BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuCoronary heart diseaseHeart disease, Coronary heart disease, Coronary artery disease; Arteriosclerotic heart disease; CHD; CADCoronary heart disease is a narrowing of the blood vessels that supply blood and oxygen to the heart. Coronary heart disease (CHD) is also called coronary artery disease.Related video goes here for no-HTML5 browsersCoronary Artery Disease QuizCoronary artery disease is … A. A buildup of plaque in the arteries that carry blood to the heart B. The same thing as coronary heart disease C. Sometimes called hardening of the heart’s arteries D. The leading cause of death in the U.S. for men and women E. All of the above Correct Answer The correct answer is all of the above. Coronary artery disease (CAD) and coronary heart disease describe the same condition: the buildup of plaque in the arteries that carry blood and oxygen to the heart. These are called the coronary arteries. Over time, they can become narrow, slowing or stopping blood flow to the heart.What causes plaque to build up in the arteries? A. Smoking B. High blood pressure C. High cholesterol D. High blood sugar E. All of the above Correct Answer The correct answer is all of the above. Any of these factors cause damage to the inside walls of the coronary arteries. Cholesterol and other chemicals in the blood then build up on these injured areas as plaque. This process is called atherosclerosis.You can have CAD and not have any symptoms. A. True B. False Correct Answer The correct answer is true. Plaque buildup occurs slowly over time, so you can have the disease and not have any symptoms. This is especially true in the early stages of heart disease. Sometimes, a heart attack is the first sign of CAD.What are the noticeable symptoms of CAD? A. Chest pain or pressure, called angina B. Shortness of breath C. Fatigue D. Weakness E. All of the above Correct Answer The correct answer is all of the above. Angina (chest heaviness, pressure, or pain) is the most common symptom. It often occurs during activity or stress and goes away with rest or when you take an angina medicine (most often nitroglycerin under your tongue). You also may feel shortness of breath, fatigue, or weakness.Angina is another name for a heart attack. A. True B. False Correct Answer The correct answer is false. Angina is a sign that your heart isn't getting enough oxygen. A heart attack occurs when heart muscle cells die due to a blocked artery. Having angina means you are at risk for a heart attack. If you have angina, and your chest pain doesn't go away minutes after rest or medicine, call 911.Which heart problems can be caused by CAD? A. Heart failure B. Arrhythmia (abnormal heart rhythm) C. Heart attack D. All of the above Correct Answer The correct answer is all of the above. Reduced blood flow can damage the heart in different ways. Heart failure occurs when the weakened heart muscle can't pump enough blood to the rest of the body. CAD can damage the heart's electrical system, causing arrhythmias. A blocked artery can cause a heart attack.If you have heart disease, you are at higher risk for depression. A. True B. False Correct Answer The correct answer is true. It's unclear why, but there is a link between depression and heart disease, angina, and heart attack. Being depressed may make it harder to follow your treatment plan, and treating depression can help you better manage heart disease. If you think you may be depressed, talk with your doctor.How may CAD be treated? A. Healthy lifestyle changes B. Medicines C. Angioplasty, a procedure to open blocked arteries D. Heart bypass surgery E. All of the above Correct Answer The correct answer is all of the above. Your treatment depends on your symptoms and how much artery blockage you have. For some people, lifestyle changes alone can treat CAD. Others may need medicine, angioplasty, or surgery. Talk with your doctor about the best treatment for you.Which lifestyle change WON'T help treat CAD? A. Quitting smoking B. Eating a healthy, low-fat, low-sodium, high-fiber diet C. Getting regular exercise D. Managing stress E. Maintaining a healthy weight F. Following a gluten-free diet Correct Answer The correct answer is following a gluten-free diet. Most people don't need to follow a gluten-free diet, and avoiding gluten certainly won't help treat CAD. Follow a plant-based diet low in sodium, cholesterol, and trans and saturated fats. Talk with your doctor about other changes that can help your heart.Plaque buildup can begin in childhood. A. True B. False Correct Answer The correct answer is true. It may seem hard to believe, but plaque starts building up on artery walls in our