81. BCBSM - Dartmouth Atlas - Coronary Artery Disease coronary artery disease, the atherosclerotic narrowing of the arteries that supplyblood to the heart, is one of the most common chronic diseases in the United http://www.bcbsm.com/atlas/coronary.shtml

Coronary artery disease, the atherosclerotic narrowing of the arteries that supply blood to the heart, is one of the most common chronic diseases in the United States. One million Americans develop angina or acute myocardial infarction annually; approximately 20% of American deaths are caused by coronary artery disease. For those who survive, the sequelae of coronary artery disease, including congestive heart failure, chronic angina and cardiac arrhythmia, are serious threats to long term survival and quality of life. This chapter examines the variability in treatment of Blue Cross Blue Shield of Michigan members with coronary artery disease. It focuses on: The use of diagnostic testing The use of therapeutic interventions The association between diagnostic testing and treatment To read chapter To view and print the complete chapter on Coronary Artery Disease in Adobe Acrobat PDF format, click on the link further below. You will need Adobe Acrobat Reader to view and print this file.

82. Angina And Coronary Artery Disease coronary artery disease and Angina. WHAT IS coronary artery disease? The heartis the human body's hardest working organ. coronary artery disease, http://www.adam.com/Well-Connected/doc03.html

A.D.A.M. Acquires Nidus Information Services, Inc., Publisher of the Well-Connected Patient Report Library See Press Release Here WELL-CONNECTED is a library of more than 100 reports on common diseases and wellness issues. Each report is an in-depth discussion of the latest information on treatments, risk factors, causes, diagnostic tests, and preventative measures. Here is a sample of the New A.D.A.M. illustrated patient reports: Coronary Artery Disease and Angina WHAT IS CORONARY ARTERY DISEASE? The heart is the human body's hardest working organ. Throughout life it continuously pumps blood enriched with oxygen and vital nutrients through a network of arteries to all parts of the body's tissues. The external structures of the heart include the ventricles, atria, arteries and veins. Arteries carry blood away from the heart while veins carry blood into the heart. The vessels colored blue indicate the transport of blood with relatively low content of oxygen and high content of carbon dioxide. The vessels colored red indicate the transport of blood with relatively high content of oxygen and low content of carbon dioxide. In order to perform the arduous task of pumping blood to the rest of the body, the heart muscle itself needs a plentiful supply of oxygen-rich blood, which is provided through a network of coronary arteries. These arteries carry oxygen-rich blood to the heart's muscular walls (the

83. Coronary Artery Disease HOW SERIOUS IS coronary artery disease? coronary artery disease isthe leading killer in America of both men and women, responsible http://www.adam.com/Well-Connected/doc03severity.html

HOW SERIOUS IS CORONARY ARTERY DISEASE? Coronary artery disease is the leading killer in America of both men and women, responsible for nearly 460,000 deaths in 1998, about 20% of all deaths. On the positive side, mortality rates from heart attack have declined by over 26% between 1988 and 1998. (Because of the aging population, however, the actual number fell by only about 10%). When the necessary lifestyle changes are enacted in combination with appropriate medical or surgical treatments, a person suffering angina and heart disease has a good chance of living a normal life. Determining the Degree of Severity In general, in patients with coronary artery disease, the presence of one of three of the following syndromes suggests different degrees of severity. Stable Angina. This condition can usually be managed with life-style measures and medications, such as low-dose aspirin. Acute Coronary Syndromes. These syndromes are severe and sudden heart conditions that require aggressive treatment but have not developed into a full blown heart attack. Acute coronary syndromes include the following: Angina is a specific type of pain in the chest caused by inadequate blood flow through the blood vessels (coronary vessels) of the heart muscle (myocardium).

84. Imaginis - Heart Disease - Coronary Artery Disease (CAD)Overview Heart Disease coronary artery disease Overview, Format for Printing.coronary artery disease (CAD; also called coronary heart disease http://imaginis.com/heart-disease/cad_ov.asp

