Heart Artery Disease

• Introduction
• Chest pain
  • Angina
  • Other chest pain
• Heart attack (myocardial infarction)
  • Introduction
• Assessment of the heart arteries
  • Treadmill stress test
  • Stress echocardiogram
  • Stress nuclear studies
  • Angiogram- invasive
  • Angiogram- CT
• Treatment of heart artery disease
  • Medication
  • Stent treatment
  • Heart bypass surgery

Treatment of Heart Artery Disease
Heart Bypass Surgery

Heart bypass surgery is often performed to control angina, when medication is not effective and stent treatment is not feasible.

Heart bypass surgery is also recommended to improve survival. Heart bypass surgery has been shown to be effective when

• there is more than fifty percent narrowing of the left main stem artery
• there is disease of all three arteries of the heart with significant weakness of the main pumping chamber of the heart.
• there is very advanced dieease of all three arteries of the heart, even with a strong main pumping chamber.

Treatment with medication can be sufficient and is appropriate for those with less severe disease of the heart arteries.