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Aretin'ny lalan-dràn'ny fo

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Coronary artery disease
Anarana hafa: Atherosclerotic heart disease,[1] atherosclerotic vascular disease,[2] coronary heart disease[3]
Illustration depicting atherosclerosis in a coronary artery.
Manam-pahaizana manokana momba nyCardiology, cardiac surgery
Soritr'aretinaChest pain, shortness of breath[4]
AntonyAtherosclerosis of the arteries of the heart[5]
Antony mety hampidi-dozaHigh blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol[5][6]
DiagnostikaElectrocardiogram, cardiac stress test, coronary computed tomographic angiography, coronary angiogram[7]
FisorohanaHealthy diet, regular exercise, maintaining a healthy weight, not smoking[8]
FitsaboanaPercutaneous coronary intervention (PCI), coronary artery bypass surgery (CABG)[9]
FanafodyAspirin, beta blockers, nitroglycerin, statins[9]
Hatetika110 million (2015)[10]
Fahafatesana8.9 million (2015)[11]

Ny aretin’ny lalan-dràn’ny fo (CAD), fantatra ihany koa amin’ny hoe aretin’ny fo (CHD) na aretin’ny fo iskemika (IHD), dia aretina miseho noho ny fihenan’ny fikorianan’ny ra mankany amin’ny hozatry ny fo, vokatry ny fitangoronana takelaka (plaque) ao amin’ny lalan-dràn’ny fo. [1] [2] [3] [4]

Ity no karazana aretina mahazatra indrindra ao anatin’ny aretin’ny fo sy lalan-drà. [5] Anisan’ny endrika isehoany ny angina maharitra, angina tsy maharitra, infarction myocardial, ary ny fahafatesana tampoka vokatry ny fo. [6]

Ny soritr’aretina mahazatra indrindra dia ny fanaintainan’ny tratra na fahatsapana tsy fahazoana aina, izay mety hiparitaka mankany amin’ny soroka, sandry, lamosina, vozona, na valanorano. [7] Indraindray dia mety ho toy ny heartburn ihany ny fahatsapana azy.

Matetika ireo soritr’aretina ireo dia miseho rehefa manao ezaka ara-batana na tratran’ny adin-tsaina ara-pihetseham-po, maharitra minitra vitsivitsy, ary mihatsara rehefa miala sasatra. [7] Mety hisy ihany koa ny fahasemporana, ary amin’ny tranga sasany dia tsy misy soritr’aretina mihitsy. [7]

Amin’ny olona maro, ny famantarana voalohany dia mety ho aretim-po. [2] Anisan’ny fahasarotana mety hiseho koa ny tsy fahombiazan’ny fo sy ny fitempon’ny fo tsy ara-dalàna. [2]

Anisan'ny mety hampidi-doza ny fiakaran'ny tosidrà, ny fifohana sigara, ny diabeta, ny tsy fahampian'ny fanatanjahan-tena, ny hatavezana, ny kolesterola avo ao amin'ny ra, ny sakafo tsy mahasalama, ny fahaketrahana ary ny fisotroana toaka be loatra.[5][6][12] Mety hanampy amin'ny famaritana ny aretina ny fitiliana maromaro, anisan'izany: electrocardiogram, fitiliana ny adin-tsaina amin'ny fo, angiography tomografia amin'ny alalan'ny kajy ny fo, ary angiograma amin'ny fo, ankoatra ny hafa.[7]

Ireto misy fomba hampihenana ny mety ho voan'ny CAD: fihinanana sakafo ara-pahasalamana, fanaovana fanatanjahan-tena tsy tapaka, fitazonana lanja ara-pahasalamana, ary tsy fifohana sigara.[8] Indraindray dia ampiasaina ny fanafody ho an'ny diabeta, kolesterola avo, na tosidra ambony.[8] Voafetra ny porofo azo ampiasaina amin'ny fitiliana ireo olona tsy dia atahorana ho voan'ny aretina ary tsy manana soritr'aretina.[13] Mitovy amin'ny fisorohana ny fitsaboana.[9][14] Mety ilaina ny fanafody fanampiny toy ny antiplatelets (anisan'izany ny aspirine ), beta blockers, na nitroglycerin.[9] Azo ampiasaina amin'ny aretina mafy ny fomba fitsaboana toy ny fandidiana "percutaneous coronary intervention" (PCI) na ny fandidiana "coronary artery bypass" (CABG).[9][15] Ho an'ireo manana CAD maharitra dia tsy mazava raha toa ka manatsara ny androm-piainana na mampihena ny mety hisian'ny aretim-po ny PCI na CABG ankoatra ny fitsaboana hafa.[16]

