Coronary arteries supply blood to the heart muscle. Coronary microvascular disease is caused by damage in the inner wall of the tiny coronary artery blood vessels that branch off from the larger coronary arteries.
- SIGNS AND SYMPTOMS OF CORONARY MICROVASCULAR DISEASE
- CAUSES OF CORONARY MICROVASCULAR DISEASE
- PATHOPHYSIOLOGY OF CORONARY MICROVASCULAR DISEASE
- DIAGNOSIS OF CORONARY MICROVASCULAR DISEASE
- TREATMENTS FOR CORONARY MICROVASCULAR DISEASE
- PROGNOSIS OF CORONARY MICROVASCULAR DISEASE
- COMPLICATIONS OF CORONARY MICROVASCULAR DISEASE
- CORONARY MICROVASCULAR DISEASE AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF CORONARY MICROVASCULAR DISEASE
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CORONARY MICROVASCULAR DISEASE
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CORONARY MICROVASCULAR DISEASE
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CORONARY MICROVASCULAR DISEASE
- AYURVEDIC PROGNOSIS OF CORONARY MICROVASCULAR DISEASE
- CHIKITSA- AYURVEDIC TREATMENT FOR CORONARY MICROVASCULAR DISEASE
- AYURVEDIC SAMANA TREATMENT FOR CORONARY MICROVASCULAR DISEASE
- COMMONLY USED AYURVEDIC MEDICINES FOR CORONARY MICROVASCULAR DISEASE
- HOME REMEDIES FOR CORONARY MICROVASCULAR DISEASE
- DIET AND BEHAVIOUR FOR CORONARY MICROVASCULAR DISEASE
- YOGA FOR CORONARY MICROVASCULAR DISEASE
- RESEARCH WORKS ON AYURVEDIC MANAGEMENT OF CORONARY MICROVASCULAR DISEASE
SIGNS AND SYMPTOMS OF CORONARY MICROVASCULAR DISEASE
The symptoms of the coronary microvascular disease are mild in the early-stage like chest discomfort or shortness of breath associated with physical activities. The symptoms of a heart attack include;
- Pain in the chest (angina)
- Increased heart rate
- Shortness of breath
- Sweating
- Fatigue
CAUSES OF CORONARY MICROVASCULAR DISEASE
Risk factors for developing the coronary microvascular disease are;
- Family history of heart disease
- High blood pressure
- High cholesterol
- Uncontrolled diabetes
- Obesity
- Smoking
- Sedentary lifestyle
- High stress
PATHOPHYSIOLOGY OF CORONARY MICROVASCULAR DISEASE
Due to the above-mentioned causes damage occur in the tiny coronary blood vessels. Plaque buildup in the wall of coronary arteries also contributes to coronary microvascular disease. Plaque is made up of cholesterol deposits. Plaque buildup causes narrowing of coronary arteries (atherosclerosis) and leads to the blockage of blood supply to the heart muscle.
DIAGNOSIS OF CORONARY MICROVASCULAR DISEASE
- EXAMINATIONS
Auscultation – listening to the chest with a stethoscope.
- INVESTIGATIONS
- X – rays
- Electrocardiogram
- Echocardiogram
- Exercise stress test
- Coronary angiogram
- Coronary magnetic resonance imaging
TREATMENTS FOR CORONARY MICROVASCULAR DISEASE
- Treatment for underlying pathology
- Surgical procedures to restore the blood flow to the heart
- Medications
- Lifestyle changes
PROGNOSIS OF CORONARY MICROVASCULAR DISEASE
- Coronary microvascular disease is a treatable disease but can’t be cured.
COMPLICATIONS OF CORONARY MICROVASCULAR DISEASE
- Heart failure
- Heart attack
- Arrhythmias
CORONARY MICROVASCULAR DISEASE AND AYURVEDA
- In Ayurveda, the coronary microvascular disease is interpreted as kapha –vata predominant sannipataja hridroga.
- Ayurveda has several formulations to treat this condition and is in practice with proven efficacy.
NIDANA- AYURVEDIC CAUSES OF CORONARY MICROVASCULAR DISEASE
- Improper food and regimens – virudha ahara and vihara
- Rakta Dhatu dushti
- Rasa dhatu dushti
- Agnimandya
- Sthoulya
- Prameha
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CORONARY MICROVASCULAR DISEASE
- Fatigue
- Shortness of breath on exertion
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CORONARY MICROVASCULAR DISEASE
- Agnimandya leads to the formation of ama and dhatu agni mandya leads to impaired dhatu parinama and rasadhushti causes upalepatwa and sanga (obstruction) in the arteries which hamper vyana vayu leading to hridroga.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CORONARY MICROVASCULAR DISEASE
- Shortness of breath on exertion – swasa rodha
- Fatigue – klama
- Palpitation – hridrava
- Pain in the chest- vedana in uras
- Sweating – sweda udgama
AYURVEDIC PROGNOSIS OF CORONARY MICROVASCULAR DISEASE
- Yapya roga – symptoms are manageable in most the cases
CHIKITSA- AYURVEDIC TREATMENT FOR CORONARY MICROVASCULAR DISEASE
AYURVEDIC SAMANA TREATMENT FOR CORONARY MICROVASCULAR DISEASE
The following treatments are adopted:
- Treatment of agnimandya
- Treatment of vyanavata dushti
- Treatment of hridroga
- Treatment of prameha
- Treatment of sthoulya
COMMONLY USED AYURVEDIC MEDICINES FOR CORONARY MICROVASCULAR DISEASE
Internal administration
- Nayopayam Kashayam
- Siva Gulika
- Vasant Kusumakar Ras
- Lasuna erandadi kashaya
- Lasuna ksheera paka
- Arjunarishtam
- Prabhakara vati
- Hridayarnava rasa
- Mashadarvadi kashayam
HOME REMEDIES FOR CORONARY MICROVASCULAR DISEASE
- Practice mild daily exercises
- Proper rest
DIET AND BEHAVIOUR FOR CORONARY MICROVASCULAR DISEASE
- Avoid food items that produce kapha, vata dosha imbalance like cold, sweet and dry food, hard to digest. Because kapha, vata imbalance aggravates the symptoms.
- Consume easily digestible food items
- Avoid heavy exercises
YOGA FOR CORONARY MICROVASCULAR DISEASE
- Nadi Shuddi Pranayam – relieves mental stress
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
RESEARCH WORKS ON AYURVEDIC MANAGEMENT OF CORONARY MICROVASCULAR DISEASE
- A Prospective Trial of Ayurveda for Coronary Heart Disease: A Pilot Study
https://pubmed.ncbi.nlm.nih.gov/26393992/
- The effect of lasunairandadi kashaya in managing coronary artery disease as an add on therapy – a case study
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