Coronary artery disease (also called coronary heart disease) NCLEX lecture video on the nursing, anatomy, pathophysiology, treatment, and signs and symptoms of coronary artery disease. CAD is the build up of fatty plaques due to atherosclerosis that causes the arteries of the heart to become narrow. This leads to restrictive blood supply to the heart muscle which leads to chest pain (stable or unstable angina) to myocardial infraction (MI). The main coronary arteries that supply the heart with blood include the left and right coronary artery. The left coronary artery branches off into the left circumflex artery and left anterior descending artery. The right coronary artery branches off into the right marginal artery and posterior descending artery. If ischemia has been present for a long time collateral circulation can develop as well. This is where tiny blood vessels re-route the blood supply to the heart to pass the blockage. Signs and symptoms of heart disease include: chest pain (especially with activity and is relieved with rest which is known as stable angina), shortness of breath, and feeling very tired. Coronary artery disease is diagnosed in various ways: lipid profile which measures the cholesterol levels, EKG, stress test, and heart catheterization. CAD is treated with medications (discussed in part 2 of this series), heart catheterization (most commonly with stent placement) or coronary artery bypass graft surgery. Don't forget to check out part 2 of this lecture which covers nursing interventions and pharmacology aspects of CAD.

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