an average of 1 death every 37 seconds is due to cardiovascular disease (Lloyd-Jones et al., 2009). Controlling and reducing risk factors is crucial for saving lives. There are a number of contributing risk factors for cardiovascular disease, which may appear in the form of hereditary, behavioral, and psychological, all of which ultimately converge in social or cultural factors.
Prevention of Coronary Heart Disease Cardiovascular Disease, or CVD, is Britains biggest killer, responsible for 40% of premature deaths in Britain. CVD is a comprehensive term for several afflictions of the cardiovascular system - the heart and blood vessels of the body. These afflictions are Coronary Heart Disease (CHD), Atherosclerosis and arteriosclerosis, Angina, Coronary Thrombosis and Myocardial Infarction and Stroke. Apart from the high mortality rate - it is estimated that CVD kills 140,000 people a year under 75 years old, chronic heart disease causes incapacitation, suffering and pain in many of it's victims. Much heart disease is also self-inflicted and therefore avoidable.
Today, cardiovascular disease is “the number one killer in the United States and the developed world” (Sapolsky, 2004, p. 41). Coronary heart disease (CHD) is the most common form of cardiovascular disease, and is responsible for claiming an unreasonable amount of lives every year. CHD can begin to accumulate in young adults, but is prominently found in both men and women in their later adult lives. As a result of CHD, men typically experience heart attacks, whereas women present with chest pains, known as angina (Matthews, 2005).
Coronary heart disease or coronary artery disease affects 16.8 million people in the United States and causes more than 607,000 deaths annually (Lemone, chap.30). It is caused by atherosclerosis which is the accumulation of fatty deposits in the arteries causing impaired blood flow to the myocardium. CAD or coronary artery syndrome is usually without symptoms but may induce heart attack, angina and acute coronary syndrome if not properly treated. There are many risk factors associated with CAD like obesity, high cholesterol diet, hereditary, physical inactivity, just to name a few. Patients with CAD may be unable to identify and manage their risks factors. It is imperative for nurses to educate the patient about CAD and measures to enhance their health.
One of the leading causes of death in the United States is heart disease. “Approximately every 29 seconds one American will have a heart attack, and once a minute one American will die from a heart attack” (Ford-Martin and Odle, 915). According to the Gale Encyclopedia of Alternative Medicine men over the age of 45 and women over the age of 55 are considered at risk for heart disease. Heart disease is a major cause of death. It is beneficial to individuals who seek to prevent heart disease to recognize the risks leading to heart attacks as they are one of the primary indications of developing heart disease; especially those that fall into the at risk age groups. These risks consist of some that cannot be changed such as heredity risks, or those that can change such as smoking habits. It is very important to know these specific risks for prevention and to understand the symptoms of heart attacks, such as sweating or the feeling of weakness so if these or other symptoms occur people are aware. Finally heart disease treatment is of vital importance if you experience a heart attack so you can learn how to prevent another one from occurring.
Coronary Heart Disease Coronary heart disease is the most common form of heart disease. It is a general term for both heart attack and angina. Many people suffer from it and 500,000 Americans die from it each year. It is much more common in older people and in males. However, women tend to be older and sicker when they are first treated for a heart attack.
Coronary Heart Disease Coronary heart disease occurs when the coronary arteries become partially blocked from, cholesterol and fat, circulating in the blood. This causes a build up inside the walls of the arteries. This only occurs if the levels of fat and cholesterol are extremely high in the blood that there is a greater chance that it will be deposited onto the artery walls. If the arteries become completely blocked, the patient will have a myocardial infarction, commonly known as a heart attack.
What is coronary heart disease (CHD)? It is a disease when plaque gets built up in the coronary arteries; and the job of the arteries are to provide rich-oxygenated blood to the heart muscle. Built plaque in the arteries leads to atherosclerosis and the plaque that is built can result from over the years. Throughout the years, the plaque tends to get hard or can rupture. If hardened, the arteries are now narrow and have weakened the flow of blood that travels to the heart. Blood clots can form from the plaque rupturing which can cause a great chance for the blood flow to be mostly blocked or blocked altogether. There are other names for coronary heart disease such as coronary artery disease, atherosclerosis, ischemic heart disease, etc.
Often times there are no symptoms of the underlying disease of the blood vessels. More times than not, a heart attack or stroke is the first warning or sign of the underlying disease. Since signs and symptoms of cardiovascular disease are not always apparent, it is important to know the symptoms of a heart attack so medical attention can be sought out immediately. According to...
The Advantages And Disadvantages Of Treatments Of Heart Disease Every year in the United Kingdom 270,000 people suffer heart attacks; along with this 2.1 million people suffer angina and other classic symptoms of heart disease (source 6). In this piece I am going to discus and in some cases challenge the modern technological, pharmaceutical and ethical issues related to heart disease. = ==