Physician Education and Scholarship Center

Ischemic Heart Disease

Ischecmis Heart Disease is due to reduced blood and oxygen supply to the heart muscles mainly due to narrowing of the coronary artery.  Coronary heart disease is the most common heart disease accounting for nearly 400,000 deaths and 1 million heart attacks annually. 

The estimated total healthcare costs each year for heart disease is 109 billion dollars.

Risk factors include diabetes, hypertension, age, smoking, high cholesterol levels, and family history of ischemic heart disease.

Symptoms include chest pain, dyspnea, palpitations, and jaw, back, and arm pain.

Physical examiniation will reveal tachycardia, hypertension, heart murmurs, leg edema and rales.

Management includes lifestyle changes such as smoking cessation, weight reduction, diet and exercise, treatment of low HDL levels and high LDL levels with medications such as Crestor, Lipitor and lescol; reduce blood pressure with medications like Lisinopril, Atenolol, Norvasc and Lasix; antiplatelet agents like heparin and enoxaparin for acute coronary events, treatment of angina, antibiotic treatment for coronary artery atherosclerosis and revasculartization.

Complications that can arise are cardiac failure, hypotension, cardiac conduction defects, dilated cardiomyopathy, angina and sudden death.

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