Coronary artery disease (also called coronary heart disease) occurs when fatty deposits build up along the inside of the arteries supplying blood to your heart (atherosclerosis). A heart attack (myocardial infarction) occurs when these blockages deprive the heart muscle of oxygen, which can cause the death of heart tissue. It's important to have coronary artery disease diagnosed promptly and treated effectively at a hospital like NewYork-Presbyterian. Our cardiovascular specialists work together to customize your care, with the goal of minimizing or preventing damage to your heart and improving your quality of life. We treat some of the highest-risk and most complex cases of coronary artery disease, including patients in their 80s and 90s and those who have very few treatment options. Options for the treatment of coronary artery disease include all the most advanced technologies, including the latest drug-eluting stents, minimally invasive and off-pump bypass surgery, as well as conventional surgery. For many patients, our doctors can reduce the invasiveness of treatment by combining catheter-based and minimal access surgical techniques in what are called hybrid procedures.
Coronary artery disease can lead to a heart attack (myocardial infarction), which occurs when there is a lack of oxygen due to blocked blood flow to the heart muscle. If the supply of oxygenated blood is cut off severely or for a long period of time, muscle cells of the heart become damaged and die. The result is dysfunction of the muscle of the heart in the area affected by the lack of oxygen.
Our world-renowned specialists from cardiothoracic surgery, interventional cardiology, heart failure, and critical care collaborate to treat each patient promptly and effectively. This is especially vital for patients who've had a heart attack complicated by cardiogenic shock—where the heart has been damaged so much that it is unable to supply enough blood to the organs of the body. NewYork-Presbyterian has a multidisciplinary Shock Team and 24/7 mechanical circulatory support to give these patients the best chance of a good outcome.
Acute coronary syndromes like heart attacks and angina can disrupt blood flow to your heart. As an Accredited Chest Pain Center, we use the best practices in heart care to ensure that people experiencing chest pain and other symptoms of a blocked heart artery receive the care they need quickly. Our team is well-equipped to treat you quickly in one of our cardiac catheterization laboratories (where we perform balloon angioplasty and stent placement) or in an operating room for coronary bypass surgery. Having these facilities and specialists onsite means you will be treated promptly, and by a team with exceptional skills and experience.
We use our heart monitoring and diagnostic tools to make a timely and accurate diagnosis of your heart disease, reducing the disruption to your life and getting you back home as soon as possible.
Our doctors will assess the extent of your heart disease and determine which therapy is best for you. We may prescribe medications and a procedure such as balloon angioplasty, stent placement, bypass surgery, or revascularization.
Whenever possible, we perform coronary bypass surgery through small incisions, sometimes using a surgical robot. Some people benefit from "off-pump" beating heart surgery, which can be accomplished without the need for a heart-lung machine. Our surgeons perform your surgery using the least invasive approach possible. Also, since our surgeons and interventional cardiologists work together to develop the best plan for each patient, many patients benefit from combined, or hybrid, procedures, in which catheter-based and minimal access surgical treatments are combined to provide the best results with the least possible invasiveness.
We achieve excellent outcomes. Risk-standardized 30-day mortality rates among our bypass patients (1.4 percent, years 2012-2015) and heart attack patients (11 percent) are among the lowest in New York State and are better than the national average (3.2 percent for bypass and 14.1 percent for heart attack).
Our heart specialists lead and participate in national clinical trials of new stents, ventricular assist devices, and other interventions to treat coronary artery disease, and are internationally renowned educators in treatments for coronary artery disease. In collaboration with the Cardiovascular Research Foundation, our heart specialists conduct one of the largest Interventional Cardiology meetings in the world: Transcatheter Cardiovascular Therapeutics.