Tamin'ny taona 2015, olona 110 tapitrisa no voan'ny CAD ary nahafaty olona 8.9 tapitrisa.[10][11] Mahatonga ny 15.6%-n'ny fahafatesana rehetra izany, ka mahatonga azy io ho antony mahazatra indrindra mahatonga fahafatesana maneran-tany.[11] Nihena ny mety ho fahafatesana vokatry ny CAD nandritra ny taona iray teo anelanelan'ny taona 1980 sy 2010, indrindra fa tany amin'ny firenena mandroso.[17] Nihena ihany koa ny isan'ny tranganà CAD ho an'ny taona iray teo anelanelan'ny taona 1990 sy 2010.[18] Tany Etazonia tamin'ny taona 2010, tokony ho 20% amin'ireo mihoatra ny 65 taona no voan'ny CAD, raha toa ka 7% amin'ireo 45 ka hatramin'ny 64 taona no nahitana izany, ary 1.3% amin'ireo 18 ka hatramin'ny 45 taona; [19] ambony kokoa ny tahan'ny tranga teo amin'ny lehilahy noho ny vehivavy amin'ny taona iray.[19]

References

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  1. ↑ "Coronary heart disease – causes, symptoms, prevention". Southern Cross Healthcare Group. Archived from the original on 3 March 2014. Retrieved 15 September 2013.
  2. ↑ "Atherosclerotic Vascular Disease Conference: Executive summary: Atherosclerotic Vascular Disease Conference proceeding for healthcare professionals from a special writing group of the American Heart Association". Circulation 109 (21): 2595–604. June 2004. doi:10.1161/01.CIR.0000128517.52533.DB. PMID 15173041.
  3. ↑ "Coronary heart disease". NIH. Archived from the original on 12 September 2013. Retrieved 15 September 2013.
  4. ↑ Hadisoan-tsiahy: Balise <ref> incorrecte : aucun texte n’a été fourni pour les références nommées HLB2014
  5. 1 2 3 Mendis, Shanthi (2011). Global atlas on cardiovascular disease prevention and control, 1st, Geneva: World Health Organization in collaboration with the World Heart Federation and the World Stroke Organization, 3–18.
  6. 1 2 "Ischemic heart disease in women: a focus on risk factors". Trends in Cardiovascular Medicine 25 (2): 140–51. February 2015. doi:10.1016/j.tcm.2014.10.005. PMC 4336825. PMID 25453985. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4336825.
  7. 1 2 "How Is Coronary Heart Disease Diagnosed?". 29 September 2014. Archived from the original on 24 February 2015. Retrieved 25 February 2015.
  8. 1 2 3 "How Can Coronary Heart Disease Be Prevented or Delayed?". Archived from the original on 24 February 2015. Retrieved 25 February 2015.
  9. 1 2 3 4 5 "How Is Coronary Heart Disease Treated?". 29 September 2014. Archived from the original on 24 February 2015. Retrieved 25 February 2015.
  10. 1 2 "Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015". Lancet 388 (10053): 1545–1602. October 2016. doi:10.1016/S0140-6736(16)31678-6. PMC 5055577. PMID 27733282. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5055577.
  11. 1 2 3 "Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015". Lancet 388 (10053): 1459–1544. October 2016. doi:10.1016/S0140-6736(16)31012-1. PMC 5388903. PMID 27733281. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=5388903.
  12. ↑ "The contribution of major depression to the global burden of ischemic heart disease: a comparative risk assessment". BMC Medicine 11: 250. November 2013. doi:10.1186/1741-7015-11-250. PMC 4222499. PMID 24274053. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4222499.
  13. ↑ "Screening low-risk individuals for coronary artery disease". Current Atherosclerosis Reports 16 (4): 402. April 2014. doi:10.1007/s11883-014-0402-8. PMID 24522859.
  14. ↑ "Exercise as a therapeutic intervention in patients with stable ischemic heart disease: an underfilled prescription". The American Journal of Medicine 127 (10): 905–11. October 2014. doi:10.1016/j.amjmed.2014.05.007. PMID 24844736.
  15. ↑ "Coronary artery bypass graft surgery vs percutaneous interventions in coronary revascularization: a systematic review". JAMA 310 (19): 2086–95. November 2013. doi:10.1001/jama.2013.281718. PMID 24240936.
  16. ↑ "Conservative strategy for treatment of stable coronary artery disease". World Journal of Clinical Cases 3 (2): 163–70. February 2015. doi:10.12998/wjcc.v3.i2.163. PMC 4317610. PMID 25685763. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4317610.
  17. ↑ "Temporal trends in ischemic heart disease mortality in 21 world regions, 1980 to 2010: the Global Burden of Disease 2010 study". Circulation 129 (14): 1483–92. April 2014. doi:10.1161/circulationaha.113.004042. PMC 4181359. PMID 24573352. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4181359.
  18. ↑ "The global burden of ischemic heart disease in 1990 and 2010: the Global Burden of Disease 2010 study". Circulation 129 (14): 1493–501. April 2014. doi:10.1161/circulationaha.113.004046. PMC 4181601. PMID 24573351. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=4181601.
  19. 1 2 Centers for Disease Control Prevention (CDC) (October 2011). "Prevalence of coronary heart disease--United States, 2006-2010". MMWR. Morbidity and Mortality Weekly Report 60 (40): 1377–81. PMID 21993341.
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