Choroba wieńcowa
Objawy

Choroba wieńcowa (CHD) jest przewlekłym schorzeniem charakteryzującym się postępującą miażdżycą tętnic wieńcowych, prowadzącą do zwężenia światła naczyń o ≥70%, co skutkuje niedokrwieniem mięśnia sercowego. Klinicznie manifestuje się przede wszystkim dusznicą bolesną – stabilną (występującą podczas wysiłku i ustępującą po odpoczynku) oraz niestabilną (nieprzewidywalną, mogącą pojawić się w spoczynku i zwiększającą ryzyko zawału serca). Objawy to ból w klatce piersiowej o charakterze ucisku, promieniujący do ramion, szyi czy żuchwy, duszność, zmęczenie, kołatanie serca oraz objawy niewydolności serca (obrzęki, duszność, zmęczenie). U kobiet często występują atypowe symptomy, takie jak ból szczęki, nudności czy zaburzenia snu. Nowy system klasyfikacji z 2022 roku dzieli chorobę na 4 stadia w oparciu o objętość blaszki miażdżycowej (stadium 0-3), co ułatwia ocenę ryzyka i dobór terapii.

Wprowadzenie do choroby wieńcowej

Choroba wieńcowa (ang. Coronary heart disease) jest jedną z najczęstszych chorób serca i główną przyczyną zgonów zarówno w krajach rozwiniętych, jak i na całym świecie. Charakteryzuje się ona zmianami w tętnicach wieńcowych, które doprowadzają krew bogatą w tlen do mięśnia sercowego. W przebiegu choroby dochodzi do stopniowego zwężania się tych naczyń z powodu odkładania się blaszek miażdżycowych (złożonych głównie z cholesterolu i innych substancji tłuszczowych), co prowadzi do upośledzenia przepływu krwi do serca.12

Choroba wieńcowa rozwija się zazwyczaj powoli, przez wiele lat, często rozpoczynając się już w dzieciństwie, a następnie postępując w wieku dorosłym. W miarę upływu czasu złogi tłuszczowe twardnieją, tworząc blaszki miażdżycowe w procesie zwanym miażdżycą (aterosklerozy), które stopniowo zawężają światło tętnic wieńcowych.34

Symptomy choroby wieńcowej

Objawy choroby wieńcowej wynikają z niewystarczającego przepływu krwi do mięśnia sercowego. Serce, w przeciwieństwie do większości pomp, musi samo dostarczać sobie energię. Gdy tętnice wieńcowe zwężają się, serce nie otrzymuje wystarczającej ilości krwi bogatej w tlen, co prowadzi do różnych objawów.56

Dusznica bolesna i ból w klatce piersiowej

Najbardziej charakterystycznym objawem choroby wieńcowej jest dusznica bolesna (angina pectoris), czyli ból lub dyskomfort w klatce piersiowej. Pacjenci często opisują to uczucie jako:78

  • Ucisk, ciężar lub przytłaczające uczucie w klatce piersiowej
  • Uczucie, jakby ktoś stał na klatce piersiowej
  • Palenie, pieczenie lub ściskanie w środku lub po lewej stronie klatki
  • Ból, który może promieniować do ramion, szczęki, szyi, pleców lub brzucha

68

Dusznica bolesna zazwyczaj pojawia się podczas aktywności fizycznej lub stresu emocjonalnego, gdy serce potrzebuje więcej krwi i tlenu. Objawy zwykle ustępują po odpoczynku lub po przyjęciu nitrogliceryny.910

Możemy wyróżnić dwa główne typy dusznicy bolesnej:11

  • Dusznica stabilna – pojawia się w przewidywalny sposób, zwykle podczas wysiłku fizycznego, a ustępuje po odpoczynku. Występuje, gdy blaszka miażdżycowa zwęża tętnicę co najmniej o 70%.
  • Dusznica niestabilna – może pojawić się nagle, nawet w spoczynku, jest bardziej nieprzewidywalna i niebezpieczna. Wskazuje na wyższe ryzyko zawału serca.

1112

Duszność i zmęczenie

Gdy serce nie może pompować wystarczającej ilości krwi, aby zaspokoić potrzeby organizmu, mogą wystąpić:7

  • Duszność (uczucie braku tchu) – pojawia się zwłaszcza podczas aktywności fizycznej, ale w zaawansowanych przypadkach nawet w spoczynku
  • Zmęczenie – niezwykłe uczucie wyczerpania i osłabienia, niewspółmierne do podejmowanego wysiłku
  • Obniżona tolerancja wysiłku – trudności z wykonywaniem codziennych czynności

1314

Te objawy wynikają z faktu, że osłabiony mięsień sercowy nie jest w stanie dostarczyć wystarczającej ilości krwi do pracujących mięśni i innych narządów.15

Inne typowe objawy

Choroba wieńcowa może również powodować:816

  • Kołatanie serca – uczucie nierównego, przyspieszonego lub mocnego bicia serca
  • Zawroty głowy lub uczucie lekkości – zwłaszcza podczas wysiłku
  • Nudności – mogą występować razem z bólem w klatce piersiowej lub samodzielnie
  • Nadmierne pocenie się – szczególnie w sytuacjach bez wysiłku fizycznego
  • Obrzęk kończyn dolnych – spowodowany niewydolnością serca i zatrzymaniem płynów

1718

Choroba wieńcowa u kobiet

Objawy choroby wieńcowej mogą różnić się między kobietami a mężczyznami. Kobiety częściej doświadczają nietypowych objawów, które mogą być trudniejsze do rozpoznania jako problemy z sercem.919

U kobiet z chorobą wieńcową częściej występują:204

  • Ból szczęki, szyi lub pleców zamiast typowego bólu w klatce piersiowej
  • Duszność jako dominujący objaw
  • Skrajne zmęczenie i wyczerpanie
  • Nudności i wymioty
  • Uczucie niepokoju
  • Bóle w górnej części brzucha
  • Zaburzenia snu

2122

Kobiety mogą doświadczać bólu w klatce piersiowej w spoczynku lub podczas codziennych czynności, a nie koniecznie podczas wysiłku fizycznego, jak to często bywa u mężczyzn.19

Progresja choroby wieńcowej

Etapy rozwoju choroby

Choroba wieńcowa rozwija się stopniowo przez wiele lat i może przechodzić przez różne etapy:2324

  1. Wczesna faza bezobjawowa – złogi tłuszczowe mogą tworzyć się już w dzieciństwie, ale nie powodują zauważalnych objawów
  2. Postępująca miażdżyca – stopniowe formowanie się blaszek miażdżycowych w tętnicach wieńcowych
  3. Zwężenie tętnic – gdy blaszki ograniczają przepływ krwi o 70% lub więcej, pojawiają się pierwsze objawy, zwłaszcza podczas wysiłku
  4. Zaawansowana choroba – objawy występują przy mniejszym wysiłku lub nawet w spoczynku

2526

Nowy system klasyfikacji choroby wieńcowej, opracowany w 2022 roku, dzieli chorobę na cztery stadia w oparciu o objętość blaszki miażdżycowej:2327

  • Stadium 0 – brak blaszki miażdżycowej (stan normalny)
  • Stadium 1 – łagodna blaszka miażdżycowa
  • Stadium 2 – umiarkowana blaszka miażdżycowa
  • Stadium 3 – ciężka blaszka miażdżycowa

24

Ten system może pomóc lekarzom w identyfikacji osób zagrożonych poważnymi zdarzeniami sercowymi oraz w doborze odpowiedniego leczenia na wczesnym etapie.27

