Coronary Artery Bypass (CABG) Surgery

Three coronary artery bypass grafts, a LIMA to...

Three coronary artery bypass grafts, a LIMA to LAD and two saphenous vein grafts – one to the right coronary artery (RCA) system and one to the obtuse marginal (OM) system. (Photo credit: Wikipedia)

Your doctor has recommended that you have coronary artery bypass surgery. But what does that actually mean?

Your heart is located in the center of your chest. It is surrounded by your rib cage and protected by your breastbone. Your heart’s job is to keep blood continually circulating throughout your body.
The vessels that supply the body with oxygen-rich blood are called arteries.

The vessels that return blood to the heart are called veins.
Like any other muscle in the body, the heart depends on a steady supply of oxygen rich blood. The arteries that carry this blood supply to the heart muscle are called coronary arteries.

Sometimes, these blood vessels can narrow or become blocked by deposits of fat, cholesterol and other substances collectively known as plaque.
Over time, plaque deposits can narrow the vessels so much that normal blood flow is restricted. In some cases, the coronary artery becomes so narrow that the heart muscle itself is in danger.

Coronary bypass surgery attempts to correct this serious problem. In order to restore normal blood flow, the surgeon removes a portion of a blood vessel from the patient’s leg or chest, most probably the left internal mammary artery and the saphenous vein.

Your doctor uses one or both of these vessels to bypass the old, diseased coronary artery and to build a new pathway for blood to reach the heart muscle. These transplanted vessels are called grafts and depending on your condition, your doctor may need to perform more than one coronary artery bypass graft.

Of course, operating on the heart is a complex and delicate process and in the case of bypass surgery, your doctor will most likely need to stop your heart before installing the graft.

During the time that your heart is not beating, a special machine, called a heart-lung machine, will take over the job of circulating and oxygenating your blood.

By using this machine, your doctor is able to repair the heart without interfering with the blood flow to the rest of the body.

Following surgery, your heart will be restarted and you will be disconnected from the heart-lung machine

Mediterranean Diet

Fresh vegetarian pasta (2528005054)

Fresh vegetarian pasta (2528005054) (Photo credit: Wikipedia)

A randomized, multicenter trial conducted in Spain found that a Mediterranean diet resulted in a reduction in the incidence of major cardiovascular (CV) events and a 30 percent relative risk reduction in major CV events over a 4.8-year follow-up period.

The trial results were published on Feb. 25 in The New England Journal of Medicine. The PREDIMED (Preventión con Dieta Mediterránea) trial compared the consumption of a Mediterranean diet supplemented with either extra-virgin olive oil or nuts vs. a control diet among 7,447 individuals at high risk of CV disease (CVD) but with no CVD at enrollment. Individuals in the trial had either type 2 diabetes or at least three of seven major CV risk factors — smoking, hypertension, elevated low-density lipoprotein cholesterol levels, low high-density lipoprotein cholesterol levels, were overweight or obese, or had a family history of premature coronary heart disease.

Results showed the group of participants assigned to a Mediterranean diet supplemented with olive oil had 96 primary endpoint events (a composite of myocardial infarction, stroke and death from cardiovascular causes), those assigned to a Mediterranean diet supplemented by mixed nuts (walnuts, almonds and hazelnuts) had 83 events and the control group had 109 events (p = 0.015). The Mediterranean diets resulted in an absolute risk reduction of three major CV events per 1,000 person-years.

A traditional Mediterranean diet consists of high amounts of olive oil, fruit, vegetables, nuts and cereals; moderate amounts of fish and poultry; and low amounts of dairy products, sweets, red meats and processed meats. Participants assigned to the Mediterranean diet groups significantly increased weekly servings of fish and legumes, as well as olive oil and nuts, depending on the group they were in.

According to the study authors, the results of the trial might explain, in part, CV mortality rates among Mediterranean countries compared with mortality rates in northern European countries and the U.S. They note that the dietary supplements of extra-virgin olive oil and nuts were possibly responsible for most of the observed benefits of the Mediterranean diets.

From CardioSource – Mediterranean Diet Major CV Events.  The original link also includes a video

Heart disease and exercise

From CNN:

Just because you have heart disease, doesn’t mean you can’t be an Ironman.

Heart Attack Warning Symptoms

Heart Attack Warning Symptoms speaks to the 7 main symptoms of a heart attack. It uses real women’s stories to personalize the heart attack experience, and encourages women who experience these symptoms to get checked out.

This video is presented by the NIH’s National Heart, Lung, and Blood Institute.

Heart Disease Risk Factors

From the National Heart, Lung, and Blood Institute (NHLBI)

Heart Attack Risk Factors address the two types of risk factors associated with heart attacks, factors that a person can control and factors they cannot. Knowing the risk factors is so important because having just one risk factor doubles a person’s chance of developing heart disease.

This video is presented by the NIH’s National Heart, Lung, and Blood Institute

 

Ways to prevent heart problems and more…

From Johns Hopkins

VIDEO: Heart disease is American’s No. 1 killer. Learn how you can stay protected – and what symptoms you shouldn’t be ignoring.

Featuring cardiologist Dr. Daniel Schwartz of Johns Hopkins Community Physicians and Jeanmarie Gallagher, Manager, Cardiac Rehabilitation of Suburban Hospital.