Almost 16 million Americans are known to have coronary artery disease. It’s the number one killer, causing a third of all deaths of Americans over age 35. At New York Cardiovascular Prevention & Vein Center, PLLC, in New York. NY, Dr. Bradley Radwaner treats people who have coronary artery disease and also advises them on preventive strategies to keep their arteries clear and their hearts healthy. If you’re in New York City and have concerns about your cardiovascular fitness, call or schedule an appointment online with Dr. Radwaner.
Coronary artery disease is the result of atherosclerosis — the hardening of blood vessels — in the arteries carrying blood to your heart. Fatty deposits known as plaque build up in your arteries, limiting the amount of blood that reaches your heart, which may struggle to function as normal.
Symptoms include angina (chest pains) or shortness of breath, but sometimes the first indication that you have coronary artery disease is a heart attack. This occurs when the plaque ruptures and causes a blood clot, blocking blood flow to the heart altogether.
The risk of developing coronary artery disease increases as you age and is greater for men than it is for women. Other factors that heighten the risk include:
Dr. Radwaner conducts a full physical examination, including testing your blood pressure and cholesterol levels, and investigates your family and personal medical history. He may carry out other tests, ranging from a simple chest X-ray or electrocardiogram to more complex test procedures such as a cardiac perfusion scan. This involves taking pictures of your heart after a radioactive tracer has been fed through the blood to the heart intravenously.
Alternatively, he may opt for a coronary angiogram, examining your heart via a thin, flexible tube inserted into your blood vessels. Dr. Radwaner discusses all the options with you and helps you select the tests most suitable for you and your unique condition.
Dr. Radwaner may start by recommending a cardiac rehabilitation program, which introduces crucial lifestyle changes aimed at improving your overall vascular health. These changes involve diet, exercise, weight management, quitting smoking, and avoiding secondhand smoke. He may also recommend medication for any conditions underlying your coronary artery disease, such as high blood pressure, high cholesterol, or diabetes.
Dr. Radwaner treats some cases with a nonsurgical procedure called angioplasty, which improves blood flow through the insertion of a thin tube into the affected artery, thereby widening it. Other cases may require bypass surgery.
As a top-rated cardiologist, Dr. Radwaner guides you through all the available treatment and prevention options and puts you back on the path to full cardiovascular health.