childhood and teen years. That's why it's never too early to eat a healthy diet, get regular exercise, and manage stress. And if you never start smoking in the first place, you never have to quit! Causes CHD is the leading cause of death in the United States for men and women.CHD is caused by the buildup of plaque in the arteries to your heart. This may also be called hardening of the arteries or atherosclerosis.Hardening of the arteriesAtherosclerosis, sometimes called "hardening of the arteries," occurs when fat, cholesterol, and other substances build up in the walls of arteries. ...ImageRead Article Now Book Mark Article 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.Risk factor for heart diseaseCoronary heart disease (CHD) is a narrowing of the blood vessels that supply blood and oxygen to the heart. CHD is also called coronary artery disea...Read Article Now Book Mark Article Previous imagePlay SlideshowStop SlideshowNext image / Symptoms In some cases, symptoms may be very noticeable. But, you can have the disease and not have any symptoms. This is more often true in the early stages of CHD. 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.Chest painChest pain is discomfort or pain that you feel anywhere along the front of your body between your neck and upper abdomen.ImageRead Article Now Book Mark Article AnginaAngina is a type of chest discomfort or pain due to poor blood flow through the blood vessels (coronary vessels) of the heart muscle (myocardium). T...Read Article Now Book Mark Article 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). Related video goes here for no-HTML5 browsersSome people have symptoms other than chest pain, such as:Fatigue Shortness of breath General weakness Related video goes here for no-HTML5 browsers Exams and Tests Your health care provider will examine you. You will often need one or more tests before getting a diagnosis. Tests to evaluate for CHD may include:Coronary angiography -- an invasive test that evaluates the heart arteries under x-ray. Coronary angiographyCoronary angiography is a procedure that uses a special dye (contrast material) and x-rays to see how blood flows through the arteries in your heart....ImageRead Article Now Book Mark Article Echocardiogram stress test. EchocardiogramAn echocardiogram is a test that uses sound waves to create pictures of the heart. The picture and information it produces is more detailed than a s...ImageRead Article Now Book Mark Article Electrocardiogram (ECG). Electrocardiogram (ECG)An electrocardiogram (ECG) is a test that records the electrical activity of the heart.ImageRead Article Now Book Mark Article 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. Exercise stress testAn exercise stress test is used to measure the effect of exercise on your heart.ImageRead Article Now Book Mark Article Heart CT scan. Heart CT scanA computed tomography (CT) scan of the heart is an imaging method that uses x-rays to create detailed pictures of the heart and its blood vessels. Th...ImageRead Article Now Book Mark Article Nuclear stress test. Nuclear stress testNuclear stress test is an imaging method that uses radioactive material to show how well blood flows into the heart muscle, both at rest and during a...ImageRead Article Now Book Mark Article Treatment You may be asked to take one or more medicines to treat blood pressure, diabetes, or high cholesterol levels. Follow your provider's directions closely to help prevent CHD from getting worse.DiabetesDiabetes is a long-term (chronic) disease in which the body cannot regulate the amount of sugar in the blood.ImageRead Article Now Book Mark Article High cholesterol levelsCholesterol is a fat (also called a lipid) that your body needs to work properly. Too much bad cholesterol in your blood can increase your chance of...ImageRead Article Now Book Mark Article Goals for treating these conditions in people who have CHD:The most commonly used blood pressure target for people with heart disease is less than 130/80, but your provider may recommend a different blood pressure target. If you have diabetes, your HbA1c levels will be monitored and brought down to the level your provider recommends. HbA1cA1C is a lab test that shows the average level of blood sugar (glucose) over the previous 3 months. It shows how well you are controlling your blood...ImageRead Article Now Book Mark Article Your LDL cholesterol level will be lowered with statin or other medicines. Treatment depends on your symptoms and how severe the disease is. You should know about:Other medicines used to treat angina. Other medicines used to treat anginaStable angina is chest pain or discomfort that most often