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What is Coronary artery disease?

The narrowing or blockage of your coronary arteries, which provide your heart with oxygen-rich blood, is known as coronary artery disease (CAD). This occurs because the amount of blood that can reach your heart muscle is reduced over time due to plaque (including cholesterol) accumulation in these arteries.

What is the Importance of Timely Treatment?

To avoid serious consequences like heart attacks, heart failure, or sudden cardiac arrest, Coronary Artery Disease (CAD) must be treated on time.

Changes in lifestyle, medicine, surgery, or angioplasty are examples of early interventions that can increase blood flow, lessen cardiac strain, and stop the disease's progression.

Treating CAD also enhances quality of life, raises the likelihood of a better long-term prognosis, and reduces the danger of irreversible damage to the heart muscle. Higher mortality rates, a higher chance of serious cardiovascular events, and increasing symptoms can result from postponing therapy.

What are the Common Symptoms of Coronary artery disease?

You might not have any symptoms in the early stages. However, when the plaque accumulates and restricts blood flow to the heart muscle, you might experience exhaustion or shortness of breath, particularly when exercising.

  • Angina, or chest pain, is the most typical sign of CAD. Some people mistake it for heartburn or indigestion.
  • Your chest hurts when you have angina. Additionally, you can have that sensation in your jaw, shoulders, arms, or back. You might experience:
  • Tightness
  • Discomfort
  • Pressure
  • Heaviness
  • Burning, Squeezing, Aching, and Numbness
  • Fullness

Types of Coronary artery disease

There are two main types of coronary artery disease:

  • Stable ischemic heart disease: The chronic type of heart disease is called stable ischemic heart disease. Over many years, your coronary arteries gradually narrow. With time, your heart gets less blood that is rich in oxygen.
  • Acute coronary syndrome: It is a sudden, life-threatening condition. Your heart's blood supply is cut off when the plaque in your coronary artery unexpectedly bursts and produces a blood clot. A heart attack results from this sudden obstruction.

Causes, Risk Factors and Complications of Coronary Artery Disease

Causes

  • The accumulation of lipids, cholesterol, and other materials in and on the heart artery walls causes coronary artery disease. This condition is called atherosclerosis. We refer to the accumulation as plaque. The arteries may narrow due to plaque, obstructing blood flow. Additionally, the plaque may rupture, resulting in a blood clot.

Some causes of atherosclerosis and coronary artery disease are:

  • Insulin resistance and diabetes
  • Elevated blood pressure
  • Lack of exercise
  • Tobacco use or smoking

Risk Factors

  • The risk factors for coronary artery disease are numerous. Discuss with your doctor what you can do to reduce these risk factors:
  • Being over 55 if you're a woman and over 45 if you're a man.
  • Having a biological relative who has heart disease, particularly a mother or sister who was diagnosed before the age of 65 or a father or brother who was diagnosed before the age of 55.
  • Consuming large amounts of refined carbs or saturated fat.
  • Not getting enough exercise.
  • Inadequate sleep.
  • Using tobacco products such as smoking
  • Suffering from atherosclerosis.
  • Elevated blood pressure.
  • Elevated LDL (or "bad") cholesterol.
  • Low levels of HDL (or "good") cholesterol.
  • hypertriglyceridemia, or elevated triglycerides.
  • Anaemia.
  • Autoimmune conditions, such as rheumatoid arthritis and lupus.
  • Chronic renal disease.
  • Diabetes.
  • HIV/AIDS.
  • Metabolic syndrome.
  • A BMI (body mass index) of more than 25.
  • Sleep disturbances

Complications

The CAD can weaken your heart over time and cause problems like:

  • Arrhythmias include irregular heartbeats such as atrial fibrillation.
  • Cardiac arrest.
  • Cardiac shock.
  • Heart failure.

