Coronary Artery Disease: Coronary Artery Disease: Diagnosis and Treatment Diagnosis and Treatment Mark J. Ricciardi, MD Mark J. Ricciardi, MD Director, Interventional Cardiology and Cardiac Director, Interventional Cardiology and Cardiac Catheterization Catheterization Northwestern Bluhm Cardiovascular Institute Northwestern Bluhm Cardiovascular Institute Northwestern Memorial Hospital Healthy Transitions Fall Program October 7, 2013
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Coronary Artery Disease: Diagnosis and Treatment Mark J. Ricciardi, MD Director, Interventional Cardiology and Cardiac Catheterization Northwestern Bluhm.
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Coronary Artery Disease: Coronary Artery Disease: Diagnosis and TreatmentDiagnosis and Treatment
Mark J. Ricciardi, MDMark J. Ricciardi, MDDirector, Interventional Cardiology and Cardiac Director, Interventional Cardiology and Cardiac CatheterizationCatheterizationNorthwestern Bluhm Cardiovascular InstituteNorthwestern Bluhm Cardiovascular Institute
Northwestern Memorial Hospital
Healthy Transitions Fall ProgramOctober 7, 2013
OutlineOutline
Coronary artery disease (CAD) basicsCoronary artery disease (CAD) basics Diagnosis of CADDiagnosis of CAD
Define coronary anatomy, and Define coronary anatomy, and presence, absence, degree presence, absence, degree obstructionobstruction
Most commonlyMost commonly used to: used to: – determine extent of CAD determine extent of CAD – assess feasibility and appropriateness of assess feasibility and appropriateness of
Most common access siteMost common access site– since 1980ssince 1980s
Easy and reliableEasy and reliable
Often requires 20-30 Often requires 20-30 minutes of pressure to minutes of pressure to prevent bleeding - followed prevent bleeding - followed by bed-restby bed-rest
1% risk significant bleeding1% risk significant bleeding There are new strategies There are new strategies
that hasten recovery timethat hasten recovery time– Bleeding still an issueBleeding still an issue
Symptomatic CADSymptomatic CAD– Angina, heart attackAngina, heart attack– Non-invasive and invasive testingNon-invasive and invasive testing
CAD TreatmentCAD Treatment– Behavioral, pharmacologic, mechanicalBehavioral, pharmacologic, mechanical– NW big part of the past, present and NW big part of the past, present and
No associated major nerveNo associated major nerve Median N in carpal tunnelMedian N in carpal tunnel Ulnar N runs with UAUlnar N runs with UA
Dual arterial supply to handDual arterial supply to hand RA and UA join in 2 arches RA and UA join in 2 arches Superficial and deep palmar archesSuperficial and deep palmar arches