occurs with activity or emotional stress. Angina is due to poor blood flow through the blo...ImageRead Article Now Book Mark Article What to do when you have chest pain. What to do when you have chest painAngina is a type of chest discomfort due to poor blood flow through the blood vessels of the heart muscle. This article discusses how to care for yo...Read Article Now Book Mark Article Being active when you have heart disease. Being active when you have heart diseas...Getting regular exercise when you have heart disease is important. Physical activity can strengthen your heart muscle and help you manage blood pres...ImageRead Article Now Book Mark Article Eating a heart-healthy diet. Eating a heart-healthy dietA healthy diet is an important factor in reducing your risk for heart disease.ImageRead Article Now Book Mark Article Never stop taking your medicines without first talking to your 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) Angioplasty and stent placementAngioplasty is a procedure to open narrowed or blocked blood vessels that supply blood to the heart. These blood vessels are called the coronary art...ImageRead Article Now Book Mark Article Coronary artery bypass surgery Coronary artery bypass surgeryHeart bypass surgery creates a new route, called a bypass, for blood and oxygen to go around a blockage to reach your heart.ImageRead Article Now Book Mark Article Minimally invasive heart surgeryMinimally invasive heart surgeryHeart bypass surgery creates a new route, called a bypass, for blood and oxygen to reach your heart. Minimally invasive coronary (heart) artery bypas...ImageRead Article Now Book Mark Article Outlook (Prognosis) 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 provider about prevention and possible treatment steps. Call your 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 attackSymptoms of a heart attackMost heart attacks are caused by a blood clot that blocks one of the coronary arteries. The coronary arteries bring blood and oxygen to the heart. ...ImageRead Article Now Book Mark Article Prevention Take these steps to help prevent heart disease.If you smoke or use tobacco, stop. There are many resources available to help you stop smoking and tobacco use. Stop smokingThere are many ways to quit smoking. There are also resources to help you. Family members, friends, and co-workers may be supportive. But to be su...ImageRead Article Now Book Mark Article Learn how to eat a heart-healthy diet by making simple substitutions. For example, choose heart-healthy fats over butter and other saturated fats. Simple substitutionsA heart-healthy diet is low in saturated fat. Saturated fat can increase your bad cholesterol and clog your arteries. A heart-healthy diet also lim...Read Article Now Book Mark Article Heart-healthy fatsSome types of fat are healthier for your heart than others. Butter and other animal fats and solid margarine may not be the best choices. Alternati...ImageRead Article Now Book Mark Article Get regular exercise, ideally at least 30 minutes five days per week. If you have heart disease, talk with your provider about starting an exercise routine. Starting an exercise routineGetting regular exercise when you have heart disease is important. Physical activity can strengthen your heart muscle and help you manage blood pres...ImageRead Article Now Book Mark Article Maintain a healthy body weight. Lower high cholesterol with lifestyle changes, and if needed, statin or other medicines. Lifestyle changesYour body needs cholesterol to work well. But cholesterol levels that are too high can harm you. In the US, blood cholesterol is most often measured...ImageRead Article Now Book Mark Article StatinStatins are medicines that help lower the amount of cholesterol and other fats in your blood. Statins work by:Lowering LDL (bad) cholesterolRaising ...Read Article Now Book Mark Article Lower high blood pressure using diet and medicines. Lower high blood pressureHypertension is another term used to describe high blood pressure. High blood pressure can lead to: StrokeHeart attackHeart failureKidney diseaseEar...ImageRead Article Now Book Mark Article Talk with your provider about aspirin therapy. Aspirin therapyCurrent guidelines recommend that people with coronary artery disease (CAD) receive antiplatelet therapy with either aspirin or clopidogrel. Aspirin ...ImageRead Article Now Book Mark Article If you have diabetes, keep it well-managed to help prevent heart attack and stroke.Prevent heart attack and strokePeople with diabetes have a higher chance of having heart attacks and strokes than those without diabetes. Smoking and having high blood pressure an...ImageRead Article Now Book Mark Article Even if you already have heart disease, taking these steps will help protect your heart and prevent further damage.Open ReferencesReferencesArnett DK, Blumenthal RS, Albert MA, et al. 2019 ACC/AHA Guideline on the primary prevention of cardiovascular disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. [published correction appears in Circulation. 