Coronary artery disease is also called coronary heart disease or CHD, heart disease caused by narrowing of the arteries that supply blood and oxygen to the heart. If the blood supply is cut off, the result is a heart attack.
Michael F. Magpile, MD
Specialty: Internal Medicine
Location and Office HoursScripps Clinic Rancho San Diego
10862 Calle Verde
La Mesa, CA 91941
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What is coronary heart disease?
American Diabetes Association answered
Is there a connection between celiac disease and type 2 diabetes?
dLife - It's YOUR Diabetes Life! answeredThere is no correlation between type 2 diabetes and celiac disease. The prevalence of celiac disease among people with type 2 diabetes is the same as for the general population, which is about 1 percent.
However, the prevalence of celiac disease is higher among people with type 1 diabetes. Approximately 8 to 10 percent of people with type 1 diabetes also have celiac disease. Researchers don't know for sure why the prevalence of celiac disease is higher among people with type 1 diabetes, but they think it probably has something to do with the fact that both diseases are autoimmune conditions, and so they may share genetic similarities. Every person with type 1 diabetes should be tested for celiac disease so they can go on a gluten-free diet if necessary. If people with celiac disease continues to eat gluten, they are at risk for developing other complications such as osteopenia, osteoporosis, iron deficiency anemia, fatigue, and more serious complications such as intestinal cancers.
What is an interventional procedure?
SCAI answeredStroke can occur if the branch of the carotid arteries (located in the neck) that carries blood to the brain becomes narrowed or blocked due to a build-up of plaque or the formation of a blood clot.
A surgical procedure, called endarterectomy, has traditionally been used to remove fatty deposits inside the artery to prevent strokes. Interest is growing in using less-invasive interventional procedures to prevent and treat stroke.
Carotid Artery StentingCarotid artery stenting involves inserting a catheter (a small plastic tube) through an artery in the leg and threading it through the blood vessels to the blockage in the neck. A thin wire that has a collapsible umbrella-like filter device attached to its end is advanced via the catheter to a point just beyond the blockage.
When opened, the “umbrella” filters the blood flowing to the brain, preventing bits of plaque or blood clot from passing to the brain and causing stroke. The blocked artery is widened by inflating a tiny balloon inside the blood vessel. This pushes the plaque against the artery’s walls and makes way for the stent, which is inserted to prop open the artery. Once the stent is in place, the umbrella filter and catheter are removed.
Preventing Stroke by Closing the PFO A small opening, or hole, in the wall between the heart’s two upper chambers (atria) has been implicated in recurrent stroke. The patent foramen ovale, or PFO, as the opening is called, normally closes shortly after birth. But in about 25 percent of the population, it does not close securely. That means that blood can pass from the right atrium (the right upper chamber of the heart) to the left atrium (the left upper chamber of the heart) without first being filtered or oxygenated in the lungs. If blood entering the left atrium contains a clot or other impurities, the impurities could be carried by the blood to the brain, possibly causing stroke.
For patients at high risk of stroke, interventional cardiologists are using a catheter-based approach to implant a small closure device that seals the PFO shut. Once it is closed, unfiltered blood containing impurities cannot flow into the left atrium or to the brain.
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