:This essay focuses on  coronary artery disease. Please find a published guideline based on evidence related to coronary artery disease. Identify the guideline and provide a link to it.

 

 coronary artery disease.

 

Evidence Based Practice Guidelines

Please find a published guideline based on evidence related to coronary artery disease. Identify the guideline and provide a link to it.

Answer the following questions regarding your selected practice guideline:

Firstly, What is the objective of the guideline?

Secondly, Which patient population is targeted in this guideline?

Thirdly, Who is the author or authoring agency?

In addition, Which disciplines were involve in the development of the guideline?

Moreover, How was evidence gather for the development of the guideline?

Lastly, What were the criteria use in selecting the evidence?

 

In your opinion,

 

Further, is there a link between the evidence and the recommendations?

To add on, Why or why not?

Moreover, Are the recommendations present in the guideline clear?

Additionally, Are implementation tools or suggestions for implementation include in the guideline?

Finally, Is the guideline free of bias?

The coronary arteries

The coronary arteries are the blood vessels that carry blood to your heart.. Coronary artery disease is the narrowing or blockage of the coronary arteries.

This condition is usually cause by atherosclerosis. Atherosclerosis is the build-up of cholesterol and fatty deposits (called plaques) inside the arteries.

These plaques can clog the arteries or damage the arteries, which limits or stops blood flow to the heart muscle.

If the heart does not get enough blood, it cannot get the oxygen and nutrients it needs to work properly. This can cause chest pain (angina) or a heart attack.

Coronary artery disease starts when you are very young.

Before your teen years, the blood vessel walls start to show streaks of fat.

As you get older, the fat builds up, causing minor damage to your blood vessel walls.

With time, other substances that move through your blood stream, such as inflammatory cells, cellular waste products, proteins and calcium, stick to the vessel walls.

These things combine with the fat and form plaque.

Plaques are different sizes, and many are soft on the inside with a hard, fibrous “cap” that covers the outside. If the hard surface cracks or tears, the soft, fatty inside is exposed.

Platelets (disc-shaped particles in the blood that help form clots) move to the area, and blood clots form around the plaque.

The endothelium can also become irritate and stop working properly, which causes the artery to squeeze at the wrong times.

This causes the artery to narrow even more.

Sometimes, the blood clot breaks apart and blood can flow through the area again.

Other times, the blood clot suddenly blocks the blood supply to the heart muscle, causing one of three serious conditions known as an acute coronary syndrome.