Powikłania choroby wieńcowej

Nieleczona choroba wieńcowa może prowadzić do poważnych powikłań:2829

Zawał serca

Najpoważniejszym powikłaniem choroby wieńcowej jest zawał serca (zawał mięśnia sercowego). Występuje, gdy dochodzi do całkowitego zablokowania przepływu krwi w tętnicy wieńcowej, najczęściej z powodu pęknięcia blaszki miażdżycowej i powstania zakrzepu. Prowadzi to do obumarcia fragmentu mięśnia sercowego.3031

Objawy zawału serca obejmują:832

  • Silny, długotrwały ból w klatce piersiowej (trwający ponad 15-30 minut), który nie ustępuje po odpoczynku
  • Ból promieniujący do ramion, szyi, żuchwy, pleców
  • Duszność
  • Zimne poty
  • Nudności lub wymioty
  • Zawroty głowy lub omdlenia

3033

Należy pamiętać, że niektóre zawały serca mogą przebiegać bez wyraźnych objawów (tzw. ciche zawały), co jest częstsze u osób starszych i chorych na cukrzycę.1034

Niewydolność serca

Z czasem choroba wieńcowa może osłabić mięsień sercowy, prowadząc do niewydolności serca. Jest to stan, w którym serce nie jest w stanie pompować wystarczającej ilości krwi, aby zaspokoić potrzeby organizmu.3328

Objawy niewydolności serca obejmują:1435

  • Duszność (zwłaszcza podczas wysiłku lub w pozycji leżącej)
  • Obrzęki kończyn dolnych, kostek i brzucha
  • Szybkie zwiększenie masy ciała z powodu zatrzymania płynów
  • Przewlekłe zmęczenie i osłabienie
  • Kaszel z białą lub różową plwociną

36

Niewydolność serca może rozwinąć się nagle (ostra niewydolność serca) lub stopniowo z czasem (przewlekła niewydolność serca).36

Zaburzenia rytmu serca

Choroba wieńcowa może prowadzić do zaburzeń rytmu serca (arytmii), w tym migotania przedsionków. Objawy mogą obejmować:3718

  • Uczucie kołatania, trzepotania lub pulsowania w klatce piersiowej
  • Nieregularne, przyspieszone lub spowolnione bicie serca
  • Zawroty głowy lub omdlenia
  • Duszność

3839

W niektórych przypadkach arytmie mogą prowadzić do nagłego zatrzymania krążenia, co wymaga natychmiastowej interwencji medycznej.40

Choroba wieńcowa z nieokluzyjnym zwężeniem tętnic

Nie wszystkie przypadki choroby wieńcowej wiążą się ze znacznym zwężeniem tętnic. Istnieje także postać choroby wieńcowej z nieokluzyjnym zwężeniem tętnic (nieobstrukcyjna choroba wieńcowa), która może powodować podobne objawy pomimo braku istotnych zwężeń w tętnicach wieńcowych.4142

Objawy tej postaci mogą obejmować:43

  • Ból w klatce piersiowej podobny do dusznicy bolesnej
  • Duszność
  • Zmęczenie
  • Kołatanie serca

43

Szczególnym rodzajem tej postaci jest dusznica mikronaczyniowa (dawniej zwana zespołem X), która może powodować ból w klatce piersiowej nawet przy braku istotnych zwężeń w głównych tętnicach wieńcowych.4445

Kiedy szukać pomocy medycznej

Choroba wieńcowa często rozwija się powoli i może być „cicha” przez długi czas. Jednak istnieją sytuacje, które wymagają natychmiastowej pomocy medycznej:946

  • Ból w klatce piersiowej, który trwa dłużej niż kilka minut i nie ustępuje po odpoczynku
  • Ból w klatce piersiowej występujący w spoczynku
  • Silna duszność
  • Nagłe zawroty głowy, osłabienie lub omdlenie
  • Silne kołatanie serca lub bardzo nieregularny rytm serca
  • Jednoczesne występowanie bólu w klatce piersiowej, duszności i zimnych potów

4748

W przypadku podejrzenia zawału serca należy natychmiast wezwać pogotowie ratunkowe. Szybkie podjęcie leczenia zwiększa szanse na przeżycie i zmniejsza ryzyko trwałych uszkodzeń mięśnia sercowego.4950

Profilaktyka i leczenie

Choroba wieńcowa nie może być całkowicie wyleczona, ale jej progresja może być znacząco spowolniona lub zatrzymana poprzez odpowiednie postępowanie:13

Modyfikacja stylu życia

Kluczowe zmiany w stylu życia obejmują:4651

  • Zdrowa dieta, bogata w owoce, warzywa, pełne ziarna, z ograniczeniem tłuszczów nasyconych
  • Regularna aktywność fizyczna (dostosowana do możliwości pacjenta)
  • Utrzymanie prawidłowej masy ciała
  • Zaprzestanie palenia tytoniu
  • Ograniczenie spożycia alkoholu
  • Kontrola stresu

352

Farmakoterapia

Leki stosowane w chorobie wieńcowej mają na celu złagodzenie objawów, poprawę przepływu krwi i zapobieganie powikłaniom. Obejmują one:5354

  • Leki przeciwpłytkowe (np. aspiryna) – zapobiegają tworzeniu się zakrzepów
  • Beta-blokery – zmniejszają zapotrzebowanie serca na tlen
  • Statyny – obniżają poziom cholesterolu i stabilizują blaszki miażdżycowe
  • Inhibitory ACE – rozszerzają naczynia krwionośne i obniżają ciśnienie krwi
  • Nitrogliceryna – rozszerza naczynia krwionośne i łagodzi ból dławicowy

5556

Zabiegi inwazyjne

W zaawansowanych przypadkach lub przy nieskuteczności leczenia zachowawczego mogą być konieczne zabiegi inwazyjne:57

  • Angioplastyka z implantacją stentu – rozszerzenie zwężonej tętnicy za pomocą balonu, a następnie umieszczenie stentu w celu utrzymania jej drożności
  • Pomostowanie tętnic wieńcowych (CABG) – chirurgiczne utworzenie obejścia wokół zwężonej tętnicy wieńcowej

5158

Po zabiegach inwazyjnych pacjenci wymagają stałej kontroli lekarskiej, ponieważ istnieje ryzyko ponownego zwężenia tętnicy w ciągu pierwszych 6 miesięcy.59

Rokowanie i jakość życia

Choroba wieńcowa jest schorzeniem przewlekłym, które wymaga stałego monitorowania i leczenia. Jednak przy odpowiednim postępowaniu wielu pacjentów może prowadzić aktywne i pełnowartościowe życie.6061

Czynniki wpływające na rokowanie obejmują:61

  • Stopień zaawansowania choroby i liczba zajętych tętnic wieńcowych
  • Historia wcześniejszych zawałów serca lub zabiegów pomostowania
  • Zdolność do wysiłku fizycznego
  • Funkcja skurczowa serca
  • Kontrola czynników ryzyka (nadciśnienie, cukrzyca, poziom cholesterolu)
  • Stosowanie się do zaleceń lekarskich

61

Regularne wizyty kontrolne u lekarza i przestrzeganie zaleconego schematu leczenia mają kluczowe znaczenie dla zapobiegania postępowi choroby i jej powikłaniom.6162

