There are many heart problems related to AS ! Cardiovascular manifestations include angina, pericarditis, ECG conduction abnormalities, and rarely aortic insufficiency.
Myocardial Infarction and Angina
In this section, we will deal with problems associated with blockage of the coronary arteries that supply blood to the heart muscle itself. There are a number of different terms that refer, for the most part, to the same underlying disease process.
Common symptoms of acute MI (or angina) include sub-sternal (mid-chest) discomfort. This is usually a dull pain that may radiate to the arm or jaw. Associated symptoms are shortness of breath, sweating, and nausea. Typically, the pain is provoked by exertion. Approximately 10% of patients having an MI may have few symptoms ("silent MI") or none at all. This is more common in patients who have a history for diabetes.
Cardiac symptoms can vary in some patients. They may experience either "chest tightness", upper abdominal pain (that radiates pain to the back), and/or sudden sweating with or without shortness of breath. For this reason, a physician's medical evaluation should always be the rule.
Treatment of acute chest pain, when it is secondary to coronary artery disease, warrants hospitalisation and control of pain with medications. Nitroglycerin is a commonly used heart medication that improves blood flow through the coronary arteries. In the hospital this may be given intravenously.
Treatment of underlying health problems known to contribute to coronary artery disease (diabetes, high blood pressure) is also important. Emergency management of acute MI has changed with the advent of thrombolytic agents that dissolve blood clots.
Advanced cardiologic procedures such as angioplasty (PTCA) can increase survivorship and limit heart damage in some select cases. Studies show medical outcome improves substantially the sooner expert medical care is rendered (after the onset of chest pain). The cardiologist is the expert in the management of this problem.
Recent evidence suggest that daily vitamin E, in doses of 200-400 I.U., can decrease the level of LDL (bad cholesterol) and decrease the effect cholesterol has on the coronary arteries. This has been touted to decrease the risk of coronary artery disease by 40%. Long-term studies on the daily use of larger doses of vitamin E need to be performed to make sure vitamin E has no latent adverse effects.
N.A.S.S Dingwall Branch Information Page