Coronary Artery Disease: Roles of Different Doctors
What health professionals are involved in taking care of
people who have coronary artery disease?
After a diagnosis of coronary artery disease (CAD), you should visit
your primary care physician every few months. Your doctor can help track your condition
and make sure that your treatment is going as planned. If you have complications or
need special procedures (such as cardiac catheterization or open-heart surgery), you
may need treatment from a range of specialists.
your health professionals' roles
Depending on how severe your CAD is and whether
you already have complications, you may need a team of health professionals to help
treat your disease and manage your treatment plan.
This table outlines the types
of health professionals who may be involved in the treatment of CAD and its complications.
Health professionals for CAD
What is their role?
When would you see them?
Internist, family physician
They manage your medical care.
visits (about 2 to 4 per year)
doctor provides specialty medical care.
for regular visits or when CAD gets worse
They provide specialty medical care for complications
When complications arise or when
special procedures need to be done
Specific type of nurse
This nurse can educate you and help you take control.
Whenever medicines, diet, or self-management needs to
Doctor, nurse specialist, dietitian,
exercise therapist, and physical therapist
team will help you recover from an event or procedure and make healthy lifestyle changes.
During the rehab program
psychologist, or social worker
They help you cope with psychological
aspects of disease.
Regularly (perhaps weekly),
for as long as you need
He or she can help you with heart-healthy diet.
Initially, and whenever diet needs to be changed
you may not need help from all of these providers, it is good to be aware of them.
You may encounter them at some point during the course of your treatment. If you need
the help of other health professionals, you should keep in close contact with your
primary care doctor. Make sure to report any changes in the way you feel or any medicine-related
side effects. Each person's experience with CAD and with its complications is different.
Your health professionals will help tailor your treatment to best suit your needs.
What is the role of a primary care physician in caring
for people who have coronary artery disease?
In some cases, your primary care
physician (PCP)-usually an internist or family medicine physician-will coordinate
your care. He or she may be responsible for the day-to-day medical management of your
coronary artery disease. In these cases, your PCP will be the one who evaluates your
risk factors, does tests, and looks for signs of other diseases.
After you are
diagnosed with CAD, your PCP will help you build a treatment plan. He or she will
also decide if you need to start taking medicines or if you need certain procedures
to diagnose how severe your CAD is. For this reason, it is important that you are
open with your doctor. Make sure that he or she knows of any changes in your symptoms.
general, you should visit your PCP once every few months. This is a good chance to
make sure that you are on track with your CAD treatment and to continue with your
general medical care. Along with a physical exam at each visit, you and your doctor
should review how you're doing with lifestyle changes and with your prescribed medicines.
If you have new or changing symptoms, your PCP may do or request tests to check your
Most primary care physicians are qualified to develop and manage treatment
plans for chronic diseases such as CAD. But if you develop complications or have more
severe CAD that needs a procedure or surgery as treatment, your primary care physician
may refer you to a specialist.
What are the roles
of specialists in caring for people who have coronary artery disease?
cases, a cardiologist will be your main point of contact in treating and managing
your CAD. Whether you work more closely with a primary care physician (PCP) or a cardiologist
depends on many things, including the nature of your condition and the relationship
you may already have with either doctor. Whether you see your cardiologist to treat
mild atherosclerosis or to provide follow-up care after a major surgery, this specialist
will add heart-specific expertise to your treatment plan.
What is the role of
an interventional cardiologist?
An interventional cardiologist can do a cardiac
catheterization. This is an invasive procedure used to take X-rays of your arteries
and diagnose any narrowed areas in your coronary arteries. An interventional cardiologist
can also do an angioplasty and place stents during a cardiac
catheterization to open narrowed or blocked arteries.
What is the role of a
In some people, an open-chest surgery, called bypass surgery, may be recommended to bypass
a narrowed or blocked vessel and allow blood to reach the heart.
surgeon is a specialist trained to do this surgery. This type of surgeon may also
be called a cardiovascular surgeon or a cardiac surgeon.
What are the roles of other specialists?
If you develop certain CAD-related
complications, you may need to see a number of other specialists. For example, you
may need to see a nephrologist (kidney specialist) if you develop kidney problems.
You may need to see a neurologist (brain and nervous system specialist) if CAD leads
to a stroke. Your primary care physician will direct you to the specialists who are
skilled in treating your specific condition. You may be referred to the following
While primary care physicians serve as central
coordinators of care for many people with CAD, nurse educators are valuable resources
Along with serving as a care coordinator, your nurse educator will
serve other important functions. For example, he or she may be the first one to help
you understand CAD and start your treatment plan. He or she may teach you about the
effects of various medicines on your condition and help you with lifestyle changes.
of the nurse educator's most important roles is to provide you with the information
you need about your disease as you are ready to handle it. You will have CAD for the
rest of your life. Your nurse educator can be there with the information that you
need to adapt to changes in your condition.
Cardiac rehabilitation team
cardiac rehabilitation (rehab) program teaches
you how to be more active and make lifestyle changes that can lead to a stronger heart
and better health. This team often includes a doctor, a nurse specialist, a dietitian,
an exercise therapist, and a physical therapist. The team designs a program just for
you, based on your health and goals. Then they give you support to help you succeed.
you eat has a big effect on your coronary artery disease. You may seek the aid of
a registered dietitian to help you plan a heart-healthy diet. If you also have high
blood pressure (hypertension) or diabetes, it may be important to limit salt and sugar
intake as well.
Registered dietitians are trained in nutrition. They are experienced
in helping people make lifestyle changes. They understand that adjustments to your
eating habits can be the hardest changes to make. And they can help you take small
steps toward the larger goal of a balanced diet.
Mental health professional
people with serious conditions such as CAD have depression. Psychiatrists, psychologists,
and clinical social workers can help you deal with the mental challenges that come
with any CAD-related complications that you may have. Also, they can help you learn
to manage the stress in your life. This can affect the success of your treatment plan.
Staff Primary Medical ReviewerRakesh
K. Pai, MD - Cardiology, Electrophysiology Martin
J. Gabica, MD - Family Medicine Adam Husney, MD
- Family Medicine Specialist Medical ReviewerStephen Fort, MD, MRCP, FRCPC - Interventional Cardiology
This information does not replace the advice of a doctor.
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