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What is Cardiovascular Disease?

Cardiovascular disease can include a few different diagnoses that affect the circulatory system in different ways. You may have been diagnosed with:

  • Cardiac arrythmia
  • Coronary artery disease (CAD)
  • Peripheral vascular disease (PVD)
  • Chronic venous thromboembolic disorder
  • Hypertension

Each of these diagnoses can impact your quality of life. By understanding the unique symptoms, treatments, and methods to manage these diseases, you can greatly improve your outcomes and meet your personal goals.

What is cardiac arrythmia?

A heart arrhythmia is a heartbeat that has an irregular rhythm. The heartbeat can be too fast, too slow, or out of sync. Some people have no symptoms with heart arrhythmia. But some could experience any of the following symptoms:

  • Palpitations
  • Pounding or racing feeling in the chest
  • A slow heartbeat
  • Chest pressure or chest pain
  • Shortness of breath
  • Anxiety
  • Dizziness or lightheadedness
  • Sweating
  • Fainting
  • Activity intolerance
  • Fatigue or feeling very tired
  • Weakness

Ventricular Fibrillation is a serious arrhythmia that can cause the blood pressure to drop dramatically, collapse, and breathing and heart rate to stop. This is an emergency that requires 911 and CPR.

What are some common heart arrhythmias?

Atrial Fibrillation

Atrial Fibrillation impacts over 6 million people in the United States and is most common in people over 60 years old. (8) Atrial Fibrillation causes the heart to beat rapidly and out of rhythm. When this happens, blood can pool in the heart increasing the risk of clot formations. Clot formations can travel through the body from the heart leading to stroke. This is why blood thinners are a critical treatment for anyone with a diagnosis of Atrial Fibrillation.

Treatment for Atrial Fibrillation includes medication to address clot formations and control heart rate, therapy to reset the rhythm of the heart known as cardioversion, and possible other interventional cardiac procedures. (8)

Sick Sinus Syndrome

Sick Sinus Syndrome can create episodes of low heart rate, pauses, and irregular heartbeats. (6) When the heart rate stays low you can experience symptoms that include fainting or near fainting, shortness of breath, severe fatigue, confusion, chest discomfort, and palpitations.

Sick Sinus Syndrome can lead to other arrythmias like Atrial Fibrillation and to complications like heart failure, cardiac arrest, and stroke. (6) This is why treating sick sinus syndrome is important. Treatment options depend on your assessment and can include: (6)

  • Medications:
    • To treat high blood pressure
    • To treat the pace of the heart
    • For the prevention of clot formations
  • Surgical Interventions:
    • Pacemaker insertion
    • Cardiac ablation
What is Coronary Artery Disease?

Coronary artery disease (CAD) is a condition that affects the main blood vessels that supply oxygen to the heart. These blood vessels narrow due to plaque (debris of fat, cholesterol, blood contents, etc.) on the artery walls. (3) This is known as atherosclerosis, the primary cause of coronary artery disease. (3)

What are the symptoms of coronary artery disease?

Symptoms of coronary artery disease include chest pain, shortness of breath, and fatigue. Coronary artery disease chest pain can feel like squeezing, tightness, or heaviness on the chest. This type of chest pain is often called angina. Angina can feel different for men and women. Women may experience angina pain in their neck, arm, or back. (3)

Coronary artery disease can lead to a heart attack. This will happen when the disease completely blocks an artery wall. Some common symptoms of a heart attack could include: (3)

  • Chest discomfort from squeezing, to sharp, or even aching.
  • Pain that spreads to the shoudler, arm, back, neck or mouth.
  • Severe tiredness or weakness.
  • Nausea
  • Heartburn
  • Cold sweating
  • Shortness of breath
  • Sudden Dizziness or lightheadedness

If you think you are having a heart attack, call 911 immediately!

In some people, none of these symptoms occur when having a heart attack. Symptoms could be very mild. This is why it is important to know your risk factors and regularly see your doctor. The risk factors for having a heart attack include smoking, high blood pressure, high cholesterol, diabetes, being overweight, and having a family history.

Talk to your doctor about your risk factors and what you can do to prevent cardiac disease.

How is coronary artery disease treated?

Medical management of coronary artery disease can include a variety of treatments based on your doctor’s assessment and your symptoms. Some common treatment options can include: (3)

  • Medications for:
    • Lowering Cholesterol
    • Thinning blood
    • Slowing the heartbeat
    • Angina
    • Blood Pressure
  • Surgical Interventions:
    • Coronary artery stent placement
    • Coronary artery angioplasty
    • Coronary artery bypass surgery (CABG)
What is Peripheral Vascular Disease?

Peripheral Vascular Disease (PVD) is a disorder where the blood vessels narrow, spasm, or get blocked leading to decreased blood flow. (2) PVD is most commonly caused by atherosclerosis which allows for the buildup of plaque inside the artery walls. When plaque is present, narrowing and blockages occur leading to decreased circulation. (2) People who have coronary artery disease will often have peripheral vascular disease as well. (2)

What are the symptoms of Peripheral Vascular Disease?

Peripheral vascular disease can have a wide range of symptoms depending on what part of the body it is affecting. Many of the symptoms can be seen in parts furthest from the heart like the legs. Some common symptoms include: (2)

  • Pain in the legs with exercise and relieved with rest.
  • Skin changes where skin can be brittle, pale, and cooler to touch.
  • Hair loss to the legs
  • Weaker pulses in the feet and legs
  • Wounds that won't heal (commonly over the ankles or heels)
  • Impotence
How is Peripheral Vascular Disease treated?

