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Your Heart & Conditions > Heart Disease What Is Coronary Artery Disease? In coronary artery disease, the coronary arteries become narrowed or blocked by a gradual buildup of fat (cholesterol) within the artery wall, which reduces the blood flow to the heart muscle. This buildup is called "atherosclerotic plaque" or simply "plaque," and may start slowly progressing in childhood.
The first symptom generally is chest pain or chest discomfort which may
be described as a pressure or heaviness beneath the breastbone (sternum)
with associated neck, jaw or arm discomfort. The pattern varies from patient
to patient and may have associated symptoms of sweating, shortness of
breath, or nausea. This group of symptoms is referred to as angina. Angina
is commonly brought on by physical work, mental work or stress, but may come
on at rest or even while sleeping at night. Angina may be improved with the
use of NTG (nitroglycerine), which helps the heart cope with these partial
blockages. If the blood supply to the blockage is not corrected rapidly, you may develop a "heart attack" (myocardial infarction). The area of the, heart muscle not receiving the blood supply will become scar tissue and will lose its ability to pump. If your cardiologist or primary care physician has found coronary artery blockages during your catheterization, they have recommended coronary artery bypass surgery to protect your heart muscle from these threatening blockages. Ask your heart surgeon to mark the course of the proposed bypass grafts. |
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