How to explain about cardiac interventions?

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For any traffic management, following are the options:

  • Placing traffic signals which can be equated to do’s and don’ts of lifestyle management.
  • Posting a traffic inspector on the crossing. This can be equated with clinical cardiologist.
  • Diverting the traffic from main road to side roads. This can be equated to opening collaterals by drugs, exercise and massage.
  • Hiring the architect to make maps. This can be equated to an angiographer doing angiography.
  • Looking for the possibility of widening the roads. This can be equated to balloon angioplasty.
  • To prevent encroachment of widened roads to place rallying around the widened roads can be equated to placement of metallic stent.
  • To prevent rallying from mishandling grills are to be put on the rallying. This can be equated to drug alluting stents.
  • When the roads cannot be widened, flyovers are made which can be equated to bypass surgery.
  • Flyovers can be made by stopping the traffic. This can be equated to open bypass surgery.
  • Flyovers can be made without disturbing the traffic, this can be equated to heart bypass surgery.

How to Explain Chronic Artery Disease to your Patients?

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The following is how I communicate with my patients and explain to them about coronary artery disease.

  • There are three coronary arteries, which can be equated to three main roads of the city.
  • Any road has shops on each side. The coronary artery has the endothelium on the sides.
  • There are pavements in front of the shops. The pavements in coronary arteries are called intima-media.
  • When the local municipal corporation does not maintain discipline, shopkeepers start encroaching the pavement. In terms of coronary arteries, this is equivalent to intima-media thickness.
  • The next to follow are temporary encroachments of the road, which is equivalent to several plaques in the coronary arteries.
  • Then comes permanent encroachment, which is equivalent to heart plaques.
  • With encroachment, the traffic slows down and heavy honking of horns starts. This denotes angina or chest pain.
  • When the traffic congestion is heavy, motorists often blow their horn continuously. This can be equated to unstable angina.
  • When the traffic stops, but the car engine is still working, this can be likened to a heart attack.
  • When the car stops and the engine also stops, this is a cardiac arrest.