Coronary Artery Disease

  • Nages Nagaratnam
  • Kujan Nagaratnam
  • Gary Cheuk
Reference work entry

Abstract

Coronary heart disease (CHD) is the largest cause of death and disability and the largest single cause of death in Australia and accounted for 21% of all deaths in 2000 and 19% of all deaths in 2004. A single aetiology is rarely found in the majority of old people with CHD. The risks for coronary artery disease increase with age. The damage to the endothelial lining is most often caused by a combination of the following: hypertension, high blood cholesterol, smoking and diabetes. This review discusses the risk factors followed by an update on the clinical management. A large proportion of elderly patients with myocardial ischaemia have atypical manifestations including dyspnoea and worsening heart failure in addition to an excess occurrence of unstable angina and non-Q wave myocardial infarction. Early diagnosis and prompt treatment are vital in patients with STEMI. Preventing heart disease is an important part of overall management.

Keywords

Coronary heart disease Risk factors Unstable angina Acute coronary syndromes(ACS) Unexpected sudden death ST-elevation myocardial infarction (STEMI) 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Nages Nagaratnam
    • 1
  • Kujan Nagaratnam
    • 1
  • Gary Cheuk
    • 2
  1. 1.The University of SydneyWestmead Clinical SchoolWestmeadAustralia
  2. 2.Rehabilitation and Aged Care ServiceBlacktown-Mt Druitt HospitalMount DruittAustralia

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