Medical professionals within cardiovascular medicine are guided by standards in the field called appropriate use criteria, which describe best practices for conducting tests and performing procedures. Appropriate use criteria are detailed recommendations that are developed and reviewed by the world’s leading experts in the field and published by medical societies such as the Society for Cardiovascular Angiography and Interventions, the American College of Cardiology and the American Heart Association, among others.
Peem Lorvidhaya, MD
- clinical cardiac electrophysiology
Location and Office HoursRhode Island Cardiology Center
950 Warren Ave Fl 2
East Providence, RI 02914
- BlueCross BlueShield
- BlueCross BlueShield of Rhode Island
- First Health
- Great-West Healthcare Cigna
- Neighborhood Health Plan
- Tufts Health Plan
- United Healthcare
- Kent Hospital
- Rhode Island Hospital
- The Miriam Hospital
- Women & Infants Hospital of Rhode Island
- Yale-New Haven Hospital
What are appropriate use criteria in cardiovascular medicine?
How does the heart get oxygen and nutrients?
Brigham and Women's Hospital answeredThe heart is basically a pump. The heart is made up of specialized muscle tissue, called the myocardium. The heart's primary function is to pump blood throughout the body, so that the body's tissues can receive oxygen and nutrients and have waste substances taken away.
Like any pump, the heart requires fuel in order to work. The myocardium requires oxygen and nutrients, just like any other tissue in the body. However, the blood that passes through the heart's chambers is only passing through on its trip through the body -- this blood does not give oxygen and nutrients to the myocardium. The myocardium receives its oxygen and nutrients from the coronary arteries. The coronary arteries lie on the outside of the heart and supply oxygenated blood to the heart tissue.
Are the love and support of one’s spouse associated with heart health?
Several studies have found that marital stress may increase the risk of heart disease and worsen the prognosis after an acute cardiac event (such as a heart attack). Negative emotions such as hostility, anxiety, or depression have repeatedly been shown to adversely affect heart health as well. This may in part be related to worse self care and an unhealthy lifestyle in those who are under significant emotional stress. Stress may also cause direct damage to certain biological systems, including the cardiovascular system. Although the connection between love and heart health has not been well studied yet, exciting new work is beginning to show that positive thoughts and attitudes (such as sex or family life satisfaction) may have protective effects on health outcomes, including the risk of developing heart disease.
See all Heart Disease questions