What is coronary disease?
Coronary disease, or coronary insufficiency, is a disease in which there is total or partial obstruction of one or more of the arteries that irrigate the heart musculature, i.e., obstruction of the coronary arteries. The disease is formed by slow and gradual formation of atheroma plaques inside the coronaries. The fatty plaques grow and block the flow of blood, a process known as atherosclerosis (do not confuse with arteriosclerosis which is the hardening of the arteries generally cause by chronic high blood pressure). The main risk factors for coronary disease are tobacco smoking, diabetes mellitus, hypertension, hypercholesterolemia (high level of bad cholesterol and low level of good cholesterol), stress, alcoholism and sedentary lifestyle. Coronary disease may present in two manners, as angina pectoris or as myocardial infarction. If the arterial obstruction is not complete and extensive the patient often feels chest pain (angina pectoris), mainly when performing physical exercise or in any situation when the heart needs more oxygen. If the obstruction of one or more coronaries is complete or blood cannot irrigate some regions of the heart muscle (myocardium) the infarction occurs and the muscle cells of the affected area die.
