Coronary Artery Disease (CAD)
Coronary Artery Disease (CAD)
What is coronary artery disease?
Coronary artery disease (CAD) is a condition caused by plaque buildup along the inner walls of the coronary arteries. Coronary arteries are the major blood vessels that supply your heart with blood, oxygen and nutrients.
Also known as atherosclerosis and hardening of the arteries, coronary artery disease is the leading cause of death in the United States for both men and women. However, with lifestyle adjustments, medicines, and/or medical procedures, CAD can be dramatically reduced or treated in most people.
How does CAD develop?
Plaque deposits of fatty materials like cholesterol, calcium and other substances found in the blood start compiling in childhood and continue throughout your life. Over time, plaque residues narrow your coronary arteries and decrease the blood flow to your heart. Decreased blood flow may cause chest pain (angina), shortness of breath or other coronary artery disease signs and symptoms.
A number of traits, conditions or habits contribute to the risk factors of developing coronary artery disease. Risk factors include your family history, high cholesterol levels and high blood pressure, as well as lifestyle choices like smoking, alcohol consumption and lack of exercise. Most risk factors can be minimized by pursuing a healthy lifestyle or taking medications.
Appointment Information
To schedule an evaluation with a Frankel Cardiovascular Center physician, call 888-287-1082. Or visit the Make a Cardiovascular Appointment page to learn what to expect when you call us.
What is the relationship between CAD and heart attack?
Individuals with CAD also have a risk for blood clots that can cause a heart attack (also known as a myocardial infarction). This happens when plaque in an artery ruptures, triggering the body’s blood-clotting response. A clot forms around the rupture and blocks off blood flow and oxygen to the heart, causing a heart attack. With blood flow to the heart interrupted, part of the heart muscle can become permanently damaged or destroyed.
How is CAD diagnosed?
Your doctor will diagnose coronary artery disease based on a number of factors, among them your medical and family histories, a physical exam and one or more diagnostic tests.
Visit our Health Library to learn more about these potential diagnostic tests:
- EKG (Electrocardiogram)
- Stress test (Exercise electrocardiogram)
- Echocardiography
- Chest X-ray
- Blood tests
- Electron-beam computed tomography
What are the treatment options for coronary artery disease?
Treatments for coronary artery disease may comprise of a number of options, including lifestyle changes, medicines, medical procedures and cardiac rehabilitation.
Coronary artery disease can often be prevented, or effectively treated, with lifestyle improvements and medications. Healthy diet, increased physical activity, weight loss, smoking cessation and reduced stress can lead to impressive results. Medicines used to treat CAD include anticoagulants, aspirins, ACE inhibitors, beta blockers, calcium channel blockers, nitroglycerin and more.
If you need a medical procedure to treat CAD, you and your doctor can discuss which of these two treatments is right for you:
- Angioplasty and Stenting
- Coronary Artery Bypass Graft (CABG)
Almost all CAD patients can benefit from cardiac rehabilitation. Physical training encourages safe exercise practices, strengthens your muscles and improves your stamina. Education and counseling help you understand your heart condition and find ways to reduce the risk of future heart problems. When combined with medicine and surgical treatments, cardiac rehabilitation can help you recover faster, feel better, and establish a healthier lifestyle.
For patients with complex coronary artery disease, treatment requires a different type of expertise. For this diverse, difficult-to-treat population, our complex coronary disease specialists provide a wide variety of innovative and advanced treatment options to open up blocked arteries. These range from percutaneous coronary interventions and open surgical procedures to specialized medical management.
Locations
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Cardiology Clinic | Frankel Cardiovascular Center 1425 E Ann St
Floor 3 Reception C
Ann Arbor, MI 48109-5856Get Directions -
Cardiology Clinic | Northville Health Center 39901 Traditions Dr
Floor 2
Northville, MI 48168-9493Get Directions
Doctors
Eric Page Cantey, MD
Clinical Assistant Professor
Interventional Cardiology
Stanley Joseph Chetcuti, MD
Clinical Professor
Interventional Cardiology, Cardiovascular Disease, Internal Medicine
Elias Jonathan Dayoub, MD
Clinical Assistant Professor
Interventional Cardiology, Internal Medicine, Cardiovascular Disease
Paul Michael Grossman, MD
Clinical Professor
Interventional Cardiology, Cardiovascular Disease, Internal Medicine
Sarah Kathrine Gualano, MD
Clinical Associate Professor
Cardiovascular Disease, Interventional Cardiology
Hitinder Singh Gurm, MBBS
Professor
Cardiovascular Disease, Interventional Cardiology, Internal Medicine
Daniel Stephen Menees, MD
Clinical Associate Professor
Interventional Cardiology, Cardiovascular Disease, Internal Medicine
Brahmajee K Nallamothu, MD
Professor
Cardiovascular Disease, Interventional Cardiology, Internal Medicine, Cardiology
Michael Peter Thomas, MD
Clinical Assistant Professor
Interventional Cardiology, Cardiovascular Disease, Internal Medicine
Brett Leon Wanamaker, MD, FACC, FSCAI
Clinical Assistant Professor
Interventional Cardiology, Cardiovascular Disease, Internal Medicine
Providers
Jennifer Dziedzic Fischer, NP
Advanced Practice Nurse
Nurse Practitioner
Anna Catherine Flanagan, NP
Advanced Practice Nurse
Nurse Practitioner
Eleanor Marie Nahat, NP
Advanced Practice Nurse
Nurse Practitioner
Heidi May Shields, NP
Advanced Practice Nurse
Nurse Practitioner
Stephanie LaNette Zeldes, PA-C
Physician Assistant
Physician Assistant
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