Kolejne rozdziały

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Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1
    https://www.nhs.uk/conditions/coronary-heart-disease/
    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. […] The main symptoms of coronary heart disease are: chest pain (angina), shortness of breath, pain in your neck, shoulders, jaw or arms, 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. […] Coronary heart disease cannot be cured but treatment can help manage the symptoms and reduce the chances of problems such as heart attacks.
  • #2
    https://www.gleneagles.com.sg/conditions-diseases/coronary-artery-disease/symptoms-causes
    Coronary artery disease is one of the most common heart diseases in Singapore. It develops when fatty deposits, called plaque, build up in the blood vessels that supply blood and oxygen to the heart. This buildup is also known as atherosclerosis. […] Over time, these blood vessels (known as arteries) become narrowed. This reduces blood flow to the heart and may eventually lead to impaired heart function. […] In coronary artery disease, heart arteries become narrowed or blocked due to a build-up of fatty plaque deposits. […] Some people may not experience any symptoms until they are on the verge of a serious cardiac event, such as a heart attack or heart failure. You may develop the following symptoms as plaque builds up in your coronary arteries: […] This pain, also known as angina, is a common symptom of coronary artery disease. It occurs when your heart needs more blood and oxygen than it is getting.
  • #3 Coronary Heart Disease Symptoms, Causes & Treatment | Spire Healthcare
    https://www.spirehealthcare.com/conditions/coronary-heart-disease/
    Not everyone experiences the same symptoms of coronary heart disease. […] Coronary heart disease is the leading cause of death in the UK. […] If you think you are at risk, it is important to see your GP or doctor for a risk assessment. […] Coronary heart disease is more likely as you get older but it is often manageable with lifestyle changes and/or treatment. […] These fatty deposits harden to form plaques called atheromas through a process called atherosclerosis. This narrows the arteries and reduces blood flow to the heart. […] You can reduce your coronary heart disease symptoms, improve your heart function and therefore reduce your risk of a heart attack or a stroke by: Eating healthily, Exercising, Losing weight, Stopping smoking quitting smoking after a heart attack rapidly reduces your risk of having a heart attack in the future to about that of a non-smoker.
  • #4 Coronary heart disease • Heart Research Institute
    https://www.hri.org.au/health/learn/cardiovascular-disease/coronary-heart-disease
    Coronary heart disease symptoms depend on the severity of the disease. As symptoms can come and go, they may be unrecognised. Some people may experience no symptoms, while others may experience mild to severe ones. Symptoms may also become stronger or more frequent as the disease progresses. […] The common signs and symptoms of coronary heart disease include the following. […] Chest pain (angina): If the heart does not receive enough oxygen due to blocked coronary arteries, there may be a feeling of pressure or tightness in the chest. This chest pain normally occurs in the middle or left side of the chest. […] Pain spreading to the arms, shoulder, jaw or neck: These signs and symptoms could indicate a heart attack, which can be triggered by a severely blocked coronary artery. […] Shortness of breath […] Fatigue […] Women may experience different symptoms of coronary heart disease to men, such as neck or jaw pain, and nausea. […] Coronary heart disease often develops over time. Fatty deposits may develop in the arteries during childhood and then thicken and build up as the person ages.
  • #5 Coronary artery disease – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/symptoms-causes/syc-20350613
    Coronary artery disease often develops over many years. Symptoms are from the lack of blood flow to the heart. They may include chest pain and shortness of breath. A complete blockage of blood flow can cause a heart attack. […] When coronary arteries become narrow, the heart doesn’t get enough oxygen-rich blood. Remember, unlike most pumps, the heart has to pump its own energy supply. It’s working harder with less. And you may begin to notice these signs and symptoms of pressure or tightness in your chest. This pain is called angina. It may feel like somebody is standing on your chest. When your heart can’t pump enough blood to meet your body’s needs, you might develop shortness of breath or extreme fatigue during activities. And if an artery becomes totally blocked, it leads to a heart attack. Classic signs and symptoms of a heart attack include crushing, substernal chest pain, pain in your shoulders or arms, shortness of breath, and sweating. However, many heart attacks have minimal or no symptoms and are found later during routine testing.
  • #6 Heart disease – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heart-disease/symptoms-causes/syc-20353118
    Heart disease symptoms depend on the type of heart disease. […] Symptoms of coronary artery disease can include: Chest pain, chest tightness, chest pressure and chest discomfort, called angina. Shortness of breath. Pain in the neck, jaw, throat, upper belly or back. Pain, numbness, weakness or coldness in the legs or arms if the blood vessels in those body areas are narrowed. […] You might not be diagnosed with coronary artery disease until you have a heart attack, angina, a stroke or heart failure. It’s important to watch for heart symptoms. Talk with your healthcare team about any concerns. Heart disease can sometimes be found early with regular health checkups. […] When coronary arteries become narrow, the heart doesn’t get enough oxygen-rich blood. […] This pain is called angina. It may feel like somebody is standing on your chest. When your heart can’t pump enough blood to meet your body’s needs, you might develop shortness of breath or extreme fatigue during activities. And if an artery becomes totally blocked, it leads to a heart attack. Classic signs and symptoms of a heart attack include crushing, substernal chest pain, pain in your shoulders or arms, shortness of breath, and sweating. However, many heart attacks have minimal or no symptoms and are found later during routine testing.
  • #7 Coronary artery disease – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/symptoms-causes/syc-20350613
    Symptoms of coronary artery disease happen when the heart doesn’t get enough oxygen-rich blood. Coronary artery disease symptoms may include: Chest pain, called angina. You may feel squeezing, pressure, heaviness, tightness or pain in the chest. It may feel like somebody is standing on your chest. The chest pain usually affects the middle or left side of the chest. Activity or strong emotions can trigger angina. There are different types of angina. The type depends on the cause and whether rest or medicine makes symptoms better. In some people, especially women, the pain may be brief or sharp and felt in the neck, arm or back. Shortness of breath. You may feel like you can’t catch your breath. Fatigue. If the heart can’t pump enough blood to meet your body’s needs, you may feel unusually tired.
  • #8 Heart Disease Symptoms & Signs of Other Heart Problems
    https://www.webmd.com/heart-disease/heart-disease-symptoms
    The most common symptom of coronary artery disease is angina, or chest pain. Angina can be described as a discomfort, heaviness, pressure, aching, burning, fullness, squeezing, or painful feeling in your chest. It can be mistaken for indigestion or heartburn. Angina may also be felt in the shoulders, arms, neck, throat, jaw, or back. […] Other symptoms of coronary artery disease include: Shortness of breath, Palpitations (irregular heart beats, or a „flip-flop” feeling in your chest), A faster heartbeat, Weakness or dizziness, Nausea, Sweating. […] Symptoms of a heart attack can include: Discomfort, pressure, heaviness, or pain in the chest, arm, or below the breastbone, Discomfort radiating to the back, jaw, throat, or arm, Fullness, indigestion, or choking feeling (may feel like heartburn), Sweating, nausea, vomiting, or dizziness, Extreme weakness, anxiety, or shortness of breath, Rapid or irregular heartbeats.
  • #9 Coronary Heart Disease – Symptoms | NHLBI, NIH
    https://www.nhlbi.nih.gov/health/coronary-heart-disease/symptoms
    If you cant tell whether your chest pain is a heart attack, call 9-1-1 right away. […] Sometimes coronary heart disease is „silent,” meaning you may not have any symptoms until you have a heart attack or other complication. This can make coronary heart disease hard to diagnose. It is also why preventing heart disease is so important. […] Coronary heart disease often develops over many years. As plaque builds up and narrows the coronary arteries, you’re more likely to have symptoms such as chest pain, shortness of breath, or neck pain when you exert yourself. Symptoms often go away with rest and return when you are active or under stress. Symptoms may get worse as plaque keeps building up. […] Chest pain or discomfort that does not go away or occurs while you are resting might be a sign of a heart attack. All chest pain should be checked by a healthcare provider.