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Latest Research and Technologies in the Treatment of Coronary Artery Disease in Singapore

  • The PRECISE risk tool for early detection, inclisiran for long-term cholesterol control, bioresorbable stents for safer interventions, and hybrid revascularisation techniques are some of the advancements in coronary artery disease treatment in Singapore that improve patient-specific, minimally invasive, and efficient cardiovascular care.

Coronary Artery Disease Prevention Tips

  • Certain risk factors are beyond your control; therefore, you can't always avoid coronary artery disease. However, there are strategies to reduce your risk of coronary artery disease and help keep it from growing worse:
  • Commit to quitting smoking and all tobacco use.
  • Consume heart-healthy meals.
  • Make sure you get enough rest.
  • Maintain a healthy weight for yourself.
  • Find out your heart disease risk.
  • Don't drink too much.
  • Increase your movement.
  • Continue taking your prescription medications.

Treatment options for Coronary artery disease

CABG: Coronary artery bypass grafting (CABG) procedure opens up a new blood vessel to bypass obstructions. Your heart's blood flow is restored by this "detour." People with significant blockages in several coronary arteries benefit from CABG.


Cost Start From USD 40000 - USD 55000Explore Options

Atherectomy: An atherectomy is a medical operation that opens up constricted or blocked blood vessels and restores normal blood flow by removing plaque accumulation inside arteries.


Cost Start From USD 10000 - USD 30000Explore Options

Balloon Angioplasty: A minimally invasive technique that opens blocked or narrowed arteries to enhance blood flow is a frequent treatment for coronary artery disease (CAD).


Cost Start From USD 6000 - USD 18000Explore Options

Tests to diagnose Coronary artery diseaseinclude:

  • Clinical Assessment
    • Electrocardiogram (ECG or EKG): An EKG test is a quick and straightforward method to determine whether you have a cardiac condition.
    • Blood tests: Blood testing can measure cholesterol and blood sugar. A high-sensitivity test for C-reactive protein (CRP) looks for a protein associated with artery inflammation.
    • Stress test: An exercise stress test can help you determine how well your heart works when exerting itself.
    • Coronary angiogram: A coronary angiogram is performed to visualise blocked or constricted cardiac blood vessels.
  • Imaging Tests
    • Echocardiogram: An ultrasound examination called echocardiography examines the anatomy and physiology of your heart.
    • Heart Computed tomography (CT): An imaging test called a CT (computed tomography) scan aids medical professionals in identifying illnesses and wounds.
  • Other Diagnostic:
    • Nuclear stress test: This test shows the flow of blood to the heart both during rest and exercise
    • Cardiac catheterisation: A minimally invasive procedure used to assess the severity and location of the narrowing.

Patients with Coronary Artery Disease (CAD) can choose from rehabilitation programs that emphasise heart health improvement, risk factor management, and general well-being enhancement. These could consist of:

  • Cardiac Rehabilitation Programs: Organised initiatives that promote cardiac rehabilitation through therapy, education, and exercise.
  • Exercise and Physical Activity: Participating in exercise regimens under supervision to enhance endurance and cardiovascular health.
  • Lifestyle Modifications: Promoting heart-healthy behaviours such as weight control, quitting smoking, and dietary adjustments.

You can treat the symptoms of coronary artery disease and control your risk factors with the use of medications. Your doctor may prescribe one or more medicines that lower blood pressure.

  • Reduce your cholesterol levels.
  • Steady control of angina.
  • Lower your blood clot risk.

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Hospitals for Coronary artery disease in Singapore

Thomson Medical Centre: Top Doctors, and Reviews
Thomson Medical Centre

Singapore, Singapore

Apart from in-detail treatment procedures available, Thomson Medical Centre located in Thomson Road, Singapore has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • The bed capacity of Thomson Medical Center (of Thomson Medical Group) is 190.
  • Thomson Medical Group has a prominent presence throughout Asia in Malaysia, Singapore and Indonesia.
  • There is a 24/7 Outpatient Family Clinic.
  • TMC also consists of various fertility clinics inclusive of an IVF clinic.
  • A cancer center for breast, gynecological as well as colorectal tumors of women.
Mount Elizabeth Novena Hospital: Top Doctors, and Reviews
Mount Elizabeth Novena Hospital

