Coronary artery disease – Discuss Generic Cialis and Generic Viagra with your Physician
Coronary artery disease is a chronic disease caused by the obstructed flow of oxygen-rich blood through the coronary arteries to the heart. It is the major blood vessel that supplies blood oxygen to the heart so that the heart can pump out the blood to the other parts of the body. This coronary artery when shrinks or get damaged, the flow of oxygen rich blood is interrupted. This disease is called coronary artery disease.
If you have coronary artery disease it is important that you discuss generic Cialis and generic Viagra usage with your physician before you order them from an online pharmacy or otherwise. Most of the heart disease related drugs tend to interact in a negative way with ED drugs. Discuss with your doctor for safe dosage.
Atherosclerosis is disease which hardens the arteries and helps in the obstruction of oxygen flow. This happens very slowly and gradually for number of years to harden the arteries. If a person has diabetes mellitus, the excess sugar in the blood starts depositing on the inner walls of the coronary arteries. The width of the arteries on its inner wall decreases making it to shrink, when this process of deposition continues for more than 20 years. Thus interrupting the flow of oxygen rich blood to the artery. Similarly if the person takes cholesterol rich diet for more than 10 or more years, deposition of fats occurs causing the blockage inside the artery which stops or reduces the flow of blood oxygen.
The causes or the risk factors for coronary artery disease are diabetes, high cholesterol level, high blood pressure, radiation therapy to the chest used in some cancer treatment and smoking. Lack of regular exercise, obesity or overweight and chronic stress or depression also contributes to the coronary artery disease. The risk factors may be broadly classified into fixed and modifiable. Age, sex, family history are considered to be the fixed risk factor whereas smoking, hypertension, diabetes mellitus, obesity are considered to be the modifiable risk factor as these can be controlled and modified.
The first and foremost symptom is the angina, a chest pain which makes you feel pressure or tightness in the chest. Next would be the shortness for breath. As the heart cannot pump enough blood to due to low oxygen supply there would shortness of breath or fatigue. Heart attack is the last symptom which shows the intensity of the disease and urges immediate medical treatment. This happens when the coronary artery is completely blocked. The pain spreads to shoulder and arm and also gives shortness of breath. At times heart attack occurs without a symptom or sign.
A routine blood test and one or more diagnostic tests are taken. Electrocardiogram is taken which records the electric signals as they travel through the heart. An ECG reveals the evidence of previous attacks. Echocardiogram is also taken which uses sound waves to take pictures of the heart and it determines the intensity of the disease. Patients are requested to walk on a treadmill and a stress test is taken. Angiogram is the final process of diagnosis, where the patient is injected a fluid through the vagus nerves in the legs or in the arms. This fluid travels to the heart through all the arteries in course of time. Later when photography of the heart is taken it clearly shows which artery is affected and also the percentage of damage. Usually the treatment starts with daily medicines like cholesterol modifying drugs, aspirin, beta blockers, nitroglycerin, angiotensin-converting enzymes, and calcium channel blockers. If the percentage of disease is higher, surgery or an angioplasty or grafting called as bypass is suggested.
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