  • #9 Coronary Heart Disease – Symptoms | NHLBI, NIH
    https://www.nhlbi.nih.gov/health/coronary-heart-disease/symptoms
    A heart attack may cause the following symptoms: Angina, or chest pain caused by the heart, can feel like pressure, squeezing, tightness, or burning. The chest pain is sometimes related to physical activity. The pain or discomfort can also spread to your shoulders, arms, neck, jaw, or back. […] Women are somewhat less likely than men to experience chest pain with a heart attack. Instead, they are more likely to experience: Dizziness, Extreme tiredness, Nausea, Pressure or tightness in the chest, Stomach pain.
  • #10
    https://www.nhs.uk/conditions/coronary-heart-disease/symptoms/
    The most common symptoms of coronary heart disease (CHD) are chest pain (angina) and breathlessness. […] If your coronary arteries become partly blocked, it can cause chest pain (angina). This can be a mild, uncomfortable feeling similar to indigestion. […] However, a severe angina attack can cause a painful feeling of heaviness or tightness, usually in the centre of the chest, which may spread to the arms, neck, jaw, back or stomach. […] Although symptoms can vary, the discomfort or pain of a heart attack is usually like that of angina. However, it’s often more severe and lasts longer. […] During a heart attack, you may also have the following symptoms: pain in other parts of the body it can feel as if the pain is travelling from your chest to your arms, jaw, neck, back or stomach, lightheadedness, sweating, nausea, breathlessness.
  • #10
    https://www.nhs.uk/conditions/coronary-heart-disease/symptoms/
    A heart attack can sometimes happen without any symptoms. This is known as a silent myocardial infarction and is more common in older people and people with diabetes. […] Heart failure can also happen in people with CHD. The heart becomes too weak to pump blood around the body, which can cause fluid to build up in the lungs, making it increasingly difficult to breathe.
  • #11 Coronary Artery Disease – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK564304/
    Coronary artery disease (CAD) is characterized by the development of atherosclerosis in the coronary arteries, which can sometimes be asymptomatic. […] CAD is marked by an inadequate supply of blood and oxygen to the myocardium. The condition arises from occlusion of the coronary arteries and results in a demand-supply mismatch of oxygen. CAD typically involves the formation of plaques in the lumen of coronary arteries that impede blood flow. […] Pain caused by CAD is known as angina pectoris, typically presenting as a gradual onset of discomfort in the chest, particularly behind the sternum. This discomfort can be triggered by physical exertion or emotional stress and may also occur at rest in cases of ACS. […] Angina pectoris may be classified into 2 types: stable and unstable. Stable angina is generally triggered by physical activity, whereas unstable angina can occur suddenly, even at rest. Patients with unstable angina have a poorer prognosis and a higher risk of progressing to myocardial infarction.
  • #12 Coronary artery disease Guide: Causes, Symptoms and Treatment Options
    https://www.drugs.com/health-guide/coronary-artery-disease.html
    Symptoms usually last one to five minutes. They disappear after a few minutes of rest. Stable angina is caused by a smooth plaque. This plaque partially obstructs blood flow in one or more coronary arteries. […] In unstable angina, chest pain symptoms are more severe and less predictable than in stable angina. Chest pains occur more frequently, even at rest. They last several minutes to hours. People with unstable angina often sweat profusely. They develop aches in the jaw, shoulders and arms.
  • #13 How fast does coronary artery disease progress? | Flow Therapy
    https://flowtherapy.com/resource/how-fast-does-coronary-artery-disease-progress/
    Coronary artery disease can cause a number of symptoms. The most frequent signs of CAD are chest pain and discomfort (angina). This is because of the narrowed coronary arteries inability to get enough oxygen-rich blood to the heart. […] Other symptoms of CAD include: Shortness of breath, especially when you’re not doing any strenuous physical activity, can mean the heart isn’t getting enough blood. […] Unexplained fatigue or feeling tired all the time can also be a symptom of CAD as the heart muscle isn’t able to pump blood as efficiently as it should. […] CAD can result in not enough oxygenated blood reaching the brain, which can cause dizziness and light-headedness. […] When the heart isn’t pumping enough blood to the rest of the body, you might experience weakness or feel cramps in your muscles. […] Feeling nauseous can also be a sign that not enough oxygenated blood is reaching the stomach, and the cause may be CAD. […] Sweating more than normal, especially when you’re not doing any physical activity and it’s not hot, can be a sign of CAD.
  • #14 Heart Disease Symptoms & Signs of Other Heart Problems
    https://www.webmd.com/heart-disease/heart-disease-symptoms
    During a heart attack, symptoms typically last 30 minutes or longer and are not relieved by rest or oral medications. Initial symptoms may start as a mild discomfort that progresses to significant pain. […] Symptoms of heart failure can include: Shortness of breath noted during activity (most commonly) or at rest, especially when you lie down flat in bed, Cough that produces white sputum, Rapid weight gain (a weight gain of two or three pounds in one day is possible), Swelling in ankles, legs, and abdomen, Dizziness, Fatigue and weakness, Rapid or irregular heartbeats, Other symptoms include nausea, palpitations, and chest pain. […] Like valve disease, heart failure symptoms may not be related to how weak your heart is. You may have many symptoms, but your heart function may be only mildly weakened. Or you may have a severely damaged heart, with few or no symptoms.
  • #15
    https://www.gleneagles.com.sg/conditions-diseases/coronary-artery-disease/symptoms-causes
    As coronary arteries severely narrow, just enough blood may reach your heart at rest. However, with physical exertion, the demand for oxygen becomes greater than the supply of oxygen due to the narrowed coronary arteries. Coronary artery blockage forces your heart to work harder as it needs more oxygen. […] You may also experience the following symptoms: […] You may experience different symptoms of coronary artery disease if you are a woman, older, or have diabetes. […] If you experience any of the following symptoms, please call 6473 2222 to visit our Urgent Care Centre (UCC) immediately: […] Coronary artery disease can lead to: […] Heart arrhythmia (irregular heartbeats) […] Heart attack (myocardial infarction) […] Heart failure.
  • #16 Coronary Artery Disease Symptoms | Artemis Cardiac Care
    https://artemiscardiac.com/blog/spotting-coronary-artery-disease-symptoms-recognizing-signs-of-blocked-arteries
    Angina (chest pain): Your chest might feel constrictive or under pressure. […] Breathlessness: It’s possible that you’re having troubled breathing. […] Fatigue: You may experience unusual fatigue if your heart is unable to pump enough blood to meet your body’s demands. […] Heart Attack: A heart attack is brought on by a totally blocked coronary artery. […] Early on, you might not experience any symptoms at all. However, as the plaque thickens and reduces blood supply to the heart muscle, you might experience exhaustion or shortness of breath, particularly when you’re exercising. Chest pain, also known as angina, is the most typical sign of CAD.
  • #17 Coronary Heart Disease: Causes, Symptoms & Treatment | Tampa General Hospital
    https://www.tgh.org/institutes-and-services/conditions/coronary-heart-disease
    Coronary heart disease often causes chest pain or tightness, which many people describe as a squeezing, aching feeling of fullness or heaviness. This sensation, which is known as angina, often lasts for up to 15 minutes and can extend from the chest into the jaw, neck, back, shoulders and arms. Angina can occur at any timeeven while restingbut is often brought on when someone is exercising or in a stressful situation. […] In addition to angina, coronary heart disease can cause the following symptoms: Rapid heartbeat, Heart palpitations (irregular heartbeats), Shortness of breath, Weakness, Fatigue, Nausea, Dizziness, Sweating. […] While its very common for individuals with coronary heart disease to experience one or more of these complaints, others dont have any noticeable symptoms.
  • #18 Heart Disease Symptoms & Signs of Other Heart Problems
    https://www.webmd.com/heart-disease/heart-disease-symptoms
