Heart Treatment Without Angioplasty Bypass

Coronary heart disease also known as atherosclerotic heart disease, ischemic heart disease and coronary artery disease is caused due to the buildup of fat or cholesterol within the artery wall which leads to the narrowing or blocking of the coronary arteries which deliver oxygen to the heart muscle.

Risk Factors

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There are many risk factors related to coronary heart disease and can include those controllable and non-controllable factors.

Controllable factors:

These factors can be controlled through lifestyle changes and medications and include:

  • High blood cholesterol
  • High blood pressure
  • Diabetes
  • Smoking
  • Obesity
  • Physical inactivity
  • Poor diet

Non-controllable factors:

These factors cannot be controlled and include:

  • Age
  • Ethnicity
  • Family history
  • Medical history

Symptoms

In case of mild build up of fat or cholesterol, the symptoms may include the feeling of pressure or tightness in the chest at times of increased activity or stress. If the buildup is very high the blood supply to the heart muscle is severely reduced and it causes the following:

  • Angina or Chest pain
  • Myocardial Infarction or heart attack
  • Arrhythmia or rhythm disturbances

Diagnosis

Poona Preventive Cardiology Centre offers a comprehensive treatment for coronary heart disease. The doctors undertake a thorough physical assessment which will include:

    • Assessment of risk factors and current symptoms
      • Additional tests which will make the diagnosis accurate and includes:
        • Blood Tests:To check the levels of electrolytes, blood cells, clotting factors and hormones in the blood. Testing of proteins and specific enzymes will also be done as they can indicate problems with the heart.
        • Electrocardiogram (ECG): This will help to record the electrical activity of the heart when it is at rest using electrodes placed on the arms, legs and chest. It helps to show changes that indicate the inefficiency of the heart muscle in receiving enough oxygen.
        • Exercise ECG/ Exercise Tolerance Test (ETT): It is specifically designed to make an assessment of the heart’s response to exercise and stress. This test involves:
        • Blood Tests: To check the levels of electrolytes, blood cells, clotting factors and hormones in the blood. Testing of proteins and specific enzymes will also be done as they can indicate problems with the heart.
        • Walking on an exercise treadmill or riding an exercise bike for up to 12 minutes at varying degrees of speed and incline
        • Taking continuous ECG and blood pressure recordings to note down the symptoms associated with coronary artery disease like shortness of breath, and pain in the chest, jaw or arm Throughout the assessment our doctor and our experienced ECG technician will be present at all times.
      • Echocardiography: This test uses ultrasound waves to display the movements of the heart when it beats. We use the image produced to measure precisely the dimensions of the heart, to view the structures of the heart like the heart valves, and also to assess any damage to the heart muscle.
      • Stress Echocardiography: It is also referred to as a “stress echo” wherein certain medications are administered into the blood stream through a drip in the hand or arm while the echocardiogram is being performed. It helps to stimulate the heart and mimic the effect of exercise. This test is mostly used for people who are unable to exercise for medical reasons.
      • Angiogram
      • CT Angiography
      • Nuclear Isotope Imaging

Treatment

At PPCC we incorporate Preventive Cardiology treatment. We have included the following alternative treatment for heart blockage at the clinic:

  • Chelation Therapy / Arterial Clearance Therapy
  • External Counter Pulsation (ECP)
  • Bio-identical Hormone Replacement therapy (BHRT)
  • Lifestyle modification
  • Diet management (using nutritional supplements like nutraceuticals, anti-oxidants and vitamins).