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Fernando Otero Ravinaa, Pilar Mazon-Ramosb, Lilian Grigorian-Shamagianb, Augusto Nores-Lorenzoc, Lucrecia Zugaza-Gurruchagad, Rogelio Seoane-Blancoe, Angelica Molina-Blancof, Jose R. Please, complete the form with your suscription data.If you are a member of the Spanish Society of Cardiology, you can use the same login and password that you use to access the Society's website.
ASCVD=atherosclerotic cardiovascular disease: history of myocardial infarction, stable or unstable angina, coronary revascularization, stroke, or transient ischemic attack.
Atherosclerosis starts early - almost 20% of people under 20 have arterial accumulations, while over 85% of people over 50 do. Hyaline athersclerosis is associated with hypertension and is more prevalent and severe in people with diabetes.
Ischemic heart disease results from an imbalance between perfusion (supply) and workload (demand) of the heart.
Fatty streaks are the earliest manifestation of atherosclerosis and are caused by lipid-filled foam cells. They appear in some children below one year of age and all children 10 years of age and up, regardless of of race or environment. IHD can be increased by cardiac hypertrophy, diminished oxygen supply (anemia, shock, etc), or with increased heart rate. Athrosclerotic narrowing of the epicardial coronary arteries, together with thrombosis, platelet aggregation, and vasospasm, all contribute to IHD.
Symptomatic atherosclerosis most often involves arteries supplying heart, brain, kidneys, and lower extremities. A fixed obstruction of coronary arteries will generally cause symptoms with exercise, while a 90% stenosis will lead to symptoms at rest.
Major consequences include angina and myocardial infarction, stroke, aortic aneurysms, and perihperal vascular disease (ie gangrene of the legs or arterial ulcers). There are a number of guidelines that provide diagnostic algorithms for stable IHD (Qaseem et al, 2013). Sever US professional societies produced updated guidelines in 2013 for stable ischemic heart disease (Qaseem, 2013). Feel free to use and share this material as widely as possible, according to our Creative Commons license.


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Nitroglycerin is commonly utilized for the treatment of angina pectoris, which is typically experienced as chest pain and discomfort in the area around the heart.
Certain vitamin supplements may be prescribed for heart disease treatment, because of their antioxidant properties.
There are a number of drugs specifically designed to lower cholesterol and triglycerides levels. Bile Acid Resins can bind cholesterol-carrying bile acids in the intestines and eliminate them through the digestive system.
Calcium Channel Blockers help reduce the oxygen demand of the heart muscle and dilate coronary arteries to increase oxygen supply to the heart. Diuretics increase the output of urine and reduce fluid retention as well as blood pressure. The Health News and Reviews section addresses current health- and lifestyle issues as they are discussed in the press and respective publications. Almost anyone who has ever gone on a diet or bought into a weight loss program knows that lasting success is the real challenge. Gonzalez-Juanateyb, on behalf the Barbanza Group and CIBAR* Study investigators.a Seccion de Coordinacion Asistencial, SERGAS. Ischemia not only involves oxygen insufficiency, but also reduced nutrient concentration and inadequate removal of metabolites. Those containing large areas of foam cells and lipids, those with thin fibrous caps, and those with clusters of inflammatory cells are called vulnerable plaques. Clinically significant plaques tend to be present eithin the first several centimeters of the LAD and LCX and along the entire length of the RCA. A striking loss of contractility occurs within 60 seconds of ischemia onset, which can precipitate heart failure long before infarction. Due to inhibiting enzyme 14α- dimethylase Fluconasole disturbs the production of ergosterol that is essential component of the fungi cell, resulting in changing permeability. Regular follow-up examinations and tests are strongly recommended, based on risk profile and medical history.


It may be prescribed in cases where the heart does not pump properly and blood is not moved efficiently enough. Nitroglycerin works in two ways: First, it causes the coronary arteries to widen, thus increasing the flow of blood to the heart. The Eating Lighter – Eating Smarter program offers easy modifications of many popular meal choices.
Having lunch or dinner out should be a pleasurable experience, unspoiled by guilt and regret. On occasion, the major secondary epicardial branches are involved - the diagonal branches of the LAD, obtuse marginal branches of the LCX, or posterior descending branch of the RCA. Along with continuing monitoring and therapeutic measures, dietary- and lifestyle counseling may be needed to support the recovery process. Taking a small daily dose of aspirin is often recommended as a preventive measure against heart attack, stroke or unstable angina.
Coumadin may interact unfavorably with dietary vitamin K, and patients should discuss potential problems with their physician before taking this drug. Vitamin B3, niacin and nicotinic acids have the ability to relax and dilate blood vessels and ease blood flow to the heart.
The use of vitamin supplements in the course of heart disease therapy must be carefully monitored.
Physicians may consider an ongoing aspirin therapy where the risk of serious damage to the heart is substantial, e.g. This drug is mostly prescribed in form of capsules or tablets and must be taken sublingually – that is under the tongue.
Possible side effects include stomach irritation, excessive bleeding and undesirable interactions between aspirin and other medications.
KEEP THIS PRODUCT, as well as syringes and needles, if needed during treatment, out of the reach of children.




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