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Our
team of interventional
specialists provides
treatment for patients
diagnosed with one of the
following conditions:
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Coronary Artery Disease |
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Coronary artery disease
(CAD) occurs when the
arteries that supply blood
to the heart muscle (the
coronary arteries) become
hardened and narrowed. The
arteries harden and narrow
due to buildup of a material
called plaque (plak) on
their inner walls. The
buildup of plaque is known
as atherosclerosis (ATH-er-o-skler-O-sis).
As the plaque increases in
size, the insides of the
coronary arteries get
narrower and less blood can
flow through them.
Eventually, blood flow to
the heart muscle is reduced,
and, because blood carries
much-needed oxygen, the
heart muscle is not able to
receive the amount of oxygen
it needs. Reduced or cutoff
blood flow and oxygen supply
to the heart muscle can
result in:
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Cardiomyopathy |
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Cardiomyopathy is a serious disease
in which the heart muscle becomes
inflamed and doesn't work as well as
it should. There may be multiple
causes including viral infections.
Cardiomyopathy can be classified
as primary or secondary. Primary
cardiomyopathy can't be attributed
to a specific cause, such as high
blood pressure, heart valve disease,
artery diseases or congenital heart
defects. Secondary cardiomyopathy is
due to specific causes. It's often
associated with diseases involving
other organs as well as the heart.
There are three main types of
cardiomyopathy: dilated,
hypertrophic and restrictive.
For more useful information about
cardiomyopathy here is a direct link
to the
American Heart Association’s website
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Heart
Attack |
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A heart attack occurs when the
blood supply to part of the heart
muscle itself — the myocardium — is
severely reduced or stopped. The
reduction or stoppage happens when
one or more of the coronary arteries
supplying blood to the heart muscle
is blocked. This is usually caused
by the buildup of plaque (deposits
of fat-like substances, a process
called atherosclerosis. The plaque
can eventually burst, tear or
rupture, creating a "snag" where a
blood clot forms and blocks the
artery. This leads to a heart
attack.
The American Heart Association
has extensive, easy to understand
information about heart attack on
its website.
Here is a direct link
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Angina |
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Angina pectoris is the medical
term for chest pain or discomfort
due to coronary heart disease.
Angina is a symptom of a condition
called myocardial ischemia. It
occurs when the heart muscle
(myocardium) doesn't get as much
blood (hence as much oxygen) as it
needs. This usually happens because
one or more of the heart's arteries
(blood vessels that supply blood to
the heart muscle) is narrowed or
blocked. Insufficient blood supply
is called ischemia.
We invite you to visit the
American Heart Association’s website
for more useful, easy to understand
information about Angina.
Here’s the link >
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Stroke |
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Stroke is a type of
cardiovascular disease. It affects
the arteries leading to and within
the brain. A stroke occurs when a
blood vessel that carries oxygen and
nutrients to the brain is either
blocked by a clot or bursts. When
that happens, part of the brain
cannot get the blood (and oxygen) it
needs, so it starts to die.
More about stroke is at the
American Stroke Association
website >
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Claudication |
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Claudication is discomfort or pain
in your legs that happens when you
walk and goes away when you rest.
You may not always feel pain;
instead you may feel a tightness,
heaviness, cramping, or weakness in
one or both of your legs.
Claudication often occurs more
quickly if you walk uphill or up a
flight of stairs. Over time, you may
feel claudication at shorter walking
distances, as the degree of artery
blockage worsens.
Find out more about
claudication
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Peripheral Vascular
Diseases |
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Peripheral vascular diseases
are those related to the
blood vessels outside the
heart and brain. Often they
are the narrowing of vessels
carrying blood to the legs,
arms, stomach or kidneys,
i.e., “hardening of the
arteries.” There are two
categories of these
circulation problems:
functional and organic.
Functional peripheral
vascular diseases don’t have
an organic cause. That is,
the blood vessels aren’t
defective. Usually, the
effects are short term,
related to a spasm and come
and go. They may be
triggered by cold, emotional
stress, working with
vibrating machinery or
smoking.