search tips Heart Disease Coronary Artery Disease Overview Format for Printing Coronary artery disease (CAD; also called coronary heart disease, CHD) is the most common form of heart disease in America and Europe and is a serious health problem worldwide. The incidence of CAD is lower in Asian countries, particularly Japan, where diets are low in saturated fat and cholesterol. Main Menu: Overview of CAD Risk Factors for CAD Symptoms/Screening for CAD Diagnosing CAD ... Rehabilitation for Patients with CAD Overview of CAD Coronary artery disease (CAD) usually results from atherosclerosis, a condition that occurs when arteries become narrow and hardened due to cholesterol plaque build-up. Further narrowing of the arteries may result from thrombi (blood clots) that form on the surfaces of plaques. Angina (chest pain) or dyspnea (shortness of breath) may be present. Myocardial infarction (heart attack) can be a serious result of CAD, occurring when a blocked coronary artery causes death to a portion of the myocardium (heart muscle). Cardiac arrest may also result from CAD; 90% of sudden deaths occur in patients with two or more major arteries narrowed by atherosclerosis. Statistics show CAD to be the leading cause of death among both men and women in the United States and in Europe. For example, approximately 12,800,000 Americans suffer from CAD and nearly 500,000 Americans die from heart attacks caused by CAD. Over 12 million Americans have a history of myocardial infarction or angina or both.

85. UPHS Health Care: PENN Cardiac Care Health Information What is coronary artery disease? Coronary arteries supply blood toyour heart. Under normal conditions, these arteries dilate (open http://www.pennhealth.com/cardiac/health_info/cad/cad.html

About PENN Cardiac Care Services and Programs Locations Physician Profiles ... Heart Failure Coronary Artery Disease What is coronary artery disease? What do your coronary arteries do? Who gets coronary artery disease? Preventing coronary artery disease Symptoms Symptoms of coronary artery disease Making a Diagnosis Making a diagnosis X-rays Electrocardiogram (ECG) and stress tests Coronary Angiography ... Managing coronary artery disease Penn Services and Programs Cardiologists CT surgeons Future Outlook Research FAQs Frequently asked questions What is Coronary Artery Disease? Coronary arteries supply blood to your heart. Under normal conditions, these arteries dilate (open up) and constrict (narrow) in response to your heart's needs. Coronary artery disease (CAD) usually develops slowly, over a period of years, as the arteries become permanently narrowed with plaque in a process known as artherosclerosis . Plaque is a fatty substance made up of fat, cholesterol, inflammatory cells, and mineral deposits.

86. Coronary Artery Disease Therapy developing and marketing superior products to treat complex coronary lesionsand to providing exceptional training support to its customers. http://www.spectranetics.com/cadt/cadt.html

Coronary Artery Disease Therapy Spectranetics is committed to... developing and marketing superior products to treat complex coronary lesions and to providing exceptional training support to its customers. Investor / Company Information Medical Professionals Patient Info International ... webmaster

87. UVM News : University Of Vermont New Therapy for coronary artery disease. Currently available treatment options forcoronary artery disease include drug therapy, angioplasty and bypass surgery. http://www.uvm.edu/news/?Page=News&storyID=2506

88. Angina And Coronary Artery Disease coronary artery disease and Angina. WHAT IS coronary artery disease?The heart is the human body's hardest working organ. Throughout http://www.ucdmc.ucdavis.edu/ucdhs/health/a-z/03coronary/doc03.html

Coronary Artery Disease and Angina WHAT IS CORONARY ARTERY DISEASE? The heart is the human body's hardest working organ. Throughout life it continuously pumps blood enriched with oxygen and vital nutrients through a network of arteries to all parts of the body's tissues. In order to perform the arduous task of pumping blood to the rest of the body, the heart muscle itself needs a plentiful supply of oxygen-rich blood, which is provided through a network of coronary arteries. These arteries carry oxygen-rich blood to the heart's muscular walls (the myocardium ). If blood flow to the myocardium is interrupted, an injury known as an infarct occurs, or in other words, a myocardial infarction , more commonly known as a heart attack. The Process of Atherosclerosis Coronary artery disease is the end result of a complex process called atherosclerosis (commonly called "hardening of the arteries"). This causes blockage of arteries ( ischemia ) and prevents oxygen-rich blood from reaching the heart. There are many steps in the process leading to atherosclerosis and some are not fully understood. Increasingly, however, researchers are studying the interactions between cholesterol and processes known as

89. Postgraduate Medicine: Complications Of Diabetes Symposium: Coronary Artery Dise coronary artery disease and diabetes. Secondary prevention needs more attention. Evolvingnatural history of coronary artery disease in diabetes mellitus. http://www.postgradmed.com/issues/1999/02_99/bohannon.htm