    Many people with heart muscle disease, or cardiomyopathy, have no symptoms or only minor symptoms, and live a normal life. Other people develop symptoms, which progress and worsen as heart function worsens. […] Symptoms of cardiomyopathy may occur at any age and may include: Chest pain or pressure (occurs usually with exercise or physical activity, but can also occur with rest or after meals), Heart failure symptoms (see above), Swelling of the lower extremities, Fatigue, Fainting, Palpitations (fluttering in the chest due to abnormal heart rhythms). […] Some people also have arrhythmias. These can lead to sudden death in a small number of people with cardiomyopathy.
  • #19 Heart Disease in Women | MedlinePlus
    https://medlineplus.gov/heartdiseaseinwomen.html
    Coronary artery disease (also called coronary heart disease) is the most common type of heart disease in both men and women. It happens slowly over time when a sticky substance called plaque builds up in the arteries that supply your heart muscle with blood. The plaque narrows or blocks blood flow to the heart muscle and can lead to: […] Women who have coronary artery disease are more likely than men to have chest pain when resting or doing daily activities, rather than during exercise. They’re also more likely than men to feel chest pain from mental stress. […] Symptoms of a heart attack in women may also be different than in men. Chest pain is the most common symptom for both sexes. It may feel like crushing or squeezing. But women are somewhat less likely than men to have chest pain.
  • #20 What Is Coronary Artery Disease? – Mount Sinai Heart | Mount Sinai – New York
    https://www.mountsinai.org/care/heart/services/coronary-disease/what-is
    The signs of coronary artery disease and heart attacks are not as dramatic in real life as they are in the movies. Off-screen, they tend to be subtle and range from mild discomfort to extreme pressure or pain. Symptoms may include: Feeling of a heavy weight on the left side of your chest, Pressure, tightness, and a squeezing pain in your chest (called angina), Shortness of breath, Pain radiating down your arm, shoulders, jaw, neck, and back, particularly on the left side, Dizziness, sweating, weakness, Anxiety, feeling of impending doom, Indigestion, nausea, vomiting. […] Symptoms may be different for females. Women are less likely to have chest pain and their symptoms are more likely to include cold sweats, excessive fatigue, and pressure in the chest or middle of their back. […] If you experience one or more of these symptoms, please seek medical attention immediately.
  • #21 About Women and Heart Disease | Heart Disease | CDC
    https://www.cdc.gov/heart-disease/about/women-and-heart-disease.html
    Over 60 million women (44%) in the United States are living with some form of heart disease. Heart disease is the leading cause of death for women in the United States and can affect women at any age. […] Although some women have no symptoms, others may have: Angina usually felt as a dull or heavy chest discomfort or ache. Pain in the neck, jaw, or throat. Pain in the upper abdomen or back. […] In some women, the first signs and symptoms of heart disease can be: Heart attack: Chest pain or discomfort, upper back or neck pain, indigestion, heartburn, nausea or vomiting, extreme fatigue, dizziness, and shortness of breath. Fluttering feelings in the chest (palpitations). Shortness of breath, sudden fatigue, or swelling of the feet, ankles, legs, or abdomen.
  • #22 Coronary Artery Disease: Signs and Symptoms
    https://www.health.com/coronary-artery-disease-symptoms-8705046
    Shortness of breath occurs when you can’t catch your breath or have trouble breathing. When CAD causes your heart’s arteries to narrow and reduces blood flow, your heart has to work harder to pump blood. […] Tightness or pain in your arms, back, neck, or jaw can be another sign that your heart isn’t getting enough blood. […] Symptoms of CAD can often vary from person to person. Other common symptoms of this heart disease include fatigue, muscle weakness, nausea, sweating, and lightheadedness. […] A heart attack, or myocardial infarction, happens when blood flow to part of the heart muscle is reduced or completely stopped. […] Coronary artery disease is a common cause of heart attacks, and some people don’t even know they have CAD until they’ve experienced a heart attack. […] Research suggests that symptoms of CAD in people assigned female at birth can look different than symptoms in males. These symptoms may include abdominal pain, nausea or vomiting, and constant lethargy and exhaustion.
  • #23 Stages of coronary artery disease: What to know
    https://www.medicalnewstoday.com/articles/stages-of-coronary-artery-disease
    A staging system for coronary artery disease, based on levels of plaque in the blood vessels, may help people begin treatment earlier and prevent cardiac events. […] Coronary artery disease (CAD) occurs due to plaque buildup in the hearts arteries. The plaque causes a narrowing, or stenosis, of the arteries, which reduces or blocks blood flow. This is atherosclerosis, and it can increase the risk of heart attack. […] According to a 2022 study, staging plaque in atherosclerosis may help doctors identify the type and extent of CAD, which may help predict the risk of major adverse cardiac events (MACE). […] This may help people begin treatment earlier and prevent serious cardiac events. […] A 2022 study defined four stages of CAD based on the levels of coronary atherosclerotic plaque.
  • #24 New Staging System for Coronary Artery Disease
    https://cleerlyhealth.com/blog/new-staging-system-for-coronary-artery-disease
    New research proposes a four-stage system for measuring the progression of cardiovascular disease (CAD) based on atherosclerotic plaque – not secondary symptoms of heart disease. […] The staging system describes patients based on either the total plaque volume or percent atheroma volume, which is the proportion of arterial walls occupied by plaque. Stages are defined as normal (no plaque), mild, moderate, and severe plaque. […] The lack of a staging system for CAD to date has stemmed from the lack of a reliable way to measure and treat heart disease risk given the current standard of cardiovascular care. […] The next step is developing a personalized and optimal treatment plan based on the disease burden. As with cancer and common chronic conditions, this plan varies based on the stage of disease progression further emphasizing the importance of a staging system for CAD.
  • #25 Coronary Artery Disease – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK564304/
    Symptoms often abate at rest as the oxygen requirement falls. Angina may occur at rest if the coronary artery is 90% stenosed. Some plaques can rupture and expose tissue factor, culminating in thrombosis that can cause subtotal or total occlusion of the lumen. Severe, acute obstruction typically results in ACS in the form of unstable angina, NSTEMI, or STEMI, depending on the level of insult. […] The incidence of CAD rises with age, regardless of gender. […] The likelihood of death from CAD increases substantially with age. Among the modifiable risk factors, systolic blood pressure plays a crucial role, accounting for a portion of the heightened CAD risk associated with aging. […] CAD is the major cause of death in the US and worldwide. CAD was an uncommon cause of death at the beginning of the 20th century. Deaths due to CAD peaked in the mid-1960s and then decreased. However, this disease is still the leading cause of death worldwide.
  • #26 Understanding the Stages of Heart Disease – Consumer ReportsConsumer ReportsSearchAccount InformationAccount InformationFavoritesFavoritesFavoritesSave products iconSavings iconBest time to buy iconRecall tracker iconTV screen optimizer iconSavings iconBe
    https://www.consumerreports.org/heart-disease/understanding-the-stages-of-heart-disease/
    Heart disease often starts quietly, progressing from high blood pressure to clogged coronary arteries with few obvious symptoms. […] Atherosclerosis: A mix of high cholesterol, high blood pressure, and other risk factors can cause cholesterol to build up into plaque deposits, constraining blood flow to the heart. That’s atherosclerosis, or clogged coronary arteries. […] Angina: For some people, the narrowing of the coronary arteries causes chest pain when they exert themselves. That pain is known as angina. […] Heart attack: People with angina are almost lucky. Angina is the pain that signals something is wrong before a person has a heart attack. […] Heart failure: High blood pressure, atherosclerosis, valve disease, and heart attacks—alone or combined with diabetes, thyroid disorders, and other conditions—can eventually weaken your heart, making it harder for it to pump blood through the body.
  • #27 Stages of coronary artery disease: What to know
    https://www.medicalnewstoday.com/articles/stages-of-coronary-artery-disease
