Atherosclerosis (arteriosclerotic vascular disease, ASVD). What treatment is required by stenosis of the carotid artery?

Atherosclerosis of the carotid artery is a disease that affects many. It is also the leading cause of death in the western world. Many hundreds of thousands in the western world is estimated to be sick in any way because of atherosclerosis and approximately 30% of them have already suffered a stroke (apoplexy). Many more will have atherosclerosis in the carotid artery without it necessarily means anything. The exact cause of atherosclerosis is unknown, but it is known that smoking, obesity, lack of exercise and poor controlled diabetes are contributing or increase the risk. Atherosclerosis of the carotid arteries is seen especially in the elderly and people who have atherosclerosis in other places such as in coronary arteries of the heart or the legs. Smokers have more atherosclerosis than non-smokers. Calcification in the carotid arteries are often discovered only if you have had a clot in the brain.

Narrowing of the carotid artery

Symptoms of narrowing of the carotid artery ranging from very mild cases so-called TIA (transient ischemic attack) to the actual stroke. TIA can be thought of as a small stroke. It's called transitorik because it is transient often only seconds to minutes and lasting at least gone over within 24 hours. The most common symptoms are transient seizures weakness or sensory disturbances of face, arm or leg on one half of the body. Transient blurring of speech or difficulty finding the right words are also seen. Momentary blindness of one eye (amaurosis fugax) is also a symptom that may result from narrowing of the carotid artery (carotid stenosis)

Causes of narrowing

Atherosclerosis (also known as arteriosclerotic vascular disease or ASVD) makes carotid artery hard, forming constrictions clots which in turn gives TIA and stroke. The artery calcification caused by hereditary conditions, and smoking. High blood pressure, diabetes and high cholesterol also promotes the development of atherosclerosis. But other diseases cause similar symptoms such. migraine, epilepsy, low blood sugar, fainting and normal heart rhythm disturbances. TIA usually cause no loss of consciousness.

Although the TIA can be very scary they go over and leave no permanent damage. But if you have had a TIA cases, the risk of having a stroke with permanent injury or in extreme cases death caused elevated. It is therefore very important to have the correct diagnosis so that any underlying cause of TIA attack can be treated. If TIA is due to narrowing of the carotid artery, an operation can reduce the risk of eventually getting a stroke. An ultrasound imaging of the carotid arteries will reveal whether there is a narrowing or not. At the same cholesterol checked and take ECG.

Treatment of narrowing of the carotid artery

If the investigation shows that a narrowing of the carotid artery is the cause of the symptoms, treatment is necessary. If the constriction is very pronounced, treatment is primarily medical. Aspirin, or "Plavix" makes the platelets are less likely to stick together and thereby form the clots giving rise to the symptoms. Own doctor can start treatment and it is also a good idea to examine blood pressure and cholesterol. The internship will send a doctor if necessary, prescribe needed medication for it. If the restriction is a very high operation carried out in order to prevent an abrupt occlusion and the following stroke. Surgery may also be considered if, despite medical therapy still comes TIA cases.

Surgery of carotid artery

The surgery is called a Carotid endarterectomy (CEA). The surgery is performed under general anesthesia, but can also be done under local anesthetic. An incision on the side of the neck explored the carotid artery. Carotid artery clamped above and below calcification. The vessel is opened and the constriction is removed. The vessel can usually be sewn directly together without inserting an artificial vein. Prior to surgery carried out additional studies such as a scan of the brain. The surgery lasts about one hour. You can be tired and døsende after surgery, depending on the anesthetic gained. You may have mild pain in the wound treated with painkillers. There is a small risk of having a stroke (stroke) in connection with the operation. This risk must by nature be judged against the risk of surgery is not performed. - Click to read about heart disease >>

What can you do?

Whether you get surgery or not, it is important not to smoke and take the prescribed medication (aspirin or similar) and have cholesterol and blood pressure adjusted if necessary. The most important thing is to stop smoking. Another very important thing you can do is look at his eating habits. One can perhaps help with diet planning by a dietitian or doctor. Fat intake should be reduced and the fat that you have to eat, must be of the right kind. It's about reducing fat intake, increase the amount of fruit and vegetables and then eat mostly lean meats. It is important to understand that it's not such that it is unhealthy "toxic". In other words, it is important that showed most of the time live healthy and live only "unhealthy" occasionally. Finally, it is very important to regular exercise. A good rule of thumb is that heart rate up and you have to sweat a little about 30 minutes per day or 1 hour every other day. By arranging his lifestyle as described can prevent the artery calcification deteriorate and also reduce the risk of heart disease.

Fish Oil (omega-3 fatty acids) can prevent heart failure

Study published in the medical journal 'The Lancet' showing that a fish oil capsule a day can prevent heart failure in some heart patients. Fish Oil Omega-3-fatty acids have a drug like effect on the heart which stabilizes cardiac rhythm. The study demonstrates that capsules of fish oil is good for heart patients and to better prevent further heart disease than the cholesterol-lowering medication. And since heart failure patients often take multiple medications, it is entirely appropriate to talk to their doctors about whether to continue with the cholesterol-lowering medication. But you should of course not even stop heart medicine - only by appointment with the doctor.

About cholesterol and blood cholesterol

With the right cholesterol numbers can prevent the risk of atherosclerosis. Most people know that too much cholesterol in the blood is not healthy because you can get atherosclerosis. However, cholesterol fat, found in all body cells, which to some extent need cholesterol to function. Cholesterol formed in the liver, which sends it with the blood to the parts of the body where it is needed. Such is the dietary fat, which determines how much cholesterol the liver produces. Too much cholesterol in the blood is usually due to inappropriate and fat diet. Cardiac Doctors recommend 'Total Cholesterol' falls below 5 mmol / l and the harmful 'LDL cholesterol' below 3 mmol / l to prevent cardiovascular disease. Have you already atherosclerosis or diabetes, are the targets even tougher, as 'Total Cholesterol' to be below 4.5 mmol / l, and 'LDL cholesterol' must be less than 2.5 mmol / L. One can get their cholesterol measured at pharmacies or from their own doctor, who can both advise and act on high cholesterol.

Herbal medicine for high cholesterol and blood sugar

If you have done a good job and still missing just the last paragraph, for example Guarmin be the helping hand that takes. Guarmin is a natural drug that lowers cholesterol and blood sugar. Guarmin consists of fibers from the Indian Guarbønne plant. Guarmin works cholesterol-lowering and used as an adjunct to diet at an elevated level of cholesterol in the blood. Guarmin also acts glucose lowering in addition to diet and exercise in conditions with increased levels of sugar in the blood.


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