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Friday, November 29, 2013

Women and Heart Disease (Coronary Microvascular Disease (MVD)) - Treatments In Conventional Medicine

Posted by Chantel Martiromo,  Article By Kyle J. Norton 

Heart disease is defined as a condition in which the heart's inner lining of blood vessels is served damage that can impede the function of transportation of oxygen and nutrition of the heart to other cells and organ in the body. Everyday, more than 2,000 Americans die as a result of heart diseases. Approximately 60 million Americans have heart disease.
Believe or not, 1 in 4 women in US dies from the heart diseases and coronary heart disease (CHD) is the most common type of heart disease in women and men.

What is coronary heart disease
Coronary heart disease is a result of plague build up in the inner lining wall of the arteries, by mostly cholesterol, fat and other minerals. In a prolonged period of time, these build up can block and impeded the inner lining wall, leading to the narrower blood flow to the muscles of the heart. In some case, the rupture of plague can cause blood clots blocking the flow of blood to the blood muscle, causing heart attack.

What is coronary microvascular disease (MVD)
Instead of affects the arteries, coronary microvascular disease (MVD) affects the heart's smallest coronary arteries. according to findings from the National Heart, Lung, and Blood Institute’s (NHLBI) Women’s Ischemia Syndrome Evaluation (WISE) study, In women with this condition, called coronary microvascular syndrome, plaque accumulates in very small arteries of the heart, causing narrowing, reduced oxygen flow to the heart, and pain that can be similar to that of people with blocked arteries, but the plaque does not show up when physicians use standard tests. As a result, many women go undiagnosed.

Treatments in conventional medicine
The main goal of the treatment is to reduce the risk factors which have contributed to the diseases
1. Improve cholesterol levels
Medine statins are the types of drugs used to lower cholesterol levels by inhibiting the enzyme HMG-CoA reductase, which plays a central role in the regulation of the production of cholesterol by the liver.

2. Angiotensin-converting enzyme (ACE) inhibitors (captopril, enalapril, lisinopril, and ramipril)
Angiotensin-converting enzyme (ACE) inhibitors are a group of drugs used to inhibit the renin-angiotensin system (RAS) is a hormone system that regulates blood pressure and water balance.

3. Beta blockers
A study of beta Blockade after myocardial infarction: systematic review and meta regression analysis" by Freemantle N, Cleland J, Young P, Mason J, Harrison J (June 1999), researchers ofund that β Blockers are effective in long term secondary prevention after myocardial infarction, but they are underused in such cases and lead to avoidable mortality and morbidity.
In other study of "Beta blockers in hypertension" by Cruickshank JM (August 2010), researcher found that β blockers, at least in non-smokers (70% of whole), have been shown to reduce the risk of myocardial infarction by about 35—50% in men (MRC mild hypertension, IPPPSH, MAPHY studies). Also, as Webb and colleagues indicate, the risks of myocardial infarction and heart failure are related to the difference and not the variation in SBP, and the most effective way to lower SBP in younger or middle-aged people with hypertension is via β1 blockade (bisoprolol)
to lower blood pressure and decrease the heart's workload.

4. Aspirin, copy frommy previous article "Heart Diseases---Aspirin: Friend or Foe ?"
a. Aspirin indeed helps your blood from clotting. If you suffer any bleeding, taking aspirin will make bleeding harder to stop. Study show that aspirin might increase the bleeding complication. If you are taking any blood thinner medication or you have an ulcer, please consult with your doctor before taking aspirin. For people suffering from hemorrhages (this is the loss of blood from the circulatory system or internal bleeding taking aspirin) they would do more harm than good.

b. Aspirin increases the risk of bleeding and hemorrhagic strokes that are caused by blood vessels bursting in or around your brain. Therefore do not assume that taking an aspirin a day would do no harm. Please consult with with your doctor before starting aspirin therapy.

c. Study shows that aspirin does not work well with people with high cholesterol levels. People with cholesterol levels over 220 respond poorly to aspirin therapy. Therefore, if your cholesterol level is over 220 you might need to find some other therapy to lower the risk of heart diseases.
Aspirin also causes some side affects such as heartburn, indigestion and mild-to-moderate abdominal or stomach cramps.

5. Nitroglycerin
Nitroglycerin is also used medically as a vasodilator to treat heart conditions, such as angina and chronic heart failure by relaxing the blood vessels, improving blood flow to the heart muscle, etc..

6. Etc.
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