Coronary arteries supply blood to the heart muscle. Small vessel 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 SMALL VESSEL DISEASE
- CAUSES OF SMALL VESSEL DISEASE
- PATHOPHYSIOLOGY OF SMALL VESSEL DISEASE
- DIAGNOSIS OF SMALL VESSEL DISEASE
- TREATMENTS FOR SMALL VESSEL DISEASE
- PROGNOSIS OF SMALL VESSEL DISEASE
- COMPLICATIONS OF SMALL VESSEL DISEASE
- SMALL VESSEL DISEASE AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF SMALL VESSEL DISEASE
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF SMALL VESSEL DISEASE
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF SMALL VESSEL DISEASE
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF SMALL VESSEL DISEASE
- AYURVEDIC PROGNOSIS OF SMALL VESSEL DISEASE
- CHIKITSA- AYURVEDIC TREATMENT FOR SMALL VESSEL DISEASE
- AYURVEDIC SAMANA TREATMENT FOR SMALL VESSEL DISEASE
- COMMONLY USED AYURVEDIC MEDICINES FOR SMALL VESSEL DISEASE
- HOME REMEDIES FOR SMALL VESSEL DISEASE
- DIET AND BEHAVIOUR FOR SMALL VESSEL DISEASE
- YOGA FOR SMALL VESSEL DISEASE
- RESEARCH WORKS ON AYURVEDIC MANAGEMENT OF SMALL VESSEL DISEASE
SIGNS AND SYMPTOMS OF SMALL VESSEL DISEASE
The symptoms of small vessel 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 SMALL VESSEL DISEASE
Risk factors for developing small vessel disease are;
- Family history of heart disease
- High blood pressure
- High cholesterol
- Uncontrolled diabetes
- Obesity
- Smoking
- Sedentary lifestyle
- High stress
PATHOPHYSIOLOGY OF SMALL VESSEL 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 small vessel 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 SMALL VESSEL 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 SMALL VESSEL DISEASE
- Treatment for underlying pathology
- Surgical procedures to restore the blood flow to the heart
- Medications
- Lifestyle changes
PROGNOSIS OF SMALL VESSEL DISEASE
- Small vessel disease is a treatable disease but can’t be cured.
COMPLICATIONS OF SMALL VESSEL DISEASE
- Heart failure
- Heart attack
- Arrhythmias
SMALL VESSEL DISEASE AND AYURVEDA
- In Ayurveda, small vessel 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 SMALL VESSEL DISEASE
- Improper food and regimens – virudha ahara and vihara
- Rakta Dhatu dushti
- Rasa dhatu dushti
- Agnimandya
- Sthoulya
- Prameha
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF SMALL VESSEL DISEASE
- Fatigue
- Shortness of breath on exertion
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF SMALL VESSEL 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 SMALL VESSEL 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 SMALL VESSEL DISEASE
- Yapya roga – symptoms are manageable in most the cases
CHIKITSA- AYURVEDIC TREATMENT FOR SMALL VESSEL DISEASE
AYURVEDIC SAMANA TREATMENT FOR SMALL VESSEL 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 SMALL VESSEL DISEASE
Internal administration
- Lasuna erandadi kashaya
- Lasuna ksheera paka
- Arjunarishtam
- Prabhakara vati
- Hridayarnava rasa
- Mashadarvadi kashayam
- Siva Gulika
- Bruhat Nayopayam Kashayam
- Dhanwantharam Gulika
HOME REMEDIES FOR SMALL VESSEL DISEASE
- Practice mild daily exercises
- Proper rest
DIET AND BEHAVIOUR FOR SMALL VESSEL 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 SMALL VESSEL 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 SMALL VESSEL 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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