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Encyclopedia > Ischaemic heart disease
Ischaemic heart disease
Classification & external resources
ICD-10 I20.-I25.
ICD-9 410-414

Ischaemic (or ischemic) heart disease is a disease characterized by reduced blood supply to the heart. It is the most common cause of death in most western countries. Image File history File links Information. ... The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization (WHO). ... // I00-I99 - Diseases of the circulatory system (I00-I02) Acute rheumatic fever (I00) Rheumatic fever without mention of heart involvement (I01) Rheumatic fever with heart involvement (I02) Rheumatic chorea (I05-I09) Chronic rheumatic heart diseases (I05) Rheumatic mitral valve diseases (I050) Mitral stenosis (I051) Rheumatic mitral insufficiency (I06) Rheumatic aortic... // I00-I99 - Diseases of the circulatory system (I00-I02) Acute rheumatic fever (I00) Rheumatic fever without mention of heart involvement (I01) Rheumatic fever with heart involvement (I02) Rheumatic chorea (I05-I09) Chronic rheumatic heart diseases (I05) Rheumatic mitral valve diseases (I050) Mitral stenosis (I051) Rheumatic mitral insufficiency (I06) Rheumatic aortic... The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ... The term disease refers to an abnormal condition of an organism that impairs function. ... The heart and lungs, from an older edition of Grays Anatomy. ...


Ischaemia means a "reduced blood supply". The coronary arteries supply blood to the heart muscle and no alternative blood supply exists, so a blockage in the coronary arteries reduces the supply of blood to heart muscle. The coronary circulation consists of the blood vessels that supply blood to, and remove blood from, the heart. ...


Most ischaemic heart disease is caused by atherosclerosis, usually present even when the artery lumens appear normal by angiography, see IVUS. Section of an artery For other uses, see Artery (disambiguation). ... artery anatomy, showing lumen The lumen (pl. ... Angiography or arteriography is a medical imaging technique in which an X-ray picture is taken to visualize the inner opening of blood filled structures, including arteries, veins and the heart chambers. ... Intravascular ultrasound (IVUS) is an medical imaging methodology using (a) specially designed long thin complex manufactured catheters attached to (b) computerized ultrasound equipment. ...

Contents

What is it?

  • Initially there is sudden severe narrowing or a closure of either the large coronary arteries and/or of coronary artery end branches by debris showering downstream in the flowing blood. It is usually felt as angina, especially if a large area is affected.
  • The narrowing or closure is predominantly caused by the covering of atheromatous plaques within the wall of the artery rupturing, in turn leading to a heart attack (Heart attacks caused by just artery narrowing are rare).
  • A heart attack causes damage to heart muscle by cutting off its blood supply.

This can cause: The coronary circulation consists of the blood vessels that supply blood to, and remove blood from, the heart. ... The coronary circulation consists of the blood vessels that supply blood to, and remove blood from, the heart. ... angina tonsillaris see tonsillitis. ... In pathology, an atheroma (plural: atheromata) is an accumulation and swelling (-oma) in artery walls that is made up of cells, or cell debris, that contain lipids (cholesterol and fatty acids), calcium and a variable amount of fibrous connective tissue. ... Acute myocardial infarction (AMI or MI), more commonly known as a heart attack, is a disease state that occurs when the blood supply to a part of the heart is interrupted. ...

  • Temporary damage and pain (ischemia)
  • Loss of muscle activity (acute heart failure)
  • Permanent heart muscle damage, heart muscle does not grow back (acute myocardial infarction /infarct)
  • Long term loss of heart muscle activity (chronic heart failure)
  • Cardiac arrhythmias: irregular heartbeat which can be fatal. Most death is due to arrhythmias, usually tachyarrhythmias.
  • Other structural damage to the heart including damaged heart valves, actual perforation of the heart and a thin walled fibrous floppy heart.

In medicine, ischemia (Greek ισχαιμία, isch- is restriction, hema or haema is blood) is a restriction in blood supply, generally due to factors in the blood vessels, with resultant damage or dysfunction of tissue. ... Cardiac arrhythmia is any of a group of conditions in which the electrical activity of the heart is irregular or is faster or slower than normal. ... Grays Fig. ...

Prevention

Prevent or delay atherosclerosis.

  • Do not smoke
  • Maintain low blood pressure - prevent/treat hypertension (high blood pressure)
  • Exercise frequently - exercising the heart muscle strengthens it, like any other muscle
  • Avoid obesity - increasing body fat stores, especially intra-abdominal fat, increases serum cholesterol, triglycerides, insulin requirements and promotes Diabetes Mellitus plus chronically increases heart muscle workload.
  • Avoid trans-fats - these are found in any chemically modified fat product, such as margarine, in hydrogenated fats, and especially in superheated fats (such as those used for commercial deep frying). These fats are unreactive (not fitting in the enzymes designed for cis-fats) and should not be consumed in any amount; however, in many western countries, limitation may be the only practical option. Some mono-unsaturated fats are beneficial in reducing the risk of heart disease when consumed in moderation. When consumed in excess, however, other health concerns arise. An increase in polyunsaturated fats is also warranted in most American diets. Dietary cholesterol intake is known to have only limited effect on serum cholesterol.
  • Monitor and reduce cholesterol - take LDLipoprotein cholesterol reducing and HDLipoprotein raising drugs and verfiy both LDLipoprotein particle counts and quantitative large HDLipoprotein response to treatment
  • Aspirin may benefit some individuals
For more details on this topic, see Coronary_heart_disease#Aspirin.
  • Take vitamin C - this micronutrient maintains healthy blood vessels (see scurvy), and prevents tears and fissures in the lumen wall that act as condensation nuclei on which the cholesterol molecules aglommerate, but overdoses may cause GERD which leads back to heart disease