Medical management of peripheral vascular disease can include a variety of treatments based on your doctor’s assessment and your symptoms. Some common treatment options can include: (2)

  • Medications to improve circulation
  • Vascular Surgery
    • Bypass graft to reroute blood flow
    • Angioplasty to open blocked arteries
    • Stent to open blocked arteries
  • Lifestyle changes
    • Stop smoking
    • Cardiac diet
    • Exercise
What is Chronic Venous Thromboembolic Disorder?

This is a condition where a blood clot forms in a deep vein. This is a serious condition because the blood clot can move to the lung causing a life-threatening condition known as Pulmonary Embolism requiring emergency medical care. (7) Common signs and symptoms of a deep vein thrombosis are swelling, redness, and pain to the area. (7) The signs of a pulmonary embolus include sudden onset shortness of breath and chest pain requiring immediate medical care! (7)

How is chronic venous thromboembolic disorder treated?

Medical management of deep vein thrombosis can include treatments based on your doctor’s assessment and your symptoms. Some common treatment options can include: (7)

  • Medication to thin the blood
  • Medication to dissolve the clot
  • Surgical Intervention
    • Catheter assisted blood clot removal
    • Vena cava filter placement. This helps to catch the clots before they move to a vital organ.
What self-management activities can be done to decrease the risk of deep vein thrombosis?

There are many things that can be done to prevent the formation of clots. Some self-management activities include: (7)

  • Move frequently. Aim to get up and walk every 1-2 hours when possible
  • Change positions often when seated
  • Wear loose fitting clothes that don't stop blood flow
  • Consider compression stockings after talking to your doctor
  • Flex and extend at your knees and ankles often when possible
What is Hypertension?

Hypertension is known as high blood pressure. High blood pressure greatly affects your heart by making it harder to pump blood. (5) High blood pressure may not have any signs or symptoms. This is why it is important to keep appointments with your doctor and know your blood pressure numbers.

According to the American College of Cardiology and the American Heart Association, the ideal blood pressure is lower than 120/80 (systolic number/diastolic number). (5) If your blood pressure number is higher than 130 systolic (the top number) or higher than 80 diastolic (the bottom number) your doctor can diagnose you with hypertension. (5)

If blood pressure gets very high, it can be an emergency. Any blood pressure that is 180 systolic (the top number) or 120 diastolic (the bottom number) needs emergency medical attention.

Elevated blood pressure that is left untreated can put you at risk for a heart attack, stroke, and other serious health ailments. This is why it is very important to check with your doctor and know your numbers (5).

What self-management activities can help maintain a healthy blood pressure level?

There are many things people can do to keep their blood pressure in a healthy range. Some common self-management activities include: (5)

  • Stopping smoking
  • Exercising regularly
  • Eating a lower sodium diet
  • Managing stress
  • Losing weight
  • Getting a good night's sleep regularly
  • Monitoring your blood pressure at home
When a Low Sodium Diet is recommended.

A low sodium diet limits salt intake. Salt has an immediate impact on your heart’s ability to pump. Salt makes it harder for your heart to pump the extra fluids in your body. Removing excess salt from your diet can improve shortness of breath when there is too much fluid buildup in the body.

Educate yourself on the salt in your diet. Many foods have hidden salt that can negatively impact your condition. Click here for more information on a healthy heart diet that limits excess salt. (1)

Questions to Ask my Doctor?

Understanding your diagnosis can provide you with information to make the best decisions for your health and quality of life. Here are some suggestions to ask your doctor with your next visit:

  • What are the most important things I can do to help me manage my heart health?
  • What symptoms should I report to you?
  • How serious is my condition?
  • Is my cardiovascular disease affecting any other conditions?
  • What are my goals for living with cardiovascular disease?
References

  1. American Heart Association. (2024, 7 1). Avoid Hidden Sources of Sodium. Retrieved from American Heart Association: https://pdf.staywell.com/DS-19081_HF_Hidden_Sodium_03kk_AC.pdf
  2. Johns Hopkins Medicine. (2024, 7 1). Peripheral Vascular Disease. Retrieved from Johns Hopkins Medicine: https://www.hopkinsmedicine.org/health/conditions-and-diseases/peripheral-vascular-disease
  3. Mayo Clinic. (2024, 7 1). Coronary Artery Disease. Retrieved from Mayo Clinic: https://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/symptoms-causes/syc-20350613
  4. Mayo Clinic. (2024, 7 1). Heart arrhythmia. Retrieved from Mayo Clinic: https://www.mayoclinic.org/diseases-conditions/heart-arrhythmia/symptoms-causes/syc-20350668
  5. Mayo Clinic. (2024, 7 1). High blood pressure (hypertension). Retrieved from Mayo Clinic: https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/symptoms-causes/syc-20373410
  6. Mayo Clinic. (2024, 7 1). Sick sinus syndrome. Retrieved from Mayo Clinic: https://www.mayoclinic.org/diseases-conditions/sick-sinus-syndrome/diagnosis-treatment/drc-20377560
  7. Nathional Heart, Lung, and Blood Institute. (2024, 6 28). What Is Venous Thromboembolism? Retrieved from Nathional Heart, Lung, and Blood Institute: https://www.nhlbi.nih.gov/health/venous-thromboembolism#:~:text=Venous%20thromboembolism%20(VTE)%20is%20a,leg%2C%20thigh%2C%20or%20pelvis.
  8. Yale Medicine. (2024, 7 1). Atrial Fibrilation. Retrieved from Yale Medicine: https://www.yalemedicine.org/conditions/atrial-fibrillation#:~:text=It%20affects%20an%20estimated%202.7,occurs%20in%20people%20over%2060.