Coronary Angioplasty Center - Bozeman, MT
Bozeman Cardiologist Doctors for Coronary AngioplastyType of Physician: Cardiologist What is a Cardiologist? A subspecialty certification by the Board of Internal Medicine; practitioners are expert in diseases of the heart, lungs and blood vessels. They consult with surgeons on heart surgery, perform diagnostic procedures, and manage complex conditions such as heart attacks and arrhythmias (abnormal heartbeat). Specialty: Cardiology Common Name: Heart Doctor Cardiologist Doctors in Bozeman * Blair D Erb MD  Helena Cardiology Clinic Bozeman, MontanaUpcoming Local Events2012-06-17
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Angioplasty and StentsRead the Angioplasty and Stents article » What is balloon angioplasty?Balloon angioplasty of the coronary artery, or percutaneous transluminal coronary angioplasty (PTCA), was introduced in the late 1970's. PTCA is a non-surgical procedure that relieves narrowing and obstruction of the arteries to the muscle of the heart (coronary arteries). This allows more blood and oxygen to be delivered to the heart muscle. PTCA, is now referred to as percutaneous coronary intervention, or PCI, as this term includes the use of balloons, stents, and atherectomy devices. Percutaneous coronary intervention is accomplished with a small balloon catheter inserted into an artery in the groin or arm, and advanced to the narrowing in the coronary artery. The balloon is then inflated to enlarge the narrowing in the artery. When successful, percutaneous coronary intervention can relieve chest pain of angina, improve the prognosis of individuals with unstable angina, and minimize or stop a heart attack without having the patient undergo open heart coronary artery bypass graft (CABG) surgery. In addition to the use of simple balloon angioplasty, the availability of stainless steel stents, in a wire-mesh design, have expanded the spectrum of people suitable for percutaneous coronary intervention, as well as enhanced the safety and long-term results of the procedure. Since the early 1990's, more and more patients are treated with stents, which are delivered with a percutaneous coronary intervention balloon, but remain in the artery as a "scaffold". This procedure has markedly reduced the numbers of patients needing emergency CABG to below 1%, and particularly with the use of the new "medicated" stents (stents coated with medications that help prevent plaque formation), has reduced the rate of recurrence of the blockage in the coronary artery ("restenosis") to well below 10%. At present, the only patients treated with just balloon angioplasty are those with vessels less than 2m... Recommended Reading Related to Angioplasty and StentsWhat is a CT coronary angiogram?A new test is available to diagnose coronary artery disease. In the past, noninvasive functional tests of the heart were used, such as treadmill tests and nuclear studies, to indirectly assess if there were blockages in the coronary arteries. The only way to directly look at the coronary arteries was via a cardiac catheterization and coronary angiogram. CT scans have been used to look at various anatomic regions, but have not been useful for the heart because the heart is continuously in motion. CT is very effective in looking at "static" areas, such as the brain, abdominal cavity, and extremities. Most early CT scanners take 1-8 pictures (slices) a minute, much slower than the rate of the heart. Just as taking a picture of a moving object with a camera results in a blurry picture, conventional CT scans of the heart are not helpful. A new generation of CT scanners which can take 64 pictures a minute... Other Related Coronary Angioplasty ArticlesEmergency Contact for Bozeman
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Suggested Reading on Angioplasty and Stents by Our Doctors
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Related Diseases & Conditions
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Angina
- Angina is chest pain that is due to an inadequate supply of oxygen to the heart muscle. Angina can be caused by coronary artery disease or spasm of the coronary arteries. EKG, exercise treadmill, stress echocardiography, stress thallium, and cardiac catheterization are important tests used in the diagnosis of angina.
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Cholesterol
- Cholesterol is naturally produced by the body, and is a building block for cell membranes and hormones. Low-density lipoprotein (LDL) cholesterol is the "bad" cholesterol, conversely, high-density lipoprotein (HDL) cholesterol is the "good" cholesterol. High cholesterol treatment includes lifestyle changes (diet and exercise), and medications such as statins, bile acid resins, and fibric acid derivatives.
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Heart Attack
- Heart attack happens when a blood clot completely obstructs a coronary artery supplying blood to the heart muscle. A heart attack can cause chest pain, heart failure, and electrical instability of the heart.
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Chest Pain
- Chest pain is a common complaint by a patient in the ER. Causes of chest pain include broken or bruised ribs, pleurisy, pneumothorax, shingles, pneumonia, pulmonary embolism, angina, heart attack, costochondritis, pericarditis, aorta or aortic dissection, and reflux esophagitis. Diagnosis and treatment of chest pain depends upon the cause and clinical presentation of the patient's chest pain.
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Premature Ventricular Contractions (PVCs)
- Premature ventricular contractions (PVCs) are premature heartbeats originating from the ventricles of the heart. PVCs are premature because they occur before the regular heartbeat. There are many causes of premature ventricular contractions to include: heart attack, high blood pressure, congestive heart failure, mitral valve prolapse, hypokalemia, hypoxia, medications, excess caffeine, drug abuse, and myocarditis.
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Heart Disease
- Heart disease (coronary artery disease) is caused by a buildup of cholesterol deposits in the coronary arteries. Risk factors for heart disease include smoking, high blood pressure, heredity, diabetes, peripheral artery disease, and obesity. Symptoms include chest pain and shortness of breath. There are a variety of tests used to diagnose coronary artery disease. Treatment includes life-style changes, medications, procedures, or surgery.
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Your Cholesterol Profile - In Depth
- Cholesterol is the most common type of steroid in the body. The treatment of elevated cholesterol involves not only diet but also weight loss, regular exercise, and medications. By understanding your cholesterol profile you can better manage your cholesterol levels.
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Omega-3 Fatty Acids: Heart Attack Prevention Series
- Omega-3 fatty acids are essential fats that help decrease one's cholesterol and triglyceride levels as well as reduce the risk of coronary artery disease. Omega-3s are found in salmon, sardines, walnuts, and canola oil. These fats may help reduce the risk of ventricular fibrillation and sudden cardiac death.
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Heart Attack Prevention Overview
- Heart attacks are the major causes of unexpected, sudden death among men and women. A heart attack is also a significant cause of heart failure. Learn the risk factors for heart attack such as high blood pressure, diabetes, and other heart conditions. Lowering your risk factor, lifestyle changes, and in some cases medication are the most effective way of preventing a heart attack.
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Heart Attack Pathology: Photo Essay
- A heart attack is a layperson's term for a sudden blockage of a coronary artery. This photo essay inlcudes graphics, pictures, and illustrations of diseased heart tissue and the mechanisms that lead to coronary artery disease, and possible heart attack.
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Vitamins & Exercise: Heart Attack Prevention Series
- Vitamins and exercise can lower your risk for heart attack and heart disease. Folic acid, vitamins, and homocysteine levels are interconnected and affect your risk for heart disease or heart attack. Antioxidants and exercise also play a key role in heart attack and heart disease prevention. Lower your risk factors for heart disease and heart attack by lowering cholesterol, lowering blood pressure, diabetes prevention, and smoking cesssation.
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