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Coronary Artery Disease

23rd Jun, 2025

Coronary Artery Disease

Coronary Artery Disease occurs when the coronary arteries (the vessels that supply blood to your heart) become narrowed or blocked due to the buildup of plaque, a sticky mix of fat, cholesterol, and other substances. This process is called atherosclerosis.

Over time, restricted blood flow reduces the oxygen supply to the heart, increasing the risk of chest pain (angina), heart attacks, or even heart failure if left untreated.

What is Coronary Artery Disease?

Coronary Artery Disease happens when the coronary arteries—which supply oxygen-rich blood to the heart—become narrowed or blocked due to the buildup of plaque. Plaque is made up of fat, cholesterol, calcium, and other substances in the blood.

This process is called atherosclerosis, and it reduces the blood flow to the heart muscle. Without enough oxygen, your heart can’t function properly, which increases the risk of chest pain, shortness of breath, and heart attacks.

Coronary Artery Disease Symptoms

Many people don’t notice symptoms until the disease has progressed. Here are the most common symptoms that you should never ignore:

1. Chest Pain or Discomfort (Angina)

Often described as a feeling of pressure, squeezing, fullness, or pain in the center or left side of the chest. It may happen during physical activity or emotional stress, and usually goes away with rest.

2. Shortness of Breath

You may feel winded even with light activity like walking or climbing stairs. This happens when your heart isn’t pumping enough oxygen-rich blood to meet your body’s needs.

3. Extreme Fatigue

Feeling tired all the time—even when you haven’t done much—is a warning sign that your heart is struggling to pump blood efficiently.

4. Palpitations or Irregular Heartbeat

You may notice your heart beating faster, fluttering, or skipping beats. In some cases, it might feel like your heart is pounding.

5. Dizziness or Nausea

Some people feel dizzy, lightheaded, or even nauseated, especially during a heart attack. Women may experience these symptoms more than men.

If you notice any of these signs, especially together, don’t wait. See your doctor as soon as possible.

Coronary Artery Disease Causes

Understanding coronary artery disease causes helps in preventing and managing the condition. These are the main factors that contribute to CAD:

1. High Cholesterol

Too much LDL (bad cholesterol) in your blood contributes to plaque buildup inside the arteries, reducing blood flow.

2. High Blood Pressure

When your blood pressure is consistently high, it puts stress on the artery walls, making them more likely to be damaged and clogged.

3. Smoking

Tobacco damages your blood vessels, reduces the oxygen in your blood, and speeds up plaque formation.

4. Diabetes

High blood sugar can damage blood vessels and increase inflammation, making CAD more likely.

5. Obesity

Extra weight puts added pressure on your heart and is often linked to other risk factors like diabetes, high blood pressure, and high cholesterol.

6. Poor Diet

A diet rich in processed foods, sugars, unhealthy fats, and salt increases your risk. Your heart needs nutrients, not junk food.

7. Physical Inactivity

Regular activity keeps your heart strong. Being inactive increases the risk of all types of heart disease.

8. Stress and Poor Sleep

Ongoing stress raises your blood pressure, and poor sleep affects heart function and hormone levels that control blood vessels.

How is Coronary Artery Disease Diagnosed?

Doctors use a combination of physical exams, medical history, and tests to diagnose CAD:

- Electrocardiogram (ECG or EKG):

Measures the electrical signals of your heart to detect any irregularities or previous damage.

- Stress Test (Treadmill or Medication-Induced):

Monitors your heart rate and rhythm while you exercise or take medication to mimic stress.

- Echocardiogram:

An ultrasound that shows the structure and pumping ability of your heart.

- CT Coronary Angiography:

A non-invasive scan to look at the arteries and detect any blockage or plaque buildup.

- Cardiac Catheterization (Angiogram):

A thin tube is inserted into your artery (usually from your wrist or groin), and dye is injected to view the arteries under X-ray.

Types of Coronary Artery Disease

There are different types of coronary artery disease, depending on how and when the symptoms appear:

1. Stable Angina

Chest pain that follows a pattern—usually triggered by physical exertion or stress and goes away with rest.

2. Unstable Angina

Unexpected chest pain, even at rest. It may get worse over time and signal a high risk of a heart attack. This is a medical emergency.

3. Silent Ischemia

You have reduced blood flow to the heart, but no noticeable symptoms. This is often seen in people with diabetes.

4. Variant (Prinzmetal’s) Angina

Caused by a spasm in the coronary artery, usually at rest and often during the night. Less common but can be serious.

How to Prevent Coronary Artery Disease Naturally

Many people ask, how to get a healthy heart and prevent CAD naturally. Here are science-backed, heart-friendly habits to adopt:

1. Eat Heart-Healthy Foods

Include fruits, vegetables, whole grains, lean meats (like fish or chicken), nuts, and seeds. Avoid trans fats, fried foods, and too much sugar or salt.

2. Exercise Regularly

Try brisk walking, cycling, swimming, or yoga. Just 30 minutes a day, five days a week, can improve your heart health significantly.

3. Quit Smoking

Even one cigarette a day increases your risk. Quitting improves circulation, lowers blood pressure, and reduces the chance of a heart attack.

4. Manage Stress

Chronic stress harms your heart. Practice relaxation techniques like deep breathing, meditation, or talking to a counselor.

5. Get Enough Sleep

Aim for 7–9 hours each night. Poor sleep raises your risk of high blood pressure and irregular heart rhythms.

6. Control Blood Pressure & Sugar

Regular checkups and proper medication (if needed) can help keep your levels in check.

7. Maintain a Healthy Weight

Being overweight raises your risk of diabetes and high cholesterol and strains your heart especially.

These are natural ways to prevent heart disease and improve your heart’s performance in the long run.

Conclusion

Coronary Artery Disease is serious—but it’s not a death sentence. Knowing what coronary artery disease is, recognizing the symptoms, and taking steps toward prevention can make a big difference.

The path to a healthier heart starts with small changes. By eating right, exercising, reducing stress, and staying informed, you’re already answering the question: how to improve heart health and protect your future.

FAQs

1. What is coronary artery disease in simple terms?

It’s when the blood vessels that supply your heart become narrowed or blocked, making it harder for the heart to get oxygen-rich blood.

2. What are the early symptoms of coronary artery disease?

Mild chest pain during exercise, shortness of breath, unusual tiredness, or lightheadedness are early signs. Don’t ignore them.

3. Can coronary artery disease be cured?

CAD can’t be “cured” completely, but it can be managed effectively with lifestyle changes, medications, and sometimes procedures like stents or bypass surgery.

4. What are the main types of coronary artery disease?

The main types include stable angina, unstable angina, silent ischemia, and variant angina. Each type has different symptoms and risks.

5. How can I prevent heart disease naturally?

Follow a healthy lifestyle: eat well, stay active, quit smoking, manage stress, sleep well, and monitor your health regularly.

Doctors

Dr. Pradeep Kumar D

Senior Consultant - Cardiology

Book an Appointment