Pumps & Pipes 1 Christie M. Ballantyne, M.D. Christie M. Ballantyne, M.D. Center for Cardiovascular Disease Prevention Center for Cardiovascular Disease Prevention Methodist DeBakey Heart Center Methodist DeBakey Heart Center Baylor College of Medicine Baylor College of Medicine Houston, Texas Houston, Texas Atherosclerosis
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Pumps & Pipes 1
Christie M. Ballantyne, M.D.Christie M. Ballantyne, M.D.
Center for Cardiovascular Disease PreventionCenter for Cardiovascular Disease PreventionMethodist DeBakey Heart CenterMethodist DeBakey Heart Center
Baylor College of MedicineBaylor College of MedicineHouston, TexasHouston, Texas
Atherosclerosis
Key Clinical Issues
1. What causes the development of atherosclerosis?
2. Why do some atherosclerotic plaques develop a thrombus leading to vessel occlusion and clinical symptoms (MI, stroke)
3. How do we identify early atherosclerosis which does not limit flow and does not cause symptoms?
4. How do we stop or reverse atherosclerosis?
5. How do we monitor whether therapy is successful?
How do you know if you are at risk for a heart attack?
Case
A 58-year-old former CEO, recently retired, concerned about his risk for heart disease because of a family history of heart disease. He exercises on a regular basis; diet and weight have fluctuated over the years with his stress and workload. His only medical problem is high blood pressure, which is controlled with medication.