    The researchers found an increased link between stenosis, a narrowing of the arteries, and ischemia, reduced blood flow, with increased levels of plaque. […] People with Stage 2 and Stage 3 CAD may have an increased risk of MACE over 10 years compared to individuals in stage 0 and stage 1. […] The staging system may help doctors identify the long-term risk of MACE due to CAD, and people may be able to start preventive treatment earlier on. […] Researchers hope the CAD staging system will allow individuals to implement care based on their risk factors for CAD, which is particularly important for people with no symptoms. This may help reduce cardiac events. […] Researchers are currently investigating a new staging system for CAD, which measures total plaque volume to assess the extent of atherosclerosis and the risk of cardiac events. […] This may help people begin preventive treatment earlier and prevent cardiac events due to atherosclerosis.
  • #28 Coronary Artery Disease – Causes, Symptoms and Risk factors | Dr Raghu
    https://drraghu.com/resources/coronary-artery-disease/basics-about-heart/
    If left untreated, CAD can lead to life threatening complications such as: Angina: Due to narrowed blood vessels, the heart muscles receive inadequate oxygen laden blood, causing chest pain or shortness of breath. Heart attack: The plaque may rupture forming a clot and blocking the blood flow to the heart muscle. Heart failure: Due to reduced oxygen and nutrient rich blood flow, the heart is unable to pump enough blood, thus increasing its workload. Over time, it may lead to weakening of heart muscle, also called heart failure. Arrhythmia: Reduced amount of blood supply may lead to abnormal heart rhythms. Sudden cardiac death.
  • #29 Cardiovascular Disease: Types, Causes & Symptoms
    https://my.clevelandclinic.org/health/diseases/21493-cardiovascular-disease
    Cardiovascular disease symptoms can vary depending on the cause. Older adults and women may have more subtle symptoms. However, they can still have serious cardiovascular disease. […] Symptoms of heart issues include chest pain (angina), chest pressure, heaviness or discomfort, shortness of breath (dyspnea), dizziness or fainting, and fatigue or exhaustion. […] Symptoms of blockages in blood vessels throughout your body include pain or cramps in your legs when you walk, leg sores that aren’t healing, cool or red skin on your legs, swelling in your legs, numbness in your face or a limb, and difficulty with talking, seeing or walking. […] Cardiovascular disease is the leading cause of death worldwide and in the U.S. […] If you have cardiovascular disease, you may have a higher risk of heart attack, stroke, acute limb ischemia, aortic dissection, and sudden cardiac death.
  • #30 Coronary artery disease – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/symptoms-causes/syc-20350613
    A completely blocked coronary artery will cause a heart attack. Common heart attack symptoms include: Chest pain that may feel like pressure, tightness, squeezing or aching. Pain or discomfort that spreads to the shoulder, arm, back, neck, jaw, teeth or sometimes the upper belly. Cold sweats. Fatigue. Heartburn. Nausea. Shortness of breath. Lightheadedness or sudden dizziness. […] Chest pain is usually the most common symptom of heart attack. But for some people, such as women, the elderly and those with diabetes, symptoms may seem unrelated to a heart attack. For example, they may have nausea or a very brief pain in the neck or back. Some people having a heart attack don’t notice symptoms.
  • #31 Coronary heart disease (Ischaemic heart disease) – types, causes & symptoms – BHF
    https://www.bhf.org.uk/informationsupport/conditions/coronary-heart-disease
    CHD develops slowly over time and the symptoms can be different for everyone. Some people do not know they have CHD before they have a heart attack. […] Angina is the name given for chest pain or an uncomfortable feeling that happens when blood flow to your heart muscle is reduced. It is a common symptom of CHD. […] Other symptoms of coronary heart disease include; shortness of breath, feeling faint, feeling sick. […] If a piece of atheroma breaks off, a blood clot (clump of blood) forms around this to try and repair the damage to the artery wall. This clot can block your coronary artery and cut off the supply of blood and oxygen to your heart muscle. This is known as a heart attack. […] Over time, a fatty material called atheroma (sometimes known as plaque) can build up inside your coronary arteries. This process is called atherosclerosis. Eventually, your arteries may become so narrow that they cannot get enough blood to your heart.
  • #32 4 Symptoms of Coronary Artery Disease & How To Prevent Them | Oak Street Health
    https://www.oakstreethealth.com/4-symptoms-of-coronary-artery-disease-how-to-prevent-them-1821776
    Symptoms of coronary artery disease may be mild or not even noticeable for an extended period, given that it can take years for arteries to narrow or plaque to accumulate to a level that causes a problem. Symptoms can include: […] Chest pain (angina): This is the most common symptom. Angina typically occurs in the middle or left side of the chest and can be triggered by physical activity or emotional distress. The pain usually happens in a consistent pattern. […] Shortness of breath: You may feel like you can’t breathe or struggle to catch your breath. […] Fatigue: You may feel more tired than usual, given the heart isn’t receiving or pumping enough blood throughout the body. […] Heart attack: This is the most alarming and apparent symptom of the disease and results from a blocked coronary artery that restricts blood flow to the heart. If you believe you’re having a heart attack, call 911 immediately. Signs of a heart attack may include:
  • #33 About Coronary Artery Disease (CAD) | Heart Disease | CDC
    https://www.cdc.gov/heart-disease/about/coronary-artery-disease.html
    For some people, the first sign of CAD is a heart attack. […] Angina, or chest pain and discomfort, is the most common symptom of CAD. Angina can happen when too much plaque builds up inside arteries, causing them to narrow. Narrowed arteries can cause chest pain because they can block blood flow to your heart muscle and the rest of your body. […] For many people, the first clue that they have CAD is a heart attack. Symptoms of heart attack include chest pain or discomfort (angina). […] Over time, CAD can weaken the heart muscle. This may lead to heart failure, a serious condition where the heart can’t pump blood the way it should.
  • #34 Coronary Artery Disease | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/c/coronary-artery-disease.html
    About 1 out of every 3 people who have heart attacks do not feel any chest pain. These people are more likely to be women, non-Caucasian, older than 75, someone with heart failure or diabetes and someone who has had a stroke. […] Other common symptoms include: Faintness, Sudden sweating, Nausea, Shortness of breath, especially in older people, Heavy pounding of the heart, Abnormal heart rhythms (arrhythmias), which occur in more than 90% of the people who have had a heart attack, Loss of consciousness, which sometimes is the first symptom of a heart attack, Feelings of restlessness, sweatiness, anxiety and a sense of impending doom, Bluishness of the lips, hands or feet, Older people may have symptoms that resemble a stroke and may become disoriented. […] Older people, especially women, often take longer than younger people to admit they are ill or to seek medical help. […] During the early hours of a heart attack, heart murmurs and other abnormal heart sounds may be heard through a stethoscope.
  • #35 Heart Disease & Stroke – Chronic Disease Prevention & Health Promotion Division | Coronary Heart Disease Conditions & Heart Attacks
    https://health.hawaii.gov/heart-disease-stroke/heart-disease-and-stroke-program/coronary-heart-disease-conditions-heart-attacks/
    Coronary artery disease can often be symptom-free, but people with coronary artery disease have an increased risk of angina (chest pain or discomfort), heart attack, heart failure, and cardiac arrhythmias. […] A heart attack occurs if the flow of oxygen-rich blood to a section of heart muscle suddenly becomes blocked. If blood flow isn’t restored quickly, the section of heart muscle begins to die. […] It is important to learn the signs and symptoms of a heart attack, act fast, and call 9-1-1 immediately if you think you or someone you know is having a heart attack. […] Common symptoms of heart failure include: Shortness of breath during daily activities. Having trouble breathing when lying down. Weight gain with swelling in the legs, ankles, or lower back. General fatigue and weakness.
  • #36 Coronary heart disease | nidirect
    https://www.nidirect.gov.uk/conditions/coronary-heart-disease