Organic
peripheral vascular diseases
result from structural
changes in the blood
vessels, such as
inflammation or damage to
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Peripheral Artery Disease |
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Peripheral artery disease
(PAD) is a condition whereby
fatty deposits build in the
inner linings of the artery
walls. The blockages
restrict blood circulation,
primarily in the arteries
leading to the kidneys,
stomach, arms, legs and
feet.
Diagnosing PAD may be done
with:
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An
abnormal ratio between
the blood pressure of
the ankle and arm
(ankle/brachial index,
or ABI) |
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A
Doppler ultrasound exam
of an extremity |
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Angiography of the
arteries in the legs
(arteriography)
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Intravascular ultrasound
(IVUS) of the extremity
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An MRI
scan |
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more patients, PAD can be
treated with lifestyle
changes including smoking
cessation, controlling
diabetes and blood pressure,
more physical activity, a
low-cholesterol and a
low-saturated fat diet.
Some patients require
medications to improve their
ability to walk longer
distances, antiplatelet
agents or
cholesterol-lowering
agents. In some cases,
angioplasty or surgery is
necessary. |
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Valvular Disease |
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Our
hearts are composed of four
valves: mitral, tricuspid,
aortic and pulmonic.
Valve disease is caused by
valvular
stenosis or valvular
insufficiency.
In
valvular stenosis,
valve leaflet tissues become
stiffer, narrowing the valve
openings and reducing the
amount of blood that can
flow through. A mild
narrowing may not reduce the
heart’s overall function,
but it can become so narrow
(stenotic) that function is
compromised and the rest of
the body may not be
adequately served.
Valvular insufficiency, or
regurgitation, incompetence,
"leaky valve,” occurs when
the leaflets do not close
completely, letting blood
leak backward across the
valve. This backward flow is
referred to as “regurgitant
flow.”
Valve disease can be
congenital or acquired later
in life. Congenital valve
disease may be related to
improper valve size,
malformed leaflets or
leaflets being wrongly
attached.
Acquired valve diseases are
usually the result of a
change in the valve’s
structure or an infection.
Infective endocarditis and
rheumatic fever are the two
common infections that cause
valve disease.
Rheumatic fever causes heart valve
leaflets to become inflamed
and may cause the leaflets
to stick together and become
scarred, rigid, thickened or
shortened. Additionally, it
may cause one of the valves
to become stenotic or leaky.
Endocarditis
is a life-threatening
infection that results when
germs attach to the heart
valves’ surface.
Endocarditis can cause
growths on the valves, holes
or scarring of the valve
tissue or the valves to leak
or become stenotic.
Coronary artery disease,
heart attacks,
cardiomyopathy, syphilis,
hypertension, aortic
aneurysms, connective tissue
diseases, tumors and some
types of medications and
radiation can also cause
valve disease.
The
structure of the valve can
be caused from heart attack,
a heart valve infection or
trauma. |
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Atrial Septal Defect |
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Atrial
septal defect is a type of
congenital heart disease in
which there is an opening in
the wall between the right
and left atrium of the heart
(the upper chambers). This
results in some oxygenated
blood from the left flowing
through a hole in the septum
into the right, mixing with
oxygen-poor blood and
increasing the amount of
blood flowing to the lungs.
This creates a swishing
sound, a heart murmur, which
can be the first indication
of the problem.
When the defects are a
certain size they generally
need to be corrected either
with a catheter procedure or
with open heart surgery. |
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Patent
Foramen Ovale |
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If the
normal opening between the
left and right atria of the
heart fails to close
naturally soon after a baby
is born, it is called a
patent foramen ovale (PFO).
A PFO
enables blood to bypass the
lungs. PFOs are not
uncommon, and in most cases
don’t cause problems.
Often PFOs
aren’t diagnosed unless a
patient has a stroke or
another illness. A
Transesophegeal
Echocardiogram can diagnose
a PFO.
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Heart Risk
Calculatorss |
| The American Heart
Association provides risk
calculators to help access and track
your own situation. Complete the
risk calculators then contact us at
Kansas City Cardiology Associates if
you have questions or concerns. |
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