What is Coronary Artery Disease?

Coronary artery disease (CAD) may be the finish consequence of the accumulation of atheromatous plaques inside the walls from the coronary arterial blood vessels (bloodstream ships) supplying the myocardium (muscle from the heart) with oxygen and nutrition. Coronary artery disease continues to be leading reason for dying within the globe and it is rated second most standard reason for mortality in Singapore. CAD can also be the most typical reason for sudden dying in grown ups over two decades old.

As the symptoms and signs and symptoms of coronary artery disease are noted within the advanced condition of disease, most people with coronary artery disease show no proof of disease for many years because the disease progresses prior to the first start of symptoms, frequently as a "sudden" heart attack, finally arises. After decades of progression, a few of these atheromatous plaques may rupture and (together with the activation from the bloodstream clots system) start restricting bloodstream flow towards the heart muscle.



The look above demonstrates natural progress from the formation of atheromatous plaque (coronary artery disease).

Control over Coronary Artery Disease

The control over coronary artery disease could be split into (1) primary protection against coronaryartery disease. (2) secondary prevention (definitive management of established coronary artery disease).

What's primary protection against Coronary Artery Disease?

Primary prevention is the procedure to lessen cardiovascular risks before coronary artery disease evolves.

Prevent/delay the start of coronary artery disease (depositing of cholesterol) within the coronary arterial blood vessels before it takes place. (via healthy life styles)

Slow the advancement of coronary artery disease within the coronary arterial blood vessels (if it's present sub-scientifically as confirmed by carotid intimal thickness measurement by ultrasound or cardiac computer tomography).

Stabilise cholesterol plaques within the coronary arterial blood vessels in order to avoid the rupture from the plaques resulting in heart attack and potential sudden dying.

What's secondary protection against Coronary Artery Disease?

Secondary prevention is the procedure to lessen future chance of CAD exacerbation after scientifically significant coronary artery disease was already identified.

Definitive management of existing coronary artery disease (either via change in lifestyle, medicines or coronary artery treatment for example angioplasty or bypass operation )

Aggressive cardiovascular risks control (More intensive charge of various risks is needed because of greater chance of future disease occurrence)