Coronary artery disease and diabetes Secondary prevention needs more attention Nancy J. V. Bohannon, MD VOL 105 / NO 2 / FEBRUARY 1999 / POSTGRADUATE MEDICINE This is the first of four articles on complications of diabetes This page is best viewed with a browser that supports tables Preview : Although diabetes clearly increases the risk for cardiovascular disease, secondary prevention often is overlooked in diabetic patients. Clinical trials show that aggressive lipid-lowering therapy provides significant benefit in diabetic patients with coronary artery disease, often to an even greater extent than in the nondiabetic population. In this article, Dr Bohannan looks at a number of secondary prevention strategies for patients with diabetes and discusses when and why to use them. T he high prevalence of large-vessel coronary artery disease (CAD) in diabetic patients is well recognized, but the magnitude of this problem is not always appreciated. Data from the 18-year Framingham Study (1) show that the relative risk for CAD in diabetic men and women 45 to 74 years of age is 2.4 and 5.1 times greater, respectively, than for age-matched nondiabetic men and women. In the Islington Diabetes Survey (2), the prevalence of serious CAD increased from 9% in subjects with normal glucose tolerance to 17% in those with impaired glucose tolerance and 20% in those with diabetes. Diabetes is the most common cause of myocardial infarction (MI) in persons under age 30 in the United States. One study (3) over a 3 1/2-year period showed an increase in CAD events in a subset of subjects who had the highest hemoglobin A1c (HbA1c) levels. CAD-related mortality in both men and women with type 1 (formerly called insulin-dependent) or type 2 (formerly known as non-insulin-dependent) diabetes mellitus is much greater than in nondiabetic populations (4). Like CAD events, CAD mortality also increases with increasing HbA1c levels (3).

90. Coronary Artery Disease coronary artery disease. Some 12 million Americans have coronary artery disease,making it a leading cause of death and disability in this country. http://www.med.nyu.edu/cvinstitute/patients/coronary.html

DEPARTMENTS DIRECTORY ADVANCED SEARCH SCHOOL HOME ... How to Make an Appointment Coronary artery disease Some 12 million Americans have coronary artery disease, making it a leading cause of death and disability in this country. The buildup of atherosclerotic plaque in the vessels supplying the heart can deprive this organ of the vital oxygenated blood it needs, resulting in a heart attack (myocardial infarction) or causing pain (angina). At NYU Medical Center, we offer a range of services to meet the needs of patients with coronary artery disease as well as those at risk for heart disease. Cardiologists in our Department of Medicine are available to tailor treatment regimens for patients with high blood pressure and/or cholesterol. Using the latest antihypertensive drugs and cholesterol-lowering agents, doctors work to reduce a patient's risk of developing heart disease or, if they have already suffered a heart attack, of experiencing a recurrence. When heart disease is suspected, a variety of tests are available at NYU Medical Center to make an accurate diagnosis. These include electrocardiography, echocardiography, exercise stress testing, angiography, computed tomography, magnetic resonance imaging, and nuclear imaging procedures. Many of these examinations are provided in our Noninvasive Cardiology Laboratory.

91. UCL CORU Papers Clinical Operational Research Unit Cardiology/coronary artery disease.Published Papers. Displaying the Long Term Progression of Patients http://www.ucl.ac.uk/operational-research/tcornry.htm

Clinical Operational Research Unit Cardiology/Coronary Artery Disease Published Papers Displaying the Long Term Progression of Patients with Coronary Artery C. Sherlaw-Johnson, J. Mitchard, S. Gallivan, D.L.H. Patterson, T. Treasure British Heart Journal, 74:559-62 (1995) Assessment of mortality rates for congenital heart defects and surgeon's performance J. Start, S. Gallivan, K. Davis, J.R.L. Hamilton, J.L. Monro, J.C.S. Pollack, K.G. Watterson Annals of Thoracic Surgery 72:169-175, 2001 Conference Papers Modelling the Progress of Coronary Artery Disease J. Mitchard, S. Gallivan, R.R.P. Jackson et all XIIth Conference of the European Society of Cardiology 16-20 Sept. 1990. Stockholm Sweden. Auditing the long term progression of Coronary Artery disease S. Gallivan, J. Mitchard, D. Patterson, T. Treasure Abstract: French society of Cardiology (1992) Inappropriate Noradrenaline release in response to exercise in Syndrome X: Cause or effect J. Marcomichemlakis, P. Taggart, S. Gallivan, R. Mattin, P.S. Sever, R.H. Swanton Abstract accepted by European Congress in Cardiology, Barcelona Spain (1992)

