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Types of Heart Disease
Cardiovascular disease is not a single ailment, but a disorder of the
heart and circulatory system. Heart disease can refer to damage in the
heart's lining, valves, muscle, arteries, or electrical system. A person
can suffer from several types of cardiovascular disorders at the same
time or several different problems can be related to a single underlying
cause. A person can be born with a diseased heart, or develop heart disease.
Some risk factors leading to heart disease are controllable (smoking,
poor diet, lack of exercise), while others are not controllable (age,
gender, ethnicity).
Aneurysms
Healthy arteries are flexible and elastic. When an artery becomes damaged,
it losses its elasticity. Instead of retaining its smooth cylindrical
shape, the artery may develop a bulge, called an aneurysm. Having lost
its elasticity and strength the damaged artery may rupture, much like
a balloon that has too much air in it.
Angina
is a symptom of myocardial ischemia usually caused by coronary atherosclerosis.
Patients feel chest pressure and shortness of breath, and possibly sweating
when they exercise.
Arrhythmia
is any deviation from or disturbance of the normal heart rhythm. The basic
rhythm of the heart is a tightly regulated phenomenon designed to insure
efficiency and optimal
performance. It is a dynamic phenomenon that changes according to the
metabolic needs of the body. The cardiac rhythm involves several different
microscopic and macroscopic structures within the normal heart.
More
Information About Cardiac Rhythms:
Normal
Atrial
Tachycardia
Atrial
Fibrillation/Flutter
AV Nodal
Reentry Tachycardia
Wolff-Parkinson-White
Syndrome
Ventricular
Tachycardia
Atherosclerosis
also known as "hardening of the arteries", is caused by the
gradual buildup of fats, cholesterol and other materials in the arteries.
The build up causes the artery to narrow and become less flexible. Arteries
loose elasticity as a natural part of the aging process. However, poor
diet and smoking speed up this process. Diabetes and high blood pressure
are also risk factors leading to atherosclerosis.
Cardiomyopathy
a disease of the heart muscle. See Dilated Cardiomyopathy,
Hypertrophic Cardiomyopathy
Congenital Heart Disease
is a heart defect that develops before birth. The most common defects
of congenital heart disease are:
- The obstruction of the blood flow in the heart or vessels surrounding
the heart;
- Blood flow in an incorrect pattern through the heart; and
- Various development problems of the heart such as being born with
a single ventricle as opposed to two.
The American Heart Association reports the approximately 32,000 babies
are born with congenital heart disease.
Congestive Heart Failure
Heart Failure occurs when the heart is not pumping effectively. When the
heart is too weak or damaged to control blood flow, tissues and muscles
do not receive vital oxygen and nutrients. This can lead to fatigue. Because
the heart is not pumping at its normal rate, blood can become congested
in certain area, especially in the feet, legs and lungs, and result in
swelling. Symptoms of severe heart failure include shortness of breath
at rest, coolness in the arms and legs, and pale skin.
Coronary Artery Disease
is the number one cause of heart attacks. It occurs when the heart muscle
doesn't get enough blood and oxygen, and is usually caused by atherosclerosis.
In severe cases, coronary artery disease can lead to sudden death without
prior warning. Coronary artery disease can also lead to angina (chest
pain) or a heart attack.
Dilated Cardiomyopathy
Dilated cardiomyopathy occurs when the heart muscle becomes weak and the
heart chambers dilate so that more blood can be released with each beat.
Dilated cardiomyopathy can be caused by excessive alcohol intake, coronary
artery disease, myocarditis or unknown reasons.
Diastolic Dysfunction
refers to a type of heart failure. The heart contracts and relaxes with
each "beat." The contraction portion of the beat is called systole
and the relaxation portion is called diastole. If the relaxation of the
heartbeat is interrupted or abnormal, it is called diastolic dysfunction.
With incomplete or abnormal relaxation, blood is prohibited from flowing
freely between the ventricles and blood backs up in the arteries and veins.
This can cause swelling and an increase pressure in the blood vessels
of the lungs (pulmonary congestion) and/or blood vessels coming to the
heart (systemic congestion).
Endocarditis
Endocarditis is a disease of the heart valves. The endocardium is the
membrane that lines the inside of the valves of the heart. Endocarditis
occurs when the endocardium becomes infected, usually by the bacteria
present in the mouth and respiratory system or those in the intestinal
tract. In most instances, the infection is a result of a surgical procedure.
High Blood Pressure (Hypertension)
Blood pressure is the force on artery walls as blood is pumped through
the body. If arteries are clogged or obstructed, the heart must pump more
quickly or with more force to push blood through the system. This increased
pressure on artery walls can lead to an aneurysm, a weakened bulge in
an artery. While the heart muscle may enlarge due to the extra work load,
eventually it will weaken and heart failure may develop.
Hypertrophic Cardiomyopathy
In hypertrophic cardiomyopathy the heart muscle is so thick that it limits
the amount of blood the ventricular chamber can contain and pump. This
condition can lead to irregular heartbeats and sudden death.
Mitral Valve Prolapse
is a mild abnormality of the mitral valve. This valve ensures that blood
flows forwards (towards the body) during each heart beat. Mitral Valve
prolapse occurs when the valve leaflets billow backwards as the heart
contracts. It occurs when the chords holding the valve in place become
elongated. The process can progress gradually and has no known cause.
It is usually detected by the presence of a murmur, or a click-like sound
heard with a stethoscope. In severe cases, blood may leak back and lead
to congestive heart failure.
Myocardial Ischemia
is when the blood supply to the muscular wall of the heart (the myocardium)
is very low. This causes the heart muscle to function improperly. An insufficient
blood supply is called ischemia. Muscles need oxygen in order to function
and without the correct amount of blood transporting oxygen and nutrients,
the heart muscle is forced to work harder. This extra amount of work can
cause discomfort in the chest, shortness of breath, and other signs of
fatigue. Angina is a symptom of myocardial ischemia.
Myocarditis
is an inflammation of the heart muscle, usually caused by viral infection.
The signs and symptoms include fever, vague chest pain, joint pain and
an abnormally rapid heart rate.
Valve Disease
The heart's four valves (mitral and aortic on the left side of the heart,
and tricuspid and pulmonary on the right side) function like gates, controlling
the direction and quantity of blood flow. When the valves become diseased,
blood flow is affected. Diseased valves may be too stiff to open easily,
obstructing blood flow, or they may fail to close completely, permitting
leakage. If a valve becomes too stiff to open easily (stenotic), blood
flow through it is decreased, causing the blood behind it to back up.
This backup leads to symptoms of congestive heart failure and angina.
If a valve fails to close properly, blood will leak back in the wrong
direction. This may cause the heart chambers enlarge and pump inefficiently.
Damaged or weakened valves are also vulnerable to infections, called endocarditis.
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