2019;140(11):e649-e650] [published correction appears in Circulation. 2020;141(4):e60] [published correction appears in Circulation. 2020;141(16):e774]. Circulation. 2019 2019;140(11):e596-e646. PMID: 30879355 pubmed.ncbi.nlm.nih.gov/30879355/.Boden WE. Angina pectoris and stable ischemic heart disease. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 56.Marks AR. Cardiac and circulatory function. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 41.Morrow DA, de Lemos J. Stable ischemic heart disease. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 12th ed. Philadelphia, PA: Elsevier; 2022:chap 40.Virani SS, Newby LK, Arnold SV, et al. 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the management of patients with chronic coronary disease: A report of the American Heart Association/American College of Cardiology joint committee on clinical practice guidelines. Circulation. 2023;148:e9–e119.Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;72(3):e33. PMID: 29133354 pubmed.ncbi.nlm.nih.gov/29133354/.AllVideoImagesTogHeart - section through the middle - illustration The interior of the heart is composed of valves, chambers, and associated vessels.Heart - section through the middleillustrationHeart - front view - illustration The external structures of the heart include the ventricles, atria, arteries and veins. Arteries carry blood away from the heart while veins carry blood into the heart. The vessels colored blue indicate the transport of blood with relatively low content of oxygen and high content of carbon dioxide. The vessels colored red indicate the transport of blood with relatively high content of oxygen and low content of carbon dioxide.Heart - front viewillustrationAnterior heart arteries - illustration The coronary arteries supply blood to the heart muscle. The right coronary artery supplies both the left and the right heart; the left coronary artery supplies the left heart.Anterior heart arteriesillustrationPosterior heart arteries - illustration The coronary arteries supply blood to the heart muscle. The right coronary artery supplies both the left and the right heart; the left coronary artery supplies the left heart.Posterior heart arteriesillustrationAcute MI - illustration A heart attack or acute myocardial infarction (MI) occurs when one of the arteries that supplies the heart muscle becomes blocked. Blockage may be caused by spasm of the artery or by atherosclerosis with acute clot formation. The blockage results in damaged tissue and a permanent loss of contraction of this portion of the heart muscle.Acute MIillustrationCholesterol producers - illustration Cholesterol is a waxy, fat-like material that is found in all parts of the body. It comes from two sources: our liver produces it, and we consume it in animal products.Cholesterol producersillustrationAtherosclerosis - illustration Atherosclerosis is a disease of the arteries in which fatty material is deposited in the vessel wall, resulting in narrowing and eventual impairment of blood flow. Severely restricted blood flow in the arteries to the heart muscle leads to symptoms such as chest pain. Atherosclerosis shows no symptoms until a complication occurs.AtherosclerosisillustrationHeart - section through the middle - illustration The interior of the heart is composed of valves, chambers, and associated vessels.Heart - section through the middleillustrationHeart - front view - illustration The external structures of the heart include the ventricles, atria, arteries and veins. Arteries carry blood away from the heart while veins carry blood into the heart. The vessels colored blue indicate the transport of blood with relatively low content of oxygen and high content of carbon dioxide. The vessels colored red indicate the transport of blood with relatively high content of oxygen and low content of carbon dioxide.Heart - front viewillustrationAnterior heart arteries - illustration The coronary arteries supply blood to the heart muscle. The right coronary artery supplies both the left and the right heart; the left coronary artery supplies the left heart.Anterior heart arteriesillustrationPosterior heart arteries - illustration The coronary arteries supply blood to the heart muscle. The right coronary artery supplies both the left and the right heart; the left coronary