Coronary Artery Disease (CAD)
Definition
Coronary artery disease (CAD) is a condition characterized by the narrowing or blockage of the coronary arteries, which supply blood and oxygen to the heart muscle. This narrowing or blockage is typically caused by the buildup of plaque, consisting of cholesterol, fatty substances, and other materials. CAD can lead to reduced blood flow to the heart, resulting in chest pain (angina), shortness of breath, and an increased risk of heart attack.
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Sports Cardiology Program
Sometimes, an athlete—seemingly in peak physical condition—experiences sudden cardiac arrest on the playing field due to an undiagnosed heart condition. Yale Medicine’s Sports Cardiology Program is dedicated to preventing such tragedies through comprehensive screening, evaluation, and management of cardiovascular disease in athletes. The Sports Cardiology Program brings a multidisciplinary approach to the identification and treatment of potentially life-threatening cardiac abnormalities in athletes. The program provides two distinct services: Pre-participation screening of college and university athletes to detect any potential abnormalities before they compete Consultation and care for athletes of any age who either have known cardiovascular disease or who have symptoms that could be related to cardiovascular disease Yale Medicine specialists begin with an electrocardiogram (ECG), which records the electrical activity of the heart, to check for a variety of cardiac conditions. When screening college and university athletes, Yale experts interpret the ECG, offer recommendations for follow-up care, if needed, and work closely with the school to monitor and advise the athlete going forward. Yale physicians have been performing ECG screenings for Yale University athletes since 2015. With the launch of the Sports Cardiology Program, Yale Medicine is now performing screenings for athletes at three local universities, as well as the Connecticut Whale women’s professional hockey team. In addition to a pre-participation screening of college athletes, the Sports Cardiology Program provides ongoing clinical care for athletes of any age (including children) who have a known cardiac condition or symptoms that may indicate cardiac abnormalities, such as passing out or palpitations. In both cases, the goal is to develop an effective diagnosis, treatment, and management strategy for the athlete and provide recommendations on whether and how the athlete can safely participate in competitive sports. The foundation of Yale Medicine’s program is its multidisciplinary approach to these issues. A team of experts from many specialty areas works together to provide comprehensive, integrated services and holistic care for athletes. The program’s director, Rachel Lampert, MD , is a sports cardiologist, electrophysiologist, and arrhythmia specialist who frequently writes and speaks on preventing sudden cardiac arrest in athletes. Dr. Lampert has conducted extensive research in this area, including studies on whether athletes with implanted defibrillators can safely participate in sports. The Sports Cardiology Program also features imaging teams that use highly specialized diagnostic tools such as cardiac MRIs and echocardiography. The team also includes experts in adult and pediatric arrhythmia, cardiac channelopathies, cardiomyopathy, genetic cardiovascular diseases, and more. In addition, Dr. Lampert and her team frequently partner with Yale’s Sports Medicine ProPreventive Cardiovascular Health Program
The Preventive Cardiovascular Health Program at Yale (PCHPY) brings a personalized approach to cardiovascular disease prevention. Patients referred to the program meet with one of our cardiologists for an in-depth consultation that takes into account their biology and biography, along with information from advanced diagnostic testing. This approach leads to a more personalized, evidence-based approach to cardiovascular risk assessment. Using this information, and in partnership with patients, we design tailored programs to reduce cardiovascular risk and improve well-being. PCHPY brings together experts in cardiovascular disease prevention, including cardiologists, nutritionists, exercise physiologists and health psychologists. We also work together with Digital Technology Solutions (Information Technology) and digital health companies to offer high-tech/low-burden approaches to cardiovascular care. Our team is highly attuned to the challenges of maintaining a healthy lifestyle and taking medication, and understands that a one-size-fits all approach often falls short. Instead, we strive to understand and integrate each person’ priorities, preferences and goals into the care plan. This program is particularly focused on people who are: At increased risk for cardiovascular disease, including people with: Severe hypercholesterolemia or familial hypercholesterolemia or elevated Lp(a) Family history of premature coronary artery disease (before the age of 60) Poorly controlled hypertension Underlying inflammatory condition (e.g., rheumatoid arthritis, HIV) A diagnosis of ischemic heart disease or coronary artery disease Women with cardiovascular disease Individuals seeking a more personalized approach to cardiovascular health PCHPY additionally works with communities to identify and address barriers to cardiovascular health, focusing on environmental and social factors that contribute to disparities in health outcomes.Cardiovascular Medicine
At Yale Medicine, our cardiovascular physicians specialize in all types of heart conditions. Our expert teams focus on heart-related health issues, such as heart disease genetics, heart rhythm problems, heart failure, heart and blood vessel conditions, and heart transplants. Our cardiologists do more than just see patients; they also conduct research to learn more about the complexities of various heart diseases and investigate better ways to treat them. Through their work in five research centers at Yale our cardiologists participate in major research initiatives focused on all aspects of heart health. Our research teams are comprised of experts from all over the world—eight different countries and four continents, to be exact! Specialized care is offered in the following areas: Adult congenital heart disease Arrhythmia Cardiac imaging Cardiomyopathy and congestive heart failure Coronary heart disease General cardiology (including stress tests and holter monitoring) Peripheral vascular heart disease Vascular heart disease