Coronary Artery Disease

Coronary Artery Disease Overview:

Coronary artery disease is a condition involving a reduction in the flow of blood in the arteries feeding the heart (coronary arteries). The most common cause for this condition is atherosclerosis and the formation of plaques in the arteries.

This condition is the major cause for angina, and myocardial infarction. Another common term for this condition is ischemic heart disease (IHD).

 

Aetiology:

Dislipidaemia

Abnormal concentrations of blood lipids can lead to the development of atherosclerosis, coronary artery plaques, and eventually coronary artery disease.

Risk Factors

  • Smoking
  • High blood pressure
  • High cholesterol
  • Diabetes or insulin resistance
  • Sedentary lifestyle
  • Genetic polymorphisms
  • Age
  • Gender (most common in males)
  • Diet (high saturated fats and processed carbohydrates)
  • Chronic stress
 

Symptoms:

Chest pain (Angina)

Shortness of breath

Myocardial infarction (Heart Attach)

 

Diagnostic Considerations:

Classification Of Coronary Artery Disease And Angina

Class Description
Class 1 Angina only ocurring with strenuous excercise.
Class 2 Slight limitation of activity levels. Walking uphill, upstairs, or other medium to high-level exertion during normal activities may cause angina effects.
Class 3 Marked limitation of physical activity. Walking a few blocks, climbing stairs may cause angina.
Class 4 Significant limitation on physical activity levels. Angina may present at rest.

Coronary artery calcification was shown to be the most reliable predictor of coronary heart disease over risk factor measures such as the Framingham Risk Score [1].

 

Therapeutic Aims:

1. Ensure Medical Attention To Monitor & Maintain Stable Angina

Herbal and Nutritional treatments are supportive only for this condition.

2. Improve Myocardial Hypoxia Tolerance

  • Coronary vasodilators (Crataegus oxycanthus), Coleus forskohlii)

3. Decrease Thrombotic Changes

  • Fibrinolytics (Salvia miltorrhiza, Allium sativum)
  • Platelet Aggregation Inhibitors (Allium sativum, Coleus forskohlii, Vitamin E, Fish Oil)

4. Manage Cardiovascular Risk Factors

  • Hypotensives (Crataegus oxycanthius, Coleus forskohlii)
  • Beta-Blockers (Inula racemosa)
  • Lifestyle Changes (Diet, Quit Smoking)
  • Nervine Sedatives (Valeriana officinalis)
  • Peripheral Vasodilators (Achillea millefolium, Tilia europa)
  • Antinflammatories (Curcuma longa, Fish Oil)
  • Antioxidants (Curcuma longa, Camellia sinensis)

5. Manage Stress Levels

  • Nervines (Withania somnifera, Panax quinquefolius, Valeriana officinalis)
  • Adaptogens (Panax ginseng, Eleutherococcus senticosus)
 

Differential Diagnosis:

  • Myocardial infarction
 

Comorbidities:

  • Diabetes
  • Angina pectoris
  • Stress
  • heart attack
  • Heart dysrhythmias
  • Chronic heart failure
 

Cautions:

All forms of this disease are serious, and demand medical attention. Stable angina can quickly worsen, and may lead to myocardial infarction if not properly managed. Herbal and nutritional medicine serve best as supportive therapies for this condition rather than primary treatment.

 

Herbs For Coronary Artery Disease:

 

Author:

Justin Cooke

The Sunlight Experiment

Updated: March 2018


Recent Blog Posts:

References:

  1. Taylor, A. J., Bindeman, J., Feuerstein, I., Cao, F., Brazaitis, M., & O’Malley, P. G. (2005). Coronary calcium independently predicts incident premature coronary heart disease over measured cardiovascular risk factors: mean three-year outcomes in the Prospective Army Coronary Calcium (PACC) project. Journal of the American College of Cardiology, 46(5), 807-814.