Coronary heart disease
Coronary heart disease (CHD) is a narrowing of the small blood vessels that supply blood and oxygen to the heart. CHD is also called coronary artery disease.
Heart disease, Coronary heart disease, Coronary artery disease; Arteriosclerotic heart disease; CHD; CAD
Coronary heart disease (CHD) is the leading cause of death in the United States for men and women.
Coronary heart disease is caused by the buildup of plaque in the arteries to your heart. This may also be called hardening of the arteries.
- Fatty material and other substances form a plaque buildup on the walls of your coronary arteries. The coronary arteries bring blood and oxygen to your heart.
- This buildup causes the arteries to get narrow.
- As a result, blood flow to the heart can slow down or stop.
A risk factor for heart disease is something that increases your chance of getting it. You cannot change some risk factors for heart disease, but you can change others.
Symptoms may be very noticeable, but sometimes you can have the disease and not have any symptoms. This is more often true in the early stages of heart disease.
Chest pain or discomfort (angina) is the most common symptom. You feel this pain when the heart is not getting enough blood or oxygen. The pain may feel different from person to person:
- It may feel heavy or like someone is squeezing your heart. You may feel it under your breast bone (sternum). You may also feel it in your neck, arms, stomach, or upper back.
- The pain most often occurs with activity or emotion. It goes away with rest or a medicine called nitroglycerin.
- Other symptoms include shortness of breath and fatigue with activity (exertion).
Some people have symptoms other than chest pain, such as:
- Shortness of breath
- General weakness
Exams and Tests
Your health care provider will examine you. You will often need more than one test before getting a diagnosis.
Tests may include:
- Coronary angiography -- an invasive test that evaluates the heart arteries under x-ray
- Echocardiogram stress test
- Electrocardiogram (ECG)
- Electron-beam computed tomography (EBCT) to look for calcium in the lining of the arteries -- the more calcium, the higher your chance for CHD
- Exercise stress test
- Heart CT scan
- Nuclear stress test
You may be asked to take one or more medicines to treat blood pressure, diabetes, or high cholesterol levels. Follow your doctor's directions closely to help prevent coronary artery disease from getting worse.
Goals for treating these conditions in people who have coronary artery disease:
- The most commonly used blood pressure target for people with heart disease is below 130 to 140/80 mmHg.
- If you have diabetes, your HbA1c levels will be monitored and brought down to the level your doctor recommends.
- Your LDL cholesterol level will be lowered with statin drugs.
Treatment depends on your symptoms and how severe the disease is. You should know about:
- Other medicines used to treat angina
- What to do when you have chest pain
- Being active when you have heart disease
- Eating a heart-healthy diet
Never stop taking your medicines without first talking to your health care provider. Stopping heart medicines suddenly can make your angina worse or cause a heart attack.
You may be referred to a cardiac rehabilitation program to help improve your heart's fitness.
Procedures and surgeries used to treat CHD include:
- Angioplasty and stent placement, called percutaneous coronary interventions (PCIs)
- Coronary artery bypass surgery
- Minimally invasive heart surgery
Everyone recovers differently. Some people can stay healthy by changing their diet, stopping smoking, and taking their medicines as prescribed. Others may need medical procedures such as angioplasty or surgery.
In general, early detection of CHD generally leads to a better outcome.
When to Contact a Medical Professional
If you have any risk factors for CHD, talk to your doctor about prevention and possible treatment steps.
Call your health care provider, call the local emergency number (such as 911), or go to the emergency room right away if you have:
- Angina or chest pain
- Shortness of breath
- Symptoms of a heart attack
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Reviewed By: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.