artery supplies the left heart.Posterior heart arteriesillustrationAcute MI - illustration A heart attack or acute myocardial infarction (MI) occurs when one of the arteries that supplies the heart muscle becomes blocked. Blockage may be caused by spasm of the artery or by atherosclerosis with acute clot formation. The blockage results in damaged tissue and a permanent loss of contraction of this portion of the heart muscle.Acute MIillustrationCholesterol producers - illustration Cholesterol is a waxy, fat-like material that is found in all parts of the body. It comes from two sources: our liver produces it, and we consume it in animal products.Cholesterol producersillustrationAtherosclerosis - illustration Atherosclerosis is a disease of the arteries in which fatty material is deposited in the vessel wall, resulting in narrowing and eventual impairment of blood flow. Severely restricted blood flow in the arteries to the heart muscle leads to symptoms such as chest pain. Atherosclerosis shows no symptoms until a complication occurs.AtherosclerosisillustrationA Closer Look Myocardial infarction(Alt. Medicine)Heart failure - InDepth(In-Depth)Coronary artery disease - InDepth(In-Depth)Heart attack and acute coronary syndrome - InDepth(In-Depth)Heart failure(Alt. Medicine)Atherosclerosis(Alt. Medicine)Angina(Alt. Medicine)Cholesterol - InDepth(In-Depth)Heart-healthy diet - InDepth(In-Depth)Talking to your MD Angina - what to ask your doctor Heart attack - what to ask your providerSelf Care Living with heart disease and anginaWarning signs and symptoms of heart diseaseCholesterol and lifestyleHeart disease - risk factorsAngina - when you have chest painCholesterol testing and resultsBeing active when you have heart diseaseCardiac rehabilitationDiabetes - preventing heart attack and strokeBeing active after your heart attack Tests for Coronary heart disease Heart CT scanCardiac catheterizationNuclear stress testCoronary angiographyExercise stress testStress echocardiographyLeft heart catheterizationLeft heart ventricular angiographyNuclear ventriculographyRight heart ventricular angiographyRelated Information Atherosclerosis(Condition)Stable angina(Condition)Heart attack(Condition)Heart disease and women(Special Topic)Unstable angina(Condition)Magnetic resonance angiography(Medical Test)Ventricular assist device(Surgery)Cardiac intravascular ultrasound(Surgery)Metabolic syndrome(Condition)Obesity(Condition)Gastric bypass surgery - discharge (Discharge)Laparoscopic gastric banding - discharge (Discharge)After weight-loss surgery - what to ask your doctor(Doctor Questions)Before weight-loss surgery - what to ask your doctor(Doctor Questions)Cholesterol - drug treatment(Self-Care)Aspirin and heart disease(Self-Care)Heart pacemaker - discharge(Discharge)Antiplatelet drugs - P2Y12 inhibitors(Self-Care)Controlling your high blood pressure(Self-Care)Heart bypass surgery - discharge(Discharge)Coronary artery disease - InDepth(In-Depth)Heart attack and acute coronary syndrome - InDepth(In-Depth) Review Date: 2/23/2022 Reviewed By: Thomas S. Metkus, MD, Assistant Professor of Medicine and Surgery, Johns Hopkins University School of Medicine, Baltimore, MD. Internal review and update on 02/19/2024 by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited. © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.
Coronary heart diseaseHeart disease, Coronary heart disease, Coronary artery disease; Arteriosclerotic heart disease; CHD; CADCoronary heart disease is a narrowing of the blood vessels that supply blood and oxygen to the heart. Coronary heart disease (CHD) is also called coronary artery disease.Related video goes here for no-HTML5 browsersCoronary Artery Disease QuizCoronary artery disease is … A. A buildup of plaque in the arteries that carry blood to the heart B. The same thing as coronary heart disease C. Sometimes called hardening of the heart’s arteries D. The leading cause of death in the U.S. for men and women E. All of the above Correct Answer The correct answer is all of the above. Coronary artery disease (CAD) and coronary heart disease describe the same condition: the buildup of plaque in the arteries that carry blood and oxygen to the heart. These are called the coronary arteries. Over time, they can become narrow, slowing or stopping blood flow to the heart.What causes plaque to build up in the arteries? A. Smoking B. High blood pressure C. High cholesterol D. High blood sugar E. All of the above Correct Answer The correct answer is all of the above. Any of these factors cause damage to the inside walls of the coronary arteries. Cholesterol and other chemicals in the blood then build up on these injured areas as plaque. This