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Summary CVS-ISCHAEMIC HEART DISEASE

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CVS-ISCHAEMIC HEART DISEASE Introduction and Definition Ischaemic heart disease Pseudonyms- Coronary Heart Disease (CHD) Coronary Artery Disease ( CAD) Most common form of heart disease and the single most important cause of premature death It is always due to atheroma and associated c...

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  • August 11, 2022
  • 54
  • 2022/2023
  • Summary
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CVS-ISCHAEMIC HEART DISEASE

, CVS-ISCHAEMIC HEART DISEASE
• Introduction and Definition
Ischaemic heart disease
• Pseudonyms-
– Coronary Heart Disease (CHD)
– Coronary Artery Disease ( CAD)
• Most common form of heart disease and the single most
important cause of premature death
• It is always due to atheroma and associated complications
particularly thrombosis
• Primary symptom of ischaemic heart disease is angina pectoris
caused by episodes of myocardial ischaemia.

, Coronary Artery Disease:
clinical manifestation
Clinical problem Pathology
• Stable Angina • Ischaemia due to fixed atheromatous
stenosis of one or more arteries
• Unstable Angina • Ischaemia caused by dynamic artery
obstruction of a coronary artery due to
plaque rupture with thrombosis &spasm
Myocardial infarction • Acute occlusion of coronary artery due to
plaque rupture and thrombosis and
Heart Failure myocardial necrosis
Arrhythmia • Myocardial dysfunction due to ischaemia
or infarction
Sudden Death • Altered conduction due to ischaemia or
infarction
• Ventricular arrhythmias ,asystole, or
massive myocardial infarction

, CVS-ISCHAEMIC HEART DISEASE
• Angina pectoris is a term used to describe
discomfort due to transient myocardial
ischaemia
• Angina is a syndrome which include
– Stable angina
– Unstable angina
– Variant or prinzmetals angina
– Silent myocardial ischemia

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