92. Coronary Artery Disease : Symptoms, Risk Factors, Prevention, Diagnosis, Therapy Home Conditions coronary artery disease, coronary artery disease. Healthy arteriesare flexible, strong, and elastic. Illustration coronary artery disease. http://www.sjm.com/conditions/condition.aspx?name=Coronary Artery Disease

93. Black News And Black Business Listings. Company Name INTERNET POLL. No Poll Yet. coronary artery disease and Stroke12/12/00. by Arthur Ansermo, MD coronary artery disease and Stroke http://www.blackpagesusa.com/article.cfm?ar_id=18

94. Lipids Online Slides: Coronary Artery Disease, Diabetes, Screening, TPA Clinical Evaluation and Nonlipid Treatment of coronary artery disease in theDiabetic Patient. search coronary artery disease results 22. 1 2 3 http://www.lipidsonline.org/slides/slide01.cfm?q=coronary artery disease

95. Health.com :: Coronary Artery Disease coronary artery disease WHAT IS IT? Your heart is your hardestworkingmuscle. Every day it beats about 100,000 times, pumping nearly http://www.health.com/health/wynks/CADWYNK2000-MAL/

CORONARY ARTERY DISEASE WHAT IS IT? Your heart is your hardest-working muscle. Every day it beats about 100,000 times, pumping nearly 2,000 gallons of blood through more than 50,000 miles of blood vessels. Like any muscle, it needs plenty of oxygen. And the harder it works, the more oxygen it needs. The heart gets oxygen from blood supplied by vessels called coronary arteries. When deposits, called plaque, narrow these blood vessels, blood and oxygen can't get to the heart easily: Then you have coronary artery disease. When your heart needs more blood than it can get-as you walk up stairs, for instance-it may complain with a squeezing chest pain called angina pectoris. But about one person in three with clogged arteries has no warning chest pain. For them, the first sign of trouble is a heart attack. The good news: You can take steps to prevent coronary artery disease by making smart choices about such things as your diet and exercise habits. Even if your arteries are clogged, you and your doctor can begin to treat the problem and even reverse it. If you've already had a heart attack, you may be able to prevent a second one. back to All Conditions Symptoms ESSENTIALS What Is Coronary Artery Disease?

96. AAM-300: Aerospace Medical Certification Division CORONARY ARTERY DISEASE INFORM AAM300 Aeromedical Certification Division coronary artery disease INFORMATION.coronary artery disease. (Including heart attack, bypass http://www.cami.jccbi.gov/aam-300/cadinfo.html

Home Site Map DOT Ask FAA ... Search CAMI Links What is CAMI CAMI Home Page Aeromedical Certification Aeromedical Education ... CAMI Vision Statement AMCD Links: Pilot Medical Certification FAQ Special Issuance Information FAA Regional Office Contact Information Guide for Aviation Medical Examiners - 1999 ... Email For Medical Certification Questions AAM-300: Aeromedical Certification Division CORONARY ARTERY DISEASE INFORMATION Coronary Artery Disease (Including heart attack, bypass surgery, stent placement, and angioplasty) The coronary arteries are the blood vessels that run along the outside of the heart and provide the heart muscle with it’s own blood supply. The term "coronary artery disease (CAD)" means the development of areas of narrowing in the coronary arteries, usually due to cholesterol deposits. Commonly, the first indication that an individual has developed CAD is the presence of chest pain (angina pectoris), usually with exertion. We believe now that most heart attacks (myocardial infarctions) are the result of a blood clot that forms in one of these narrowed areas and suddenly stops the flow of blood through the artery. There are several different treatments available now for these conditions. These include medication, bypass surgery, angioplasty (the "balloon" procedure), stent implantation, and atherectomy. One thing that all these individuals have in common is the need for risk factor modification. This includes things like smoking cessation, weight control, regular exercise, and cholesterol control.

97. Introduction: More Than Coronary Artery Disease Introduction More Than coronary artery disease Caldwell B. Esselstyn, Jr., MDShift to Arrestand-Reversal Treatment Rectangularizing Life's Journey http://www.vegsource.com/esselstyn/morethan01_intro.htm