    During a heart attack, you may also experience the following symptoms: pain in other parts of the body – it can feel as if the pain is travelling from your chest to your arms, jaw, neck, back and abdomen, lightheadedness, sweating, nausea, breathlessness. […] The symptoms of a heart attack can also be similar to indigestion. For example, they may include a feeling of heaviness in your chest, a stomach ache or heartburn. […] A heart attack can occur at any time, including while you’re resting. If heart pains last longer than 15 minutes, it may be the start of a heart attack. […] In some cases, a heart attack can occur without any symptoms. This is known as a silent myocardial infarction and is more common in older people and people with diabetes. […] Heart failure can also occur in people with CHD when the heart becomes too weak to pump blood around the body. This can cause fluid to build up in the lungs, making it increasingly hard to breathe. […] Heart failure can occur suddenly (acute heart failure) or gradually over time (chronic heart failure).
  • #37 Coronary Artery Disease (CAD): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/16898-coronary-artery-disease
    Chest pain is the most common CAD symptom. […] You might have CAD for many years and not have any symptoms until you experience a heart attack. […] Symptoms of chronic CAD include: Stable angina: This is the most common symptom. Stable angina is temporary chest pain or discomfort that comes and goes in a predictable pattern. […] Sometimes, the first coronary artery disease symptom is a heart attack. […] The main complication of coronary artery disease is a heart attack. […] Over the years, CAD can also weaken your heart and lead to complications, including: Arrhythmias (abnormal heart rhythms like atrial fibrillation). […] Coronary artery disease treatment often includes lifestyle changes, risk factor management and medications. […] Managing your risk factors for CAD can help slow down the progression of your disease. […] You cant reverse coronary artery disease. But you can manage your condition and prevent it from getting worse.
  • #38 10 signs you might have heart and circulatory disease – BHF
    https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/signs-you-might-have-heart-disease
    However, you should call 999 for an ambulance if you start to feel hot and clammy along with chest pains, as it could be a heart attack. […] Angina can sometimes cause a feeling of tightness or pain up in the throat. […] However, if you suddenly start feeling sick and notice pain in your chest as well, it could be another sign that you’re having a heart attack. […] Swollen ankles are common and have lots of causes. […] However, that does not mean you should ignore them, especially if your ankles get very big, as this can be a marker of heart failure. […] A gripping, cramping sensation in your calves when you are walking is a marker of peripheral arterial disease (PAD). […] Feeling tired all the time can be a symptom of lots of conditions including heart failure. […] Suddenly becoming aware of your own heartbeat and feeling like it is racing and missing beats is known as palpitations. […] Palpitations can also be a sign of an abnormal heart rhythm (arrythmia), which may be caused by an underlying condition.
  • #39 5 Signs of Coronary Artery Disease: CA Heart and Vein Specialists: Heart Specialists and Vein Clinic
    https://www.caheartspecialists.com/blog/5-signs-of-coronary-artery-disease
    If you have coronary artery disease, you may experience sudden fatigue during or after exercise that leaves you suddenly feeling wiped out. You may even struggle during typical day-to-day physical activities such as playing with your children or grandchildren. Unusual fatigue during physical activity warrants investigation. […] When your heart isnt receiving enough blood, it cant pump oxygenated blood to your tissues. Without enough oxygenated blood, its common to feel lightheaded. Again, this is more likely to occur during physical activity but can occur with little physical exertion. […] CAD can cause a rapid, pounding or irregular heartbeat. Some people describe the feeling as if their heart is fluttering, skipping a beat, or beating with excessive force. This is called arrhythmia, and it can cause your heart to suddenly stop beating. […] While these are common signs of coronary artery disease, its important to remember that not everyone with CAD experiences symptoms. Its critical to have regular heart health checks, especially if you have a family history of heart disease or have other risk factors.
  • #40 Could You Have Coronary Artery Disease And Not Know It | University Hospitals
    https://www.uhhospitals.org/blog/articles/2019/07/could-you-have-coronary-artery-disease-and-not-know-it
    Many people with CAD do have symptoms. Many do not. Not to be overly dramatic, but for many people the first sign of CAD is sudden death from a heart attack or life-threatening arrhythmia. […] Angina is discomfort or a feeling of pressure or squeezing in your chest. It may also be experienced as pain in your shoulders, arms, neck, jaw or back and is often mistaken for indigestion. Angina tends to get worse with activity or emotional stress and lessens when you rest. […] Arrhythmia is when the rate or rhythm of your heartbeat is irregular. Many describe the sensation as a fluttering in their chest. Some arrhythmias can cause your heart to suddenly stop beating, which can cause death if not treated immediately. When this happens, it is called sudden cardiac arrest. […] A heart attack happens when one or more coronary arteries become completely blocked, cutting off blood flow to a section of the heart. Until blood flow is restored, the affected section of heart muscle begins to die. Immediate medical care is required, as once heart muscle has died, it cannot be restored and will be replaced by scar tissue, further weakening the heart. Heart attack symptoms are similar to those of angina but may last longer, be more severe, and be accompanied by shortness of breath, nausea, vomiting, light-headedness and a clammy feeling. The pain may go away and come back and may not be relieved during rest as with angina. If you or a loved one experiences any of these symptoms, call 9-1-1 immediately.
  • #41
    https://www.aurorahealthcare.org/services/heart-vascular/conditions/coronary-artery-disease/types
    Coronary artery disease develops when your coronary arteries, the blood vessels that supply blood to your heart, narrow. […] As artery narrowing increases, it can eventually block blood flow to your heart. A sudden blockage is an emergency. Its known as a heart attack, which requires immediate medical attention to minimize heart damage. […] Nonobstructive coronary artery disease can still cause many of the well-known symptoms of coronary artery disease, such as shortness of breath or chest pain. Many people with nonobstructive coronary artery disease experience chest pain. […] Spontaneous coronary artery dissection (SCAD) occurs when a tear in the wall of your coronary artery partially or completely blocks blood flow. This tear happens unexpectedly and often presents as a heart attack.
  • #42 Coronary Artery Disease Signs & Symptoms | Rush
    https://www.rush.edu/conditions/coronary-artery-disease
    Symptoms of coronary artery disease can include the following: Chest tightness, heaviness or pain, also called angina […] Shortness of breath, also called dyspnea […] Heart palpitations […] Fast heartbeat, also called tachycardia […] Fatigue […] Feeling lightheaded […] Pain that extends to your shoulders, neck, arms, upper back or jaw […] Swelling of the feet or hands. […] The three types of coronary artery disease are as follows: Obstructive coronary artery disease: This is the most common type of coronary artery disease. It happens due to atherosclerosis a buildup of plaque in the arteries that restricts blood flow. […] Nonobstructive coronary artery disease: This happens when the coronary arteries don’t show significant blockages or narrowing, but there may still be abnormalities in the blood vessels that reduce the supply of oxygen-rich blood to the heart muscle. […] Spontaneous coronary artery dissection: This happens when a tear appears in a coronary artery wall, causing a separation. The tear can disrupt blood flow.
  • #43 ymptoms of Non-Obstructed Coronary Artery Disease | Stanford Health Care
    https://stanfordhealthcare.org/medical-conditions/blood-heart-circulation/non-obstructive-coronary-artery-disease/symptoms.html
    As with arteries narrowed or blocked by plaque (atherosclerosis), chest pain, or angina, is a common symptom of non-obstructive coronary artery disease. This chest pain will usually occur during physical activity or with emotional stress. The pain will usually resolve once the physical activity or emotional stress ends, but sometimes it can be prolonged often lasting 10 minutes or more. […] Coronary vasospasm is unique in that it generally causes chest pain at rest, classically in the early morning hours. If you have prolonged chest pain and are not under a doctors care, you should seek medical attention. […] Other symptoms can include: Pain in the back, arms, or jaw, Shortness of breath, Fatigue, Light-headedness, Palpitations (sensation of heart beating funny).
