End Stage heart disease is heart disease of any origin that progressed to an end stage or an advanced form of that disease. Although the patient can be maintained on treatment, the patient is still sick, probably disabled, and generally unable to function at even limited levels of activity.
Usually, the chronicity of the disease. For example, someone who has end stage ischemic heart disease has been suffering with that problem for many years. They will frequently have a history of multiple heart attacks and possibly surgical intervention.
The answer to that is really two questions. First of all, there are forms of heart disease that are hereditary. Secondly, there are forms of heart disease that are not hereditary. The speed with which the acquired heart disease develops can be related to the presence of risks factors. For example, patients who have ischemic heart disease where the blood supply to the heart has decreased – the rate at which this disease develops or progresses is influenced by many well-known risks factors. The patient can control some of these risks factors and some cannot. The risk factors that cannot be controlled are advancing in age, gender, and family history. The risk factors that can be controlled include such things as obesity, smoking, high-blood pressure, exercise or lack thereof, and so on.
In general, the operative mortality is about 2 to 4 percent depending on the patient’s heart function and other associated medical problems. If a patient had depressed heart function or other medical problems such as kidney failure requiring dialysis, the operative risk may be higher. In general, this is a relatively safe operation.
Patients do develop swelling in the legs following coronary by-pass surgery, for two reasons: First, patients who are placed on the heart-lung machine will tend to retain water for a few days following the operation. Secondly, removal of the saphenous vein from the leg can lead to temporary swelling in that leg. That swelling usually resolves in a matter of a few months.
The best recommendation for diet is to avoid foods high in fat and cholesterol.
That depends on the patient’s family history, and their risk factors. In general, older patients, in particular those who smoke, who are obese, who have elevated cholesterol, are at higher risk for heart attacks.
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Absolutely. However, the exercise program should be recommended and overseen by formal cardiac rehabilitation program. The purpose of by-pass surgery is to return the patient to as normal a lifestyle as possible.
The following procedures are often used in the evaluation and treatment of cardiovascular disease. Consult We Care heart physician by submitting your medical details for more specific information.
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