Home About Dr. Esselstyn Contact Dr. Esselstyn Beyond Surgery ... Arrest and Reversal Therapy Introduction: More Than Coronary Artery Disease Caldwell B. Esselstyn, Jr., MD Shift to Arrest-and-Reversal Treatment "Rectangularizing" Life's Journey Making the Change References [There is] an unreasonable gap between the medical enthusiasm devoted to acute interventions and the meager efforts currently devoted to secondary prevention. Rene C. Favaloro, MD Pioneer of Coronary Artery Bypass Grafting So, it seems we have an enormous paradox. The disease that is the leading killer of men and women in Western civilization is largely untreated. The juggernaut of therapy that has evolved for treating its symp toms consumes the lion's share of the available health- care dollars.5 The benefits achieved through great financial cost, morbidity, and mortality are at best temporary and erode over time, with most patients eventually succumbing to their disease. In cancer management, we refer to that approach as palliation. I refer to the present treatment of coronary artery dis ease as "palliative cardiology." Why does the juggernaut persist? Because physi cians generally lack understanding of the techniques of lipid reduction through diet and medication. The belief also still prevails that the "quick fix" surgical repair of the major stenotic lesions will make things right. Finally, performing interventions has the poten tial for enormous financial reward. But the question remains: Aren't there other options?

98. Coronary Artery Disease & Chest Pain have assembled one of the nation's finest teams of heart experts who specializein diagnosing and treating all aspects of coronary artery disease and cardiac http://heart.uchospitals.edu/services/coronary-artery-disease/

U of C Hospitals Home Heart Home Appointments Why Choose Us ... Services At the University of Chicago Hospitals Cardiac Center, we have assembled one of the nation's finest teams of heart experts who specialize in diagnosing and treating all aspects of coronary artery disease. From treatments to alleviate chest pain to rescuing the heart after heart attack, our teams of specialists are always available to offer the finest care. Our physicians can often offer more treatment options than other hospitals. Cardiac Center cardiologists and heart surgeons have special expertise in treating people with complex disease or co-existing medical problems, such as diabetes. We often take on the most challenging casesthose otherwise considered untreatable. Explore our site to learn more about how University of Chicago Hospitals cardiologists and cardiac surgeons diagnose and treat coronary artery disease: Diagnostic Services for Coronary Artery Disease Surgical Care for Coronary Artery Disease Coronary Artery Bypass Graft Surgery Transmyocardial Laser Revascularization ... University of Chicago Chronic Angina Program Clinical Trial: Angiogenesis in Patients With Stable Angina Contact us or call HealthLink toll-free at 1-888-UCH-0200

99. Percardia - Market Opportunity During 2002, it is estimated that nearly 2 million procedures in the US and Europewill be performed to treat coronary artery disease, a narrowing of the http://www.percardia.com/coronary/market.htm

Market Opportunity Market Opportunity Current Treatments Percardia Approach Company ... What's New Percardia Inc. Heron Cove Office Park 10 Al Paul Lane, Suite 202 Merrimack, NH 03054 Design by PixelMEDIA, Inc. webmaster@percardia.com

100. Thrombosis Online-Coronary Artery Disease coronary artery disease What Is coronary artery disease? coronary artery disease(CAD) is often caused by the deposit and buildup of cholesterol plaques. http://www.thrombosisonline.com/coronary_artery_disease

Cardiovascular System Heart Disease Risk Factors Diagnosing Heart Disease Common Types of Cardiovascular Disease Common Types of Cardiovascular Disease Coronary Artery Disease What Is Coronary Artery Disease? Coronary artery disease (CAD) is often caused by the deposit and buildup of cholesterol plaques. These plaques may eventually block circulation in the large and medium-sized arteries, which supply your heart muscle with oxygen and nutrients. CAD is also known as coronary atherosclerosis or arteriosclerotic heart disease. When blood flow to your heart is reduced or completely blocked, a condition known as ischemia (Greek for "blocked blood") develops. Therefore, another name for CAD is ischemic heart disease, which describes the blocking of the coronary arteries and the resulting reduction in the oxygen supply to the heart muscle. The major complications of CAD are: What Are the Symptoms of CAD? Angina is a particular kind of chest pain and is your body's way of signaling that your heart is being deprived of oxygen. The pain of angina is usually a constricting pain that starts in the center of your chest. The pain may also spread out to other areas of your body. People who are having an anginal attack often describe it as "an elephant sitting on my chest" or "a vise squeezing my chest." Some people feel the pain only in certain areas such as the arm, shoulder, or even the jaw. Anginal pain is sometimes confused with indigestion because it may be accompanied by a tight and burning sensation in the center of the chest. People often feel that an anginal attack is a heart attack. The 2 types of pain are similar in intensity, but angina lasts only about 5 minutes and then passes. The pain of a heart attack may last much longer and produces more intense symptoms.

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