process is called atherosclerosis.You can have CAD and not have any symptoms. A. True B. False Correct Answer The correct answer is true. Plaque buildup occurs slowly over time, so you can have the disease and not have any symptoms. This is especially true in the early stages of heart disease. Sometimes, a heart attack is the first sign of CAD.What are the noticeable symptoms of CAD? A. Chest pain or pressure, called angina B. Shortness of breath C. Fatigue D. Weakness E. All of the above Correct Answer The correct answer is all of the above. Angina (chest heaviness, pressure, or pain) is the most common symptom. It often occurs during activity or stress and goes away with rest or when you take an angina medicine (most often nitroglycerin under your tongue). You also may feel shortness of breath, fatigue, or weakness.Angina is another name for a heart attack. A. True B. False Correct Answer The correct answer is false. Angina is a sign that your heart isn't getting enough oxygen. A heart attack occurs when heart muscle cells die due to a blocked artery. Having angina means you are at risk for a heart attack. If you have angina, and your chest pain doesn't go away minutes after rest or medicine, call 911.Which heart problems can be caused by CAD? A. Heart failure B. Arrhythmia (abnormal heart rhythm) C. Heart attack D. All of the above Correct Answer The correct answer is all of the above. Reduced blood flow can damage the heart in different ways. Heart failure occurs when the weakened heart muscle can't pump enough blood to the rest of the body. CAD can damage the heart's electrical system, causing arrhythmias. A blocked artery can cause a heart attack.If you have heart disease, you are at higher risk for depression. A. True B. False Correct Answer The correct answer is true. It's unclear why, but there is a link between depression and heart disease, angina, and heart attack. Being depressed may make it harder to follow your treatment plan, and treating depression can help you better manage heart disease. If you think you may be depressed, talk with your doctor.How may CAD be treated? A. Healthy lifestyle changes B. Medicines C. Angioplasty, a procedure to open blocked arteries D. Heart bypass surgery E. All of the above Correct Answer The correct answer is all of the above. Your treatment depends on your symptoms and how much artery blockage you have. For some people, lifestyle changes alone can treat CAD. Others may need medicine, angioplasty, or surgery. Talk with your doctor about the best treatment for you.Which lifestyle change WON'T help treat CAD? A. Quitting smoking B. Eating a healthy, low-fat, low-sodium, high-fiber diet C. Getting regular exercise D. Managing stress E. Maintaining a healthy weight F. Following a gluten-free diet Correct Answer The correct answer is following a gluten-free diet. Most people don't need to follow a gluten-free diet, and avoiding gluten certainly won't help treat CAD. Follow a plant-based diet low in sodium, cholesterol, and trans and saturated fats. Talk with your doctor about other changes that can help your heart.Plaque buildup can begin in childhood. A. True B. False Correct Answer The correct answer is true. It may seem hard to believe, but plaque starts building up on artery walls in our childhood and teen years. That's why it's never too early to eat a healthy diet, get regular exercise, and manage stress. And if you never start smoking in the first place, you never have to quit! Causes CHD is the leading cause of death in the United States for men and women.CHD is caused by the buildup of plaque in the arteries to your heart. This may also be called hardening of the arteries or atherosclerosis.Hardening of the arteriesAtherosclerosis, sometimes called "hardening of the arteries," occurs when fat, cholesterol, and other substances build up in the walls of arteries. ...ImageRead Article Now Book Mark Article 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.Risk factor for heart diseaseCoronary heart disease (CHD) is a narrowing of the blood vessels that supply blood and oxygen to the heart. CHD is also called coronary artery disea...Read Article Now Book Mark Article Previous imagePlay SlideshowStop SlideshowNext image / Symptoms In some cases, symptoms may be very noticeable. But, you can have the disease and not have any symptoms. This is more often true in the early stages of CHD. 