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Dr. Shawn D. Bogle, MD is a family medicine practitioner in Yellville, AR specializing in family medicine. He graduated from University of Arkansas for Medical Sciences College of Medicine. Dr. Shawn D. Bogle, MD is affiliated with Baxter Regional Health System, BAXTER COUNTY REGIONAL HOSPITAL INC and Baxter Health Ahrens Family Clinic.
414 W Old Main Street
Yellville, AR 72687
Coronary Artery Disease
Coronary artery disease (CAD) is the most common type of heart disease. It happens when the blood vessels carrying blood to the heart, called coronary arteries, narrow and harden. This occurs when cholesterol, a type of fat found in the blood, builds up to form plaque, which sticks to the inner walls of the arteries. As plaque accumulates, less blood can flow through the arteries, which may lead to the following:
Certain factors may increase risk for the disease, like smoking, lack of exercise, being overweight, high cholesterol, high blood pressure, and diabetes. CAD tends to develop over decades, so it can go undetected until it has become quite severe. A diagnosis may be established using such tests as:
Treatments for the disease include medications such as vasodilators, like nitroglycerin, which dilates (widens) the coronary arteries. CAD may also be treated by a procedure called angioplasty with stent placement, where a balloon is inflated inside a diseased artery to flatten the plaque deposits against the artery walls, creating more room for blood to flow.
In some severe cases of the disease, multiple arteries may be blocked, and an open heart surgery called coronary artery bypass surgery may be necessary. This operation transplants a vessel from another part of the body to form a graft that goes past the narrowed arteries, thus enabling blood to flow around those arteries.
Heart Problems
The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.
Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.
Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.
Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.
Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.
Stroke
A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.
Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.
Risk factors for stroke include:
There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.
Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.
Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.
Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:
-Disorientation or confusion
-Difficulty speaking
-Difficulty walking
-Impaired vision
-Weakness in the face, legs, or arms
-Severe headaches
When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.
Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.
Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.
Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.
If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.
Dr. Shawn D. Bogle, MD graduated from University of Arkansas for Medical Sciences College of Medicine. He completed residency at University of Tennessee Affiliated Hospitals. He has a state license in Arkansas.
Medical School: University of Arkansas for Medical Sciences College of Medicine
Residency: University of Tennessee Affiliated Hospitals
Licensed In: Arkansas
Dr. Shawn D. Bogle, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Shawn D. Bogle, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
Janssen Pharmaceuticals, Inc |
$472
XARELTO $214 |
INVOKAMET $144 |
INVOKANA $95 |
$19 |
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GlaxoSmithKline, LLC. |
$389
TRELEGY ELLIPTA $150 |
ANORO $117 |
TANZEUM $66 |
BREO $18 |
$39 |
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Novartis Pharmaceuticals Corporation |
$348
ENTRESTO $316 |
EXFORGE $19 |
EXELON PATCH $14 |
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AstraZeneca Pharmaceuticals LP |
$326
FARXIGA $296 |
ONGLYZA $17 |
BREZTRI $13 |
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Novo Nordisk Inc |
$249
Tresiba $111 |
Xultophy 100/3.6 $51 |
Levemir $35 |
Ozempic $34 |
Victoza $17 |
|
Other |
$554
TOUJEO $92 |
ELIQUIS $57 |
ADUHELM $53 |
Myrbetriq $44 |
Colcrys $38 |
Other $269 |
Food and Beverage | $2,203 |
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Education | $135 |
Dr. Shawn Bogle is a specialist in family medicine in Yellville, AR. He is a graduate of the University of Arkansas for Medical Sciences College of Medicine. Dr. Bogle trained at a hospital affiliated with the University of Tennessee for residency. In his practice, he is particularly interested in pain, type 2 diabetes, and stroke. Dr. Bogle is professionally affiliated with Baxter Regional Health System. He welcomes new patients at his office inYellville, AR as reported by Doctor.com.