K Bakhru's Articles in Heart Disease Show All|Display Category|Title|Newest|Oldest Things To Know About Coronary Artery Disease - CAD CAD is indeed a silent human killer. Although the disease process starts in coronary arteries early in childhood, it continues progressing very gradually through years/decades, and becomes significant enough only later in life, say at the age of 40, or earlier. The reason is that no symptom of the disease occurs till more than 50-60% of the surface area of the coronary arteries is involved. Out of sudden deaths, as a result of CAD, 50% patients may not have any symptom earlie... What Is Heart Attack? In case angina pectoris is ignored, and the disease is allowed to progress, the blockage in coronary arteries/or in its branches may go on increasing. The end-result of such a severe blockage in coronary arteries/branches would be that the blood supply of a part of heart muscle (supplied by the respective branch of coronary artery) may suddenly stop completely leading to severe damage / injury / necrosis / death of the affected portion of the heart muscle. However, the patien... Detection Of Occult / Asymptomatic Cases Of Cad (Coronary Artery Disease) The CAD – (Coronary Artery Disease) starts in early childhood and remains asymptomatic till the third or fourth decade of life. It means, prior to this, irrespective of exertion, no symptom of the disease occurs, and unless the symptom occurs, the patient, does not seek medical advice. However, tests like resting electrocardiogram (ECG) and/or exercise ECG do help in detecting early asymptomatic cases of CAD. Besides detection of early hidden cases of CAD, detection of var... What Investigations Are Necessary In Case Of A Cad – (Coronary Artery Disease) The first and foremost is that an ECG of the patient concerned must be recorded. Characteristic ECG changes may occur as a result of damage to the heart muscle. However, ECG may not show any change for the first few hours, or even for a day in a case of heart attack. In case the ECG is normal, and the patient is clinically a suspected case of heart attack, a Troponin T (TnT) strip test of blood must be carried out as it is a bedside test and the results are available at th...

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