Novena, Singapore

Mount Elizabeth Novena Hospital located in Novena, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 333 beds
  • Intensive Care Unit beds
  • Endoscopy beds
  • Day ward with 20 beds
  • 13 Operating Theatres, which includes 1 Neurological operating room, 2 Cardiac operating rooms, 4 Orthopaedic operating rooms, etc.
  • High Dependency Unit (HDU)
  • Neonatal Intensive Care Unit (NICU)
  • 24/7 Accident & Emergency Department
  • Maternity ward
  • 1 major operating unit with 13 operating rooms inclusive of 1 hybrid theatre
  • In-house Pharmacy
  • Rooms are categorized as Single Signature Rooms, Junior Suite and Regal Suite
  • All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more
Parkway East Hospital: Top Doctors, and Reviews
Parkway East Hospital

Singapore, Singapore

Parkway East Hospital located in Joo Chiat Pl, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Total capacity for 143 beds
  • Hospital rooms are available- Single room, 2-bedded room (8), 4-bedded room (2), Deluxe room, and Orchid/Hibiscus Suite
  • All rooms are equipped with all ensuite facilities like Free wifi, mini fridge, sofa couch, telephone, in-room safe, TV, etc.
  • Maternity wards- Accredited as a baby-friendly hospital under the World Health Organisations Baby-Friendly Hospital Initiative (BFHI)
  • 1 Neonatal Intensive Care Unit (NICU) with 14 cots
  • Intensive Care Unit
  • 1 Operation Theatre with 5 Operating rooms
  • 1 Nursery with 30 cots
  • 1 Parentcraft room
  • 24-hour walk-in-clinic (for emergency)
  • 24-hour Pharmacy

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Why Choose Singapore for Coronary Artery Disease Treatment?

Here are some of the reasons to choose Singapore:

  • Advanced Medical Technology: Singapore provides cutting-edge facilities that use minimally invasive surgical procedures to treat coronary artery disease.
  • World-Class Experts: Highly experienced cardiologists and surgeons with international training backed by JCI-accredited healthcare facilities.
  • Cost-Effective Treatment: Compared to many Western countries, treatment in Singapore is less expensive while maintaining high quality.
  • International Patient Services: Singapore hospitals offer exceptional multilingual care and assistance to international patients.
  • Innovative Treatment Options: Modern technologies, including biologic medicines and the latest research in CAD treatment.

Frequently Asked Questions

Outcomes differ from person to person. Your doctor will consider your overall health, including your age, any existing health issues, risk factors, and symptoms. Lifestyle modifications and other therapies can increase your chances of a favourable prognosis.

Treatments for coronary artery disease have a very high success rate in Singapore. Procedures involving percutaneous coronary intervention (PCI) have a 97% procedural success rate and a 1% in-hospital mortality rate. Similarly, the nation's highly skilled medical workforce and advanced medical skills are demonstrated by the 98% success rate of coronary artery bypass grafting (CABG) procedures.

Coronary artery disease cannot be reversed. However, you can control your illness and keep it from worsening. Follow your treatment plan and your healthcare practitioner's instructions. If you do this, you will have the best chance of living a long and healthy life.

Following your treatment plan is the most crucial thing you can do. Medication and lifestyle modifications may fall within this category. Additionally, it may involve a procedure or surgery, as well as the ensuing recovery.

Your provider may suggest cardiac rehabilitation in addition to your treatment. A cardiac rehabilitation program is quite beneficial for those with heart failure or recovering from a heart attack. Exercise, dietary adjustments, and stress reduction are all areas where cardiac rehabilitation can provide support.

Your provider will inform you of the frequency at which you need to see them for follow-ups or testing. In addition to your primary care visits, you might have appointments with specialists, such as a cardiologist. You should call your provider if you experience side effects from your medication, have questions or concerns about your condition or treatment plan, or notice new or changing symptoms.