With coronary artery disease the coronary arteries are

With coronary artery disease the coronary arteries are
Coronary heart disease is a common term for the buildup of plaque in the heart’s arteries that could lead to heart attack. But what about coronary artery disease? Is there a difference?

The short answer is often no — health professionals frequently use the terms interchangeably.

However, coronary heart disease , or CHD, is actually a result of coronary artery disease, or CAD, said Edward A. Fisher, M.D., Ph.D., M.P.H., an American Heart Association volunteer who is the Leon H. Charney Professor of Cardiovascular Medicine and also of the Marc and Ruti Bell Vascular Biology and Disease Program at the NYU School of Medicine.

With coronary artery disease, plaque first grows within the walls of the coronary arteries until the blood flow to the heart’s muscle is limited. View an illustration of coronary arteries. This is also called ischemia. It may be chronic, narrowing of the coronary artery over time and limiting of the blood supply to part of the muscle. Or it can be acute, resulting from a sudden rupture of a plaque and formation of a thrombus or blood clot.

The traditional risk factors for coronary artery disease are high LDL cholesterol, low HDL cholesterol, high blood pressure, family history, diabetes, smoking, being post-menopausal for women and being older than 45 for men, according to Fisher. Obesity may also be a risk factor.

“Coronary artery disease begins in childhood, so that by the teenage years, there is evidence that plaques that will stay with us for life are formed in most people,” said Fisher, who is former editor of the American Heart Association journal, ATVB. “Preventive measures instituted early are thought to have greater lifetime benefits. Healthy lifestyles will delay the progression of CAD, and there is hope that CAD can be regressed before it causes CHD.”

Living a healthy lifestyle that incorporates good nutrition, weight management and getting plenty of physical activity can play a big role in avoiding CAD.

“Coronary artery disease is preventable,” agreed Johnny Lee, M.D., president of New York Heart Associates, and an American Heart Association volunteer. “Typical warning signs are chest pain, shortness of breath, palpitations and even fatigue.”

If you feel any of these symptoms, don’t delay — call 911. 

Coronary heart disease (CHD) is a major cause of death in the UK and worldwide. CHD is sometimes called ischaemic heart disease or coronary artery disease.

Symptoms of coronary heart disease (CHD)

The main symptoms of coronary heart disease are:

  • chest pain (angina)
  • shortness of breath
  • pain throughout the body
  • feeling faint
  • feeling sick (nausea)

But not everyone has the same symptoms and some people may not have any before coronary heart disease is diagnosed.

Causes of coronary heart disease (CHD)

Coronary heart disease is the term that describes what happens when your heart's blood supply is blocked or interrupted by a build-up of fatty substances in the coronary arteries.

Over time, the walls of your arteries can become furred up with fatty deposits. This process is known as atherosclerosis and the fatty deposits are called atheroma.

Atherosclerosis can be caused by lifestyle factors, such as smoking and regularly drinking excessive amounts of alcohol.

You're also more at risk of getting atherosclerosis if you have conditions like high cholesterol, high blood pressure (hypertension) or diabetes.

Diagnosing coronary heart disease (CHD)

If a doctor feels you're at risk of coronary heart disease, they may carry out a risk assessment.

They'll ask you about your medical and family history and your lifestyle, and they'll take a blood test.

Further tests may be needed to confirm coronary heart disease, including:

  • a treadmill test
  • a radionuclide scan
  • a CT scan
  • an MRI scan
  • coronary angiography

Read more about how coronary heart disease is diagnosed.

Treating coronary heart disease (CHD)

Coronary heart disease cannot be cured but treatment can help manage the symptoms and reduce the chances of problems such as heart attacks.

Treatment can include:

  • lifestyle changes, such as regular exercise and stopping smoking
  • medicines
  • angioplasty – where balloons and stents are used to treat narrow heart arteries
  • surgery

Recovering from the effects of coronary heart disease (CHD)

If you've had a heart attack, an angioplasty, or heart surgery, it's possible to get back to a normal life.

Advice and support is available to help you deal with aspects of your life that may have been affected by coronary heart disease.

Read more about recovering from the effects of coronary heart disease.

Preventing coronary heart disease (CHD)

You can reduce your risk of getting coronary heart disease by making some simple lifestyle changes.

These include:

  • eating a healthy, balanced diet
  • being physically active
  • giving up smoking
  • controlling blood cholesterol and sugar levels

Keeping your heart healthy will also have other health benefits, such as helping reduce your risk of stroke and dementia.

The heart

The heart is a muscle about the size of your fist. It pumps blood around your body and beats approximately 70 times a minute.

After the blood leaves the right side of the heart, it goes to your lungs where it picks up oxygen.

The oxygen-rich blood returns to your heart and is then pumped to the body's organs through a network of arteries.

The blood returns to your heart through veins before being pumped back to your lungs again. This process is called circulation.

The heart gets its own supply of blood from a network of blood vessels on the heart's surface called coronary arteries.

Video: coronary arteries and heart disease

This video shows how your heart works and what happens when your coronary arteries stop functioning properly.

Media last reviewed: 14 May 2020
Media review due: 14 May 2023

Page last reviewed: 10 March 2020
Next review due: 10 March 2023

Which arteries are affected in coronary artery disease?

Coronary artery disease affects the larger coronary arteries on the surface of the heart. Another type of heart disease, called coronary microvascular disease, affects the tiny arteries in the heart muscle. Coronary microvascular disease is more common in women.

What defines coronary artery disease?

(KOR-uh-NAYR-ee AR-tuh-ree dih-ZEEZ) A disease in which there is a narrowing or blockage of the coronary arteries (blood vessels that carry blood and oxygen to the heart). Coronary artery disease is usually caused by atherosclerosis (a buildup of fatty material and plaque inside the coronary arteries).

What type of arteries are coronary arteries?

What are coronary arteries? The coronary arteries are major blood vessels in your body, supplying blood to your heart. They make it possible for your heart to beat and pump blood throughout your body. You have a right coronary artery (RCA) and a left main coronary artery (LMCA).