The cigarette is the most common method of smoking tobacco. ... This article does not cite any references or sources. ... The term Exercise can refer to: Physical exercise such as running or strength training Exercise (options), the financial term for enacting and terminating a contract Category: ... The abdomen (from the Latin word meaning belly) is the part of the body between the pelvis and the thorax. ... Cholesterol is a sterol (a combination steroid and alcohol), a lipid found in the cell membranes of all body tissues, and is transported in the blood plasma of all animals. ... Example of an unsaturated fat triglyceride. ... Insulin (from Latin insula, island, as it is produced in the Islets of Langerhans in the pancreas) is an anabolic polypeptide hormone that regulates carbohydrate metabolism. ... For the disease characterized by excretion of large amounts of very dilute urine, see diabetes insipidus. ... Myocardium is the muscular tissue of the heart. ... Trans fat is the common name for a type of unsaturated fat with trans isomer fatty acid(s). ... Margarine in a tub Margarine (pronunciation: ), as a generic term, can indicate any of a wide range of butter-substitutes. ... A Deep-fried Twinkie Deep-frying is a cooking method whereby food is submerged in hot oil or fat. ... Cholesterol is a sterol (a combination steroid and alcohol), a lipid found in the cell membranes of all body tissues, and is transported in the blood plasma of all animals. ... A lipoprotein is a biochemical assembly that contains both proteins and lipids. ... A lipoprotein is a biochemical assembly that contains both proteins and lipids. ... A lipoprotein is a biochemical assembly that contains both proteins and lipids. ... A lipoprotein is a biochemical assembly that contains both proteins and lipids. ... This article or section does not adequately cite its references or sources. ... For other uses, see Vitamin C (disambiguation). ... Scurvy (N.Lat. ... Lumen can mean: Lumen (unit), the SI unit of luminous flux Lumen (anatomy), the cavity or channel within a tubular structure Thylakoid lumen, the inner membrane space of the chloroplast 141 Lumen, an asteroid discovered by the French astronomer Paul Henry in 1875 Lumen (band), an American post-rock band... Aerosol pollution over Northern India and Bangladesh - NASA Cloud condensation nuclei or CCNs (also known as cloud seeds) are small particles (typically 0. ... Skírnir tries to woo Gerd for Freyr as related in Skírnismál. ...

Treatment of a heart attack

'The options required depends on the situation'.

CPR being performed Wikibooks First Aid has more about this subject: Basic Life Support Cardiopulmonary resuscitation (CPR) is an emergency medical procedure for a victim of cardiac arrest or, in some circumstances, respiratory arrest. ... This article or section does not adequately cite its references or sources. ... A pacemaker A pacemaker (or artificial pacemaker, so as not to be confused with the hearts natural pacemaker) is a medical device designed to regulate the beating of the heart. ... Bradycardia, as applied in adult medicine, is defined as a heart rate of under 60 beats per minute, though it is seldom symptomatic until the rate drops below 50 beat/min [1]. It is also less commonly known as brachycardia. ... Epinephrine (INN) or adrenaline (BAN) is a hormone and a neurotransmitter. ... Thrombolysis is the breakdown (lysis) by pharmacological means, of blood clots. ... An anticoagulant is a substance that prevents coagulation; that is, it stops blood from clotting. ... Inotropic drug are drugs categorized as those affecting the force or energy of muscular contractions, typically involving the heart. ... This article does not cite any references or sources. ... This article does not cite any references or sources. ... Endoscopic image of self-expanding metallic stent in esophagus, which was used to palliatively treat esophageal cancer. ...

After a heart attack

  • Possible angioplasty or cardiac surgery.
  • Possibly the regular administration of anti-coagulants to prevent further blood clot complications.
  • Possibly the administration of drugs to reduce heart arrhythmias although they many also induce arrhythmias.
  • Lifestyle modifications are important in prevention of a second MI; increased exercise, reduction of stress, and improved dietary considerations are perhaps most important

  Results from FactBites:
 
BioMed Central | Full text | Risk of ischaemic heart disease and acute myocardial infarction in a Spanish population: ... (4445 words)
Ischaemic heart disease is a global priority of health-care policy, because of its social repercussions and its impact on the health-care system.
Ischaemic heart disease (IHD) is an extremely frequent cause of hospitalisation and death in Spain.
This study sought to describe the epidemiology of ischaemic heart disease and acute myocardial infarction in a cohort drawn from the population attending primary-care centres.
Heart - encyclopedia article about Heart. (3330 words)
In the human body, the heart is normally situated slightly to the left of the middle of the thorax thorax is a division of an animal's body that lies between the head and the abdomen.
The study of diseases of the heart is known as cardiology.
Coronary heart disease is the lack of oxygen supply to the heart muscle; it can cause severe pain and discomfort known as Angina.
  More results at FactBites »


 

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