  • #44 Coronary artery disease – Wikipedia
    https://en.wikipedia.org/wiki/Coronary_artery_disease
    The diagnosis of CAD depends largely on the nature of the symptoms and imaging. The first investigation when CAD is suspected is an electrocardiogram (ECG/EKG), both for stable angina and acute coronary syndrome. […] Stable angina is the most common manifestation of ischemic heart disease, and is associated with reduced quality of life and increased mortality. It is caused by epicardial coronary stenosis which results in reduced blood flow and oxygen supply to the myocardium. Stable angina is short-term chest pain during physical exertion caused by an imbalance between myocardial oxygen supply and metabolic oxygen demand. […] The diagnosis of microvascular angina (previously known as cardiac syndrome X) is a diagnosis of exclusion. Therefore, usually, the same tests are used as in any person suspected of having coronary artery disease.
  • #45 Coronary heart disease | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/cardiovascular-disease/heart-disease/coronary-heart-disease/
    You or someone else has symptoms like: central chest pain or discomfort in the chest that doesnt go away it may feel like pressure, tightness or squeezing […] The main symptoms of coronary heart disease are: chest pain (angina), shortness of breath, pain throughout the body, feeling faint, feeling sick (nausea) […] Heart failure can sometimes occur in people with CHD. This is when the heart becomes too weak to pump blood around the body. This can cause fluid to build up in the lungs, making it increasingly difficult to breathe. […] The main symptom of microvascular angina is chest pain. You may feel it at any time.
  • #46 Heart disease – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heart-disease/symptoms-causes/syc-20353118
    Treating coronary artery disease usually means making changes to your lifestyle. This might be eating healthier foods, exercising regularly, losing excess weight, reducing stress or quitting smoking. The good news is these changes can do a lot to improve your outlook. Living a healthier life translates to having healthier arteries. […] Symptoms of heart valve disease depend on which valve isn’t working right. Symptoms may include: Chest pain. Fainting or almost fainting. Fatigue. Irregular heartbeats. Shortness of breath. Swollen feet or ankles. […] Get emergency medical help if you have these heart disease symptoms: Chest pain. Shortness of breath. Fainting. […] Heart disease is easier to treat when found early.
  • #47 Coronary Artery Disease Symptoms | YourCareEverywhere
    https://yourcareeverywhere.com/health-research/health-insights/heart-care-insights/coronary-artery-disease-symptoms.html
    If you have any of these coronary artery disease symptoms, call 911 immediately. You may be having a heart attack. The CDC notes a persons chance of surviving a heart attack is high if emergency treatment is administered as soon as the symptoms occur. […] If youve had any of these coronary artery disease symptoms, contact your physician. You can also talk to your doctor about measures you can take to lower your risk for coronary artery disease. Your doctor will want to check your blood pressure, cholesterol, and sugar levels.
  • #48 Coronary Artery Disease: Signs and Symptoms
    https://www.health.com/coronary-artery-disease-symptoms-8705046
    Contact a healthcare provider if you or a loved one are experiencing symptoms of CAD. You should seek immediate care if you notice symptoms like chest pain and shortness of breath, especially if these symptoms are sudden or severe and don’t go away with rest. […] Coronary artery disease (CAD) occurs when the arteries that supply blood to the heart become narrowed or blocked, often due to a cholesterol or plaque buildup. This can lead to symptoms like chest pain, shortness of breath, fatigue, and a higher risk of a heart attack. CAD is the most common cause of death in the U.S., so it’s important to seek treatment from a healthcare provider if you’re experiencing symptoms.
  • #49 Heart Disease: Symptoms, Types, and Treatment
    https://patient.info/heart-health/heart-disease
    Chest pain (the most well-known symptom of heart disease). […] Central crushing chest pain (the typical pain which is caused by angina or a heart attack). […] Heavy aching in the left arm or in the neck or jaw. […] Breathlessness and tiredness can occur as not enough blood is getting pumped around the body to meet all its needs. […] Dizziness or a feeling of palpitations (this is common with heart rate or heart rhythm problems). […] Fluid build up, resulting in swelling of the feet/legs and breathlessness due to fluid in the lungs. […] A heart attack also generally makes people feel sweaty, breathless and extremely unwell. […] In coronary heart disease, the arteries can become furred up with atheroma. Atheroma is made up of fatty deposits that form on the inside of blood vessels, which mean that blood does not flow normally through them.
  • #50
    https://www.wkhs.com/heart/conditions-treated/coronary-artery-disease
    You may not notice any symptoms in the early stages. As coronary heart disease gets worse, you may feel chest pain, shortness of breath and low energy. […] Many people don’t realize they have coronary heart disease until they have a heart attack.
  • #51 Heart Disease: Symptoms, Types, and Treatment
    https://patient.info/heart-health/heart-disease
    Coronary heart disease includes: Angina. […] Acute coronary syndrome, which includes a heart attack (myocardial infarction). […] If narrowing or blockage is found then they may be able to proceed straight away to a procedure to open up the artery. Angioplasty is a procedure in which a small balloon is passed through the cardiac catheter to the place where the artery is narrowed. […] There are a number of factors which make it more likely that you will have angina or a heart attack. These include: High blood pressure (hypertension). […] Following a Mediterranean diet based on eating lots of fruit, vegetables and grains, and lower amounts of red meat and processed foods, has been shown to reduce the risk of heart disease.
  • #52 4 Symptoms of Coronary Artery Disease & How To Prevent Them | Oak Street Health
    https://www.oakstreethealth.com/4-symptoms-of-coronary-artery-disease-how-to-prevent-them-1821776
    Currently there is not a cure for coronary artery disease. However, symptoms can be managed, and the disease slowed due to lifestyle changes and medications, along with other forms of treatment your doctor may recommend. […] Slowing the progression will highly depend on your age, risk factors, and other health conditions, as well as how far along the disease is when diagnosed.
  • #53 Heart conditions – angina | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/heart-conditions-angina
    Angina can be a symptom of coronary heart disease. […] Angina is a temporary chest pain or discomfort that happens when your heart doesnt get enough blood and oxygen. It is a symptom of an underlying heart condition, usually coronary heart disease. […] Other symptoms of angina include: dizziness, fatigue, shortness of breath. […] Angina treatment reduces the frequency and severity of symptoms. It also lowers your risk of a heart attack by treating other underlying conditions. […] Angina can be treated and managed with medicines, lifestyle changes and surgery. […] Microvascular angina, also known as cardiac syndrome X, may be a symptom of coronary microvascular disease (MVD). […] There are several risk factors that can increase your risk of coronary heart disease and angina, including: unhealthy eating patterns, excessive alcohol drinking, being physically inactive, tobacco smoking, stress, overweight or obesity, high cholesterol, high blood pressure, diabetes, having a mental health condition such as anxiety and depression, increasing age, being male, being a post-menopausal woman, having a family history of coronary heart disease, ethnicity people of certain ethnic backgrounds, including Aboriginal and/or Torres Strait Islander Peoples have increased risk of coronary heart disease. […] Always take your medicines as prescribed by your doctor to help prevent, treat and manage angina and lower your risk of further heart problems.
  • #54 Coronary Artery Disease
    https://mydoctor.kaiserpermanente.org/mas/structured-content/Condition_Coronary_Artery_Disease.xml?co=/regions/mas
    CAD symptoms can be frightening and uncomfortable. Sometimes they signal a heart attack. […] Symptoms of angina usually last several minutes and can include these sensations in your chest: Pain or pressure during your normal activities, exercise, or hard work. Stabbing or pulsating pain. Tingling or numbness behind your breastbone or across your chest. This may travel to your neck, jaw, shoulders, shoulder blades, or arms. […] You may be able to avoid a heart attack or heart failure by knowing what symptoms you