Coronary Artery Disease

Coronary artery disease (CAD) is the most common type of heart disease. At Parkview Cardiology PLLC, experienced cardiologist and internal medicine physician Kedar Sankholkar, MD, MS, FACC, is a preventive cardiology expert who can help you manage and prevent CAD using evidence-based strategies that work. Call the Midtown Manhattan, New York City, office or book an appointment online now. Telemedicine is also available.

What is coronary artery disease (CAD)?

CAD develops when cholesterol-containing deposits, called plaque, accumulate on the walls of the coronary arteries (atherosclerosis). The coronary arteries supply oxygen-rich blood to your heart muscle.

Your heart relies on a steady supply of oxygen and nutrients to function properly and keep blood circulating throughout your body. 

However, when plaque builds up in the coronary arteries, it can restrict blood flow to the heart. This lack of oxygen may cause chest pain, damage the heart muscle, or even cause a heart attack.

What is at risk for coronary artery disease?

Many factors can contribute to atherosclerosis and CAD, including:

• High blood pressure
• High cholesterol
• Smoking
• Diabetes
• Sedentary lifestyle
• Unhealthy diet
• Obesity
• Family history

Fortunately, many of these risk factors are controllable.

What are the signs of coronary artery disease?

CAD is often a "silent" disease. Many people experience no symptoms until the disease reaches the later stages, when it may cause:

• Chest pain
• Shortness of breath
• Fatigue
• Heart palpitations

Symptoms often worsen with activity and improve with rest. In some cases, there are no signs at all of CAD until the plaque builds up to the point that it causes a heart attack.

How is coronary artery disease diagnosed and treated?

Dr. Sankholkar may recommend a combination of tests to diagnose CAD. These may include an electrocardiogram (EKG), echocardiogram, cardiac stress test, or other imaging tests. 

In more complex cases, people may need cardiac catheterization to evaluate blockages directly. The choice of test depends on your symptoms, medical history, and risk factors.

The goal of treatment is to manage symptoms, prevent heart attacks, and slow the advancement of the disease. 

Dr. Sankholkar acts as your cardiology coach. He emphasizes collaboration and takes the time to understand your needs and lifestyle before recommending treatment strategies that help you improve your health and reach your goals. 

Lifestyle changes and medication are often the first approach for CAD management. In severe cases, Dr. Sankholkar may recommend an advanced procedure, such as angioplasty, to open or widen clogged arteries. 

To learn more about treatment options for coronary artery disease, book a telemedicine or in-person visit with Dr. Sankholkar. Call the office or schedule your consultation online.