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.Chest painChest pain is discomfort or pain that you feel anywhere along the front of your body between your neck and upper abdomen.ImageRead Article Now Book Mark Article AnginaAngina is a type of chest discomfort or pain due to poor blood flow through the blood vessels (coronary vessels) of the heart muscle (myocardium). T...Read Article Now Book Mark Article 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). Related video goes here for no-HTML5 browsersSome people have symptoms other than chest pain, such as:Fatigue Shortness of breath General weakness Related video goes here for no-HTML5 browsers Exams and Tests Your health care provider will examine you. You will often need one or more tests before getting a diagnosis. Tests to evaluate for CHD may include:Coronary angiography -- an invasive test that evaluates the heart arteries under x-ray. Coronary angiographyCoronary angiography is a procedure that uses a special dye (contrast material) and x-rays to see how blood flows through the arteries in your heart....ImageRead Article Now Book Mark Article Echocardiogram stress test. EchocardiogramAn echocardiogram is a test that uses sound waves to create pictures of the heart. The picture and information it produces is more detailed than a s...ImageRead Article Now Book Mark Article Electrocardiogram (ECG). Electrocardiogram (ECG)An electrocardiogram (ECG) is a test that records the electrical activity of the heart.ImageRead Article Now Book Mark Article 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. Exercise stress testAn exercise stress test is used to measure the effect of exercise on your heart.ImageRead Article Now Book Mark Article Heart CT scan. Heart CT scanA computed tomography (CT) scan of the heart is an imaging method that uses x-rays to create detailed pictures of the heart and its blood vessels. Th...ImageRead Article Now Book Mark Article Nuclear stress test. Nuclear stress testNuclear stress test is an imaging method that uses radioactive material to show how well blood flows into the heart muscle, both at rest and during a...ImageRead Article Now Book Mark Article Treatment You may be asked to take one or more medicines to treat blood pressure, diabetes, or high cholesterol levels. Follow your provider's directions closely to help prevent CHD from getting worse.DiabetesDiabetes is a long-term (chronic) disease in which the body cannot regulate the amount of sugar in the blood.ImageRead Article Now Book Mark Article High cholesterol levelsCholesterol is a fat (also called a lipid) that your body needs to work properly. Too much bad cholesterol in your blood can increase your chance of...ImageRead Article Now Book Mark Article Goals for treating these conditions in people who have CHD:The most commonly used blood pressure target for people with heart disease is less than 130/80, but your provider may recommend a different blood pressure target. If you have diabetes, your HbA1c levels will be monitored and brought down to the level your provider recommends. HbA1cA1C is a lab test that shows the average level of blood sugar (glucose) over the previous 3 months. It shows how well you are controlling your blood...ImageRead Article Now Book Mark Article Your LDL cholesterol level will be lowered with statin or other medicines. Treatment depends on your symptoms and how severe the disease is. You should know about:Other medicines used to treat angina. Other medicines used to treat anginaStable angina is chest pain or discomfort that most often occurs with activity or emotional stress. Angina is due to poor blood flow through the blo...ImageRead Article Now Book Mark Article What to do when you have chest pain. What to do when you have chest painAngina is a type of chest discomfort due to poor blood flow through the blood vessels of the heart muscle. This article discusses how to care for yo...Read Article Now Book Mark Article Being active when you have heart disease. Being active when you have heart diseas...Getting regular exercise when you have heart disease is important. Physical activity can strengthen your heart muscle and help you manage blood pres...ImageRead Article Now Book Mark Article Eating a heart-healthy diet. Eating a heart-healthy dietA healthy diet is an important factor in reducing your risk for heart disease.ImageRead Article Now Book Mark Article Never stop taking your medicines without first talking to your 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) Angioplasty and stent placementAngioplasty is a procedure to open narrowed or blocked blood vessels that supply blood to the heart. These blood vessels are called the coronary art...ImageRead Article Now Book Mark Article Coronary artery bypass surgery Coronary artery bypass surgeryHeart bypass surgery creates a new route, called a bypass, for blood and oxygen to go around a blockage to reach your heart.ImageRead Article Now Book Mark Article Minimally invasive heart surgeryMinimally invasive heart surgeryHeart bypass surgery creates a new route, called a bypass, for blood and oxygen to reach your heart. Minimally invasive coronary (heart) artery bypas...ImageRead Article Now Book Mark Article Outlook (Prognosis) 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 provider about prevention and possible treatment steps. Call your 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 attackSymptoms of a heart attackMost heart attacks are caused by a blood clot that blocks one of the coronary arteries. The coronary arteries bring blood and oxygen to the heart. ...ImageRead Article Now Book Mark Article Prevention Take these steps to help prevent heart disease.If you smoke or use tobacco, stop. There are many resources available to help you stop smoking and tobacco use. Stop smokingThere are many ways to quit smoking. There are also resources to help you. Family members, friends, and co-workers may be supportive. But to be su...ImageRead Article Now Book Mark Article Learn how to eat a heart-healthy diet by making simple substitutions. For example, choose heart-healthy fats over butter and other saturated fats. Simple substitutionsA heart-healthy diet is low in saturated fat. Saturated fat can increase your bad cholesterol and clog your arteries. A heart-healthy diet also lim...Read Article Now Book Mark Article Heart-healthy fatsSome types of fat are healthier for your heart than others. Butter and other animal fats and solid margarine may not be the best choices. Alternati...ImageRead Article Now Book Mark Article Get regular exercise, ideally at least 30 minutes five days per week. If you have heart disease, talk with your provider about starting an exercise routine. Starting an exercise routineGetting regular exercise when you have heart disease is important. Physical activity can strengthen your heart muscle and help you manage blood pres...ImageRead Article Now Book Mark Article Maintain a healthy body weight. Lower high cholesterol with lifestyle changes, and if needed, statin or other medicines. Lifestyle changesYour body needs cholesterol to work well. But cholesterol levels that are too high can harm you. In the US, blood cholesterol is most often measured...ImageRead Article Now Book Mark Article StatinStatins are medicines that help lower the amount of cholesterol and other fats in your blood. Statins work by:Lowering LDL (bad) cholesterolRaising ...Read Article Now Book Mark Article Lower high blood pressure using diet and medicines. Lower high blood pressureHypertension is another term used to describe high blood pressure. High blood pressure can lead to: StrokeHeart attackHeart failureKidney diseaseEar...ImageRead Article Now Book Mark Article Talk with your provider about aspirin therapy. Aspirin therapyCurrent guidelines recommend that people with coronary artery disease (CAD) receive antiplatelet therapy with either aspirin or clopidogrel. Aspirin ...ImageRead Article Now Book Mark Article If you have diabetes, keep it well-managed to help prevent heart attack and stroke.Prevent heart attack and strokePeople with diabetes have a higher chance of having heart attacks and strokes than those without diabetes. Smoking and having high blood pressure an...ImageRead Article Now Book Mark Article Even if you already have heart disease, taking these steps will help protect your heart and prevent further damage.Open ReferencesReferencesArnett DK, Blumenthal RS, Albert MA, et al. 2019 ACC/AHA Guideline on the primary prevention of cardiovascular disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. [published correction appears in Circulation. 2019;140(11):e649-e650] [published correction appears in Circulation. 2020;141(4):e60] [published correction appears in Circulation. 2020;141(16):e774]. Circulation. 2019 2019;140(11):e596-e646. PMID: 30879355 pubmed.ncbi.nlm.nih.gov/30879355/.Boden WE. Angina pectoris and stable ischemic heart disease. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 56.Marks AR. Cardiac and circulatory function. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 41.Morrow DA, de Lemos J. Stable ischemic heart disease. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 12th ed. Philadelphia, PA: Elsevier; 2022:chap 40.Virani SS, Newby LK, Arnold SV, et al. 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the management of patients with chronic coronary disease: A report of the American Heart Association/American College of Cardiology joint committee on clinical practice guidelines. Circulation. 2023;148:e9–e119.Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;72(3):e33. PMID: 29133354 pubmed.ncbi.nlm.nih.gov/29133354/.