Coronary Artery Disease

WHAT YOU SHOULD KNOW:

Coronary artery disease (CAD) is narrowing of the arteries to your heart caused by a buildup of plaque. Plaque is made up of cholesterol and other substances. The narrowing in your arteries decreases the amount of blood that can flow to your heart. This causes your heart to get less oxygen.


AFTER YOU LEAVE:

Medicines:

You may need any of the following:

  • Blood pressure medicines are given to lower your blood pressure. These medicines may include ACE inhibitors and beta-blockers. ACE inhibitors help keep your blood vessels relaxed and open, which helps keep blood flowing into your heart. Beta-blockers keep your heart pumping strongly and regularly. This helps keep your heart from working too hard to get oxygen.

  • Cholesterol medicines help lower high blood cholesterol levels.

  • Nitrates , such as nitroglycerin, relax the arteries of your heart so it gets more oxygen. They help to relieve your chest pain.

  • Antiplatelet medicines , such as aspirin, keep platelets from sticking to a damaged part of your artery. Platelets are a part of your blood that stick together to help heal injuries. They may cause a blockage in your artery and keep blood from flowing to your heart.

  • Anticoagulants are a type of blood thinner medicine that helps prevent clots. Clots can cause strokes, heart attacks, and death. These medicines may cause you to bleed or bruise more easily.

    • Watch for bleeding from your gums or nose. Watch for blood in your urine and bowel movements. Use a soft washcloth and a soft toothbrush. If you shave, use an electric razor. Avoid activities that can cause bruising or bleeding.

    • Tell your caregiver about all medicines you take because many medicines cannot be used with anticoagulants. Do not start or stop any medicines unless your caregiver tells you to. Tell your dentist and other caregivers that you take anticoagulants. Wear a bracelet or necklace that says you take this medicine.

    • You will need regular blood tests so your caregiver can decide how much medicine you need. Take anticoagulants exactly as directed. Tell your caregiver right away if you forget to take the medicine, or if you take too much.

    • If you take warfarin, some foods can change how your blood clots. Do not make major changes to your diet while you take warfarin. Warfarin works best when you eat about the same amount of vitamin K every day. Vitamin K is found in green leafy vegetables, broccoli, grapes, and other foods. Ask for more information about what to eat when you take warfarin.

  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your primary healthcare provider or cardiologist as directed:

You may need to return for other tests. You may also be referred to a cardiac surgeon. Write down your questions so you remember to ask them during your visits.

Cardiac rehabilitation:

Your primary healthcare provider or cardiologist may recommend that you attend cardiac rehabilitation (rehab). This is a program run by specialists who will help you safely strengthen your heart and reduce the risk of more heart disease. The plan includes exercise, relaxation, stress management, and heart-healthy nutrition. Caregivers will also check to make sure any medicines you are taking are working.

Manage CAD:

  • Exercise regularly. Exercise at least 30 minutes per day, on most days of the week. Exercise helps to lower high cholesterol and high blood pressure. It can also help you to maintain a healthy weight. Ask your primary healthcare provider about the kind of exercise you should do and how to get started.

  • Maintain a healthy weight. If you are overweight, talk to your primary healthcare provider about how to lose weight. A weight loss of 10% can improve your heart health.

  • Eat heart-healthy foods. Include fresh fruits and vegetables in your meal plan. Choose low-fat foods, such as skim or 1% fat milk, low-fat cheese and yogurt, fish, chicken (without skin), and lean meats. Eat two 4-ounce servings of fish high in omega-3 fats each week, such as salmon, fresh tuna, and herring. Avoid foods that are high in sodium, such as canned foods, potato chips, salty snacks, and cold cuts. Put less table salt on your food.

  • Do not smoke. Smoking increases your risk of a heart attack. If you smoke, it is never too late to quit. Ask your primary healthcare provider for information if you need help quitting.

  • Limit alcohol. Women should limit alcohol to 1 drink a day. Men should limit alcohol to 2 drinks a day. A drink of alcohol is 12 ounces of beer, 5 ounces of wine, or 1½ ounces of liquor.

  • Manage other health conditions. Follow your primary healthcare provider's advice on how to manage other conditions that can affect your heart health. These include diabetes, high blood pressure, and high cholesterol. You may need to take medicines for these conditions and make other lifestyle changes. Talk to your primary healthcare provider if you are depressed. He may recommend treatment for your depression.

  • Ask if you should have a flu vaccine. The flu can be dangerous for a person who has CAD. The flu vaccine is available every year in the fall.

For more information:

  • American Heart Association
    7272 Greenville Avenue
    Dallas , TX 75231-4596
    Phone: 1- 800 - 242-8721
    Web Address: http://www.heart.org

Contact your primary healthcare provider if:

  • You have chest pain that is more frequent, or you have chest pain at rest.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

You have any of the following signs of a heart attack:

  • Squeezing, pressure, fullness, or pain in your chest that lasts longer than a few minutes or returns

  • Discomfort or pain in your back, neck, jaw, stomach, or arm

  • Shortness of breath or breathing problems

  • A sudden cold sweat, lightheadedness, dizziness, or nausea, especially with chest pain or trouble breathing

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Coronary Artery Disease (Discharge Care)

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