{"id":4099,"date":"2022-07-01T08:14:07","date_gmt":"2022-07-01T08:14:07","guid":{"rendered":"http:\/\/uat.merillife.com\/treatmentzaroorihai\/?page_id=4099"},"modified":"2022-07-01T09:52:47","modified_gmt":"2022-07-01T09:52:47","slug":"coronary-artery-disease","status":"publish","type":"page","link":"http:\/\/uat.merillife.com\/treatmentzaroorihai\/coronary-artery-disease\/","title":{"rendered":"Coronary Artery Disease"},"content":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row&#8221; gap=&#8221;0&#8243; equal_height=&#8221;yes&#8221; row_hide=&#8221;hidden-xs hidden-sm&#8221;][vc_column]<style>.carousel-container.ld_carousel_tab_69d3e5a8bb694 .carousel-item{width:100%;flex-basis:100%;padding-inline-start:0px;padding-inline-end:0px;}.carousel-container.ld_carousel_tab_69d3e5a8bb694 .carousel-items{margin-inline-start:-0px;margin-inline-end:-0px;}.ld_carousel_tab_69d3e5a8bb694.carousel-dots .dot{background:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(255, 255, 255);}.ld_carousel_tab_69d3e5a8bb694.carousel-dots .dot.is-selected, .ld_carousel_tab_69d3e5a8bb694.carousel-dots .dot:hover{background:rgb(251, 181, 47);border-color:rgb(251, 181, 47);color:rgb(251, 181, 47);}.ld_carousel_tab_69d3e5a8bb694.carousel-dots{position:absolute;bottom:10px;}<\/style><div id=\"ld_carousel_tab_69d3e5a8bb694\" class=\"carousel-container carousel-nav-left carousel-nav-mobile-center no carousel-nav-md carousel-dots-center carousel-dots-mobile-center carousel-dots-style2 carousel-dots-inside carousel-dots-mobile-outside ld_carousel_tab_69d3e5a8bb694\">\n\n\t<div class=\"carousel-items\"  data-lqd-flickity='{\"cellSelector\":\".carousel-item\",\"cellAlign\":\"center\",\"prevNextButtons\":false,\"pageDots\":true,\"groupCells\":true,\"wrapAround\":true,\"autoPlay\":3000,\"pauseAutoPlayOnHover\":false,\"buttonsAppendTo\":\"self\",\"addSlideNumbersToArrows\":false,\"dotsIndicator\":\"dots\",\"numbersStyle\":\"circle\",\"dotsAppendTo\":\"self\"}' >\n\t<div class=\"carousel-item has-width\"><div class=\"carousel-item-inner\"><div class=\"carousel-item-content\">[vc_row_inner content_placement=&#8221;middle&#8221; 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el_class=&#8221;h-vh-100&#8243;][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1611318102646{padding-right: 5vw !important;padding-left: 5vw !important;}&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1655713496979{padding-right: 5vw !important;padding-left: 5vw !important;}&#8221;][\/vc_column_inner][\/vc_row_inner]<\/div><\/div><\/div>\t<\/div>\n\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; gap=&#8221;0&#8243; row_hide=&#8221;hidden-md hidden-lg&#8221;][vc_column]<style>.carousel-container.ld_carousel_tab_69d3e5a8bcf04 .carousel-item{width:100%;flex-basis:100%;padding-inline-start:0px;padding-inline-end:0px;}.carousel-container.ld_carousel_tab_69d3e5a8bcf04 .carousel-items{margin-inline-start:-0px;margin-inline-end:-0px;}.ld_carousel_tab_69d3e5a8bcf04.carousel-dots .dot{background:rgb(255, 255, 255);border-color:rgb(255, 255, 255);color:rgb(255, 255, 255);}.ld_carousel_tab_69d3e5a8bcf04.carousel-dots .dot.is-selected, .ld_carousel_tab_69d3e5a8bcf04.carousel-dots .dot:hover{background:rgb(251, 181, 47);border-color:rgb(251, 181, 47);color:rgb(251, 181, 47);}.ld_carousel_tab_69d3e5a8bcf04.carousel-dots-mobile .flickity-page-dots .dot{background-color:rgb(255, 255, 255);}.ld_carousel_tab_69d3e5a8bcf04.carousel-dots-mobile .flickity-page-dots .dot.is-selected{background-color:rgb(251, 181, 47);}.ld_carousel_tab_69d3e5a8bcf04.carousel-dots{position:absolute;bottom:10px;}<\/style><div id=\"ld_carousel_tab_69d3e5a8bcf04\" class=\"carousel-container carousel-nav-left carousel-nav-mobile-center no carousel-nav-md carousel-dots-center carousel-dots-mobile-center carousel-dots-style2 carousel-dots-inside carousel-dots-mobile-inside ld_carousel_tab_69d3e5a8bcf04\">\n\n\t<div class=\"carousel-items\"  data-lqd-flickity='{\"cellSelector\":\".carousel-item\",\"cellAlign\":\"center\",\"prevNextButtons\":false,\"pageDots\":true,\"groupCells\":true,\"wrapAround\":true,\"adaptiveHeight\":true,\"pauseAutoPlayOnHover\":false,\"buttonsAppendTo\":\"self\",\"addSlideNumbersToArrows\":false,\"dotsIndicator\":\"dots\",\"numbersStyle\":\"circle\",\"dotsAppendTo\":\"self\"}' >\n\t<div class=\"carousel-item has-width\"><div class=\"carousel-item-inner\"><div class=\"carousel-item-content\">[vc_single_image image=&#8221;4042&#8243; css=&#8221;.vc_custom_1656318052168{margin-bottom: 0px !important;}&#8221;]<\/div><\/div><\/div><div class=\"carousel-item has-width\"><div class=\"carousel-item-inner\"><div class=\"carousel-item-content\">[vc_single_image image=&#8221;4047&#8243; css=&#8221;.vc_custom_1656318260685{margin-bottom: 0px !important;}&#8221;]<\/div><\/div><\/div><div class=\"carousel-item has-width\"><div class=\"carousel-item-inner\"><div class=\"carousel-item-content\">[vc_single_image image=&#8221;4049&#8243; css=&#8221;.vc_custom_1656318403477{margin-bottom: 0px !important;}&#8221;]<\/div><\/div><\/div>\t<\/div>\n\n<\/div>[\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1656662418910{padding-top: 30px !important;padding-bottom: 20px !important;}&#8221; responsive_css=&#8221;padding_top_medium:30px|padding_bottom_medium:50px&#8221;][vc_column]<style>.ld_fancy_heading_69d3e5a8be12a h3{color:rgb(249, 190, 38);}@media (min-width: 992px) { .ld_fancy_heading_69d3e5a8be12a h3 {margin-bottom:1em !important;  }  } .ld_fancy_heading_69d3e5a8be12a .lqd-highlight-inner{height:0.275em!important;bottom:0px!important;}@media (min-width: 992px) { .ld_fancy_heading_69d3e5a8be12a h3 {margin-bottom:1em !important;  }  } <\/style><div class=\"ld-fancy-heading ld_fancy_heading_69d3e5a8be12a\">\n\t<h3 class=\"ld-fh-element lqd-highlight-underline lqd-highlight-grow-left text-decoration-default\"   >  Cardiovascular Health: Bioresorbable Vascular Scaffold (BVS)<\/h3><\/div>[vc_column_text]<span style=\"font-size: 18px; color: #4e8cc5;\"><strong>Coronary Artery Disease<\/strong><\/span><\/p>\n<p><span style=\"font-size: 18px;\">Coronary Artery Disease (CAD) is the most frequently occurring heart disease.1 It is caused by an underlying condition called atherosclerosis in which plaque buildup (a combination of cholesterol, fat, and other substances) causes narrowing of coronary arteries that supply the heart with blood and oxygen. Without enough oxygen, the heart starts dysfunctioning, leading to various conditions like arrhythmia and angina pectoris. Sometimes the plaque grows so large that it stops blood flow to the heart muscle causing a heart attack.<sup>2<\/sup><\/span><\/p>\n<p><span style=\"font-size: 18px; color: #4e8cc5;\"><strong>Symptoms of CAD<sup>2<\/sup><\/strong><\/span><\/p>\n<ul>\n<li><span style=\"font-size: 18px;\">Pressure, squeezing pain or tightening in the chest (Angina)<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Difficulty in breathing<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Unusual tiredness<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Crushing chest pain spreading to the shoulder and left arm<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Neck and jaw pain<\/span><\/li>\n<\/ul>\n<p><span style=\"font-size: 18px; color: #4e8cc5;\"><strong>Treatment of CAD<sup>2,3<\/sup><\/strong><\/span><\/p>\n<ul>\n<li><span style=\"font-size: 18px;\">Opting for a healthy lifestyle by regularly exercising, eating healthy foods and weight management<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Medications<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Interventional Procedures :<\/span>\n<ul>\n<li><span style=\"font-size: 18px;\"><strong><u>Angioplasty and Stent or Scaffold Implantation<\/u><\/strong> : In this procedure, a small tube (catheter) with a balloon at its tip, is inserted in the blocked artery and the block is cleared off by rapid inflation-deflation of the balloon, restoring the blood flow. In most of such patients, a metallic stent or absorbable scaffold is placed inside the artery to keep it open.<\/span><\/li>\n<li><span style=\"font-size: 18px;\"><strong><u>Coronary Artery Bypass Grafting or Bypass Surgery<\/u><\/strong> : A portion of an alternate blood vessel is removed and then it is re-attached to the blocked blood vessel by bypassing the clot portion. It leads to re-routing of the normal blood flow where the blood was not reaching due to the clogged artery.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span style=\"font-size: 18px; color: #4e8cc5;\"><strong>Bioresorbable Vascular Scaffolds (BVS) :<\/strong><\/span><\/p>\n<p><span style=\"font-size: 18px;\">Bioresorbable Vascular Scaffold (BVS) is a non metallic mesh tube that is used to treat a narrowed artery, is similar to a stent, but slowly dissolves once the blocked artery can function naturally again and stays open on its own. BVS are designed to provide mechanical support and drug delivery similar to the drug eluting stents (DES), followed by complete resorption over several years. BVS also use antirestenotic drugs identical to the second-generation DES, and then resorb early enough to reap the clinical benefits of not leaving a metal device within the artery.<sup>4<\/sup><\/span><\/p>\n<p><span style=\"font-size: 18px; color: #4e8cc5;\"><strong>Advantages of BVS<sup>4<\/sup> :<\/strong><\/span><\/p>\n<ul>\n<li><span style=\"font-size: 18px;\">Provides stent scaffolding and radial strength properties as long as needed to ensure an open lumen- same as permanent metallic stent<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Completely absorbed leaving no stent behind long-term, thereby removing potential reason of inflammation that may be responsible for late stent thrombosis or restenosis<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Potentially, no need for prolonged anti-platelet therapy<\/span><\/li>\n<li><span style=\"font-size: 18px;\">The dissolving device also preserves all options of future re-interventions<\/span><\/li>\n<li><span style=\"font-size: 18px;\">MRI\/CT compatibility (allows non-invasive follow ups)<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #4e8cc5;\"><strong><span style=\"font-size: 18px;\">References :<\/span><\/strong><\/span><\/p>\n<ol>\n<li><span style=\"font-size: 18px;\">Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: Update From the GBD 2019 Study. J Am Coll Cardiol. 2020 Dec 22;76(25):2982-3021.<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Shahjehan RD, Bhutta BS. Coronary Artery Disease. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.<\/span><\/li>\n<li><span style=\"font-size: 18px;\">Cassar A, Holmes DR Jr, Rihal CS, Gersh BJ. Chronic coronary artery disease: diagnosis and management.\u00a0<em>Mayo Clin Proc<\/em>. 2009;84(12):1130-1146. doi:10.4065\/mcp.2009.0391.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-size: 18px;\">Yang X, Ahmed M, Cutlip DE. When to use bioresorbable vascular scaffolds. US Cardiology Review. 2017;11:25-30. DOI: 10.15420\/usc.2017:3:2.<\/span>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row&#8221; gap=&#8221;0&#8243; equal_height=&#8221;yes&#8221; row_hide=&#8221;hidden-xs hidden-sm&#8221;][vc_column][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; gap=&#8221;0&#8243; row_hide=&#8221;hidden-md hidden-lg&#8221;][vc_column][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1656662418910{padding-top: 30px !important;padding-bottom: 20px !important;}&#8221; responsive_css=&#8221;padding_top_medium:30px|padding_bottom_medium:50px&#8221;][vc_column][vc_column_text]Coronary Artery Disease Coronary Artery Disease (CAD) is the most frequently occurring heart disease.1 It is caused by an underlying condition called atherosclerosis in which plaque buildup (a combination of cholesterol, fat, and other substances) causes narrowing of coronary arteries [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4099","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/uat.merillife.com\/treatmentzaroorihai\/wp-json\/wp\/v2\/pages\/4099","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/uat.merillife.com\/treatmentzaroorihai\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/uat.merillife.com\/treatmentzaroorihai\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/uat.merillife.com\/treatmentzaroorihai\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/uat.merillife.com\/treatmentzaroorihai\/wp-json\/wp\/v2\/comments?post=4099"}],"version-history":[{"count":10,"href":"http:\/\/uat.merillife.com\/treatmentzaroorihai\/wp-json\/wp\/v2\/pages\/4099\/revisions"}],"predecessor-version":[{"id":4126,"href":"http:\/\/uat.merillife.com\/treatmentzaroorihai\/wp-json\/wp\/v2\/pages\/4099\/revisions\/4126"}],"wp:attachment":[{"href":"http:\/\/uat.merillife.com\/treatmentzaroorihai\/wp-json\/wp\/v2\/media?parent=4099"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}