Coronary Artery Disease

CAD Paper
Description of Coronary Artery Disease
Submit a 8-12 page paper on Coronary Artery Disease (CAD). The
designed to help you understand this common cardiac disease state, identify
the tests that are used to diagnosis CAD and the echocardiography findings associated with
Font size: 10-11, 1.5 spacing of sentences. Subject areas should be grouped together.
Examples of papers are available in the classroom for review. This information is technical
and much of your paper will be taken from medical resources. The paper should be
organized into subject areas and include diagrams and illustrations. The information
should be individualized and not be a rewrite of a medical textbook.
CAD Paper Content
Pathophysiology of atherosclerosis, in other words: how atherosclerosis develops.
This description should be thorough:
 Describing the coronary artery system
 arterial wall structure (the 3 layers of the arterial wall)
 the development of plaque.
Included should be descriptions of the result of CAD:
 ischemia,
 infarction,
 angina
 Variant angina.
Include a description of routine tests used to diagnosis CAD:
1. ECG: describe how the ECG changes with ischemia MI: transmural and
2. Exercise stress testing,: include
a. indications,
b. contraindications,
c. protocols,
d. METs
3. Nuclear Medicine:
a. Persantine stress tests,
4. Cardiac nuclear procedures:
a. Thallium and other nuclear tests
5. Cardiac catheterization:
a. technique and
b. types of interventions:
i. PTCA,

ii. stents
6. Types of cardiac surgery
Include a description of the risk factors associated with CAD. This should not be just
a list but a brief description of each risk factor
The most important part of this paper is to write a description of how CAD
manifests itself in Echocardiographic tests
1. Describe the views used to identify CAD
2. Echo findings of ischemia and infarct . Include the terms and definitions of
wall motion abnormalities:
a. hypokinesis,
b. akinesis,
c. dyskinesis
3. Aneurysm:
a. true
b. pseudo
4. Stress echo:
a. purpose,
b. methods of interpretation:
c. wall motion assessment,
d. wall motion scoring,
e. EF,
f. systolic volume
5. Hemodynamic stress echo:
a. MR and TR,
b. diastolic dysfunction changes
6. Diagrams and illustrations: use diagrams to clarity concepts
7. Include at the end of the paper a list of all reference materials used. You
should have 3 references in addition to the your textbooks. Reference
a. C. Otto Echo textbook See chapts on ischemia, stress echo
b. R. Huszar ECG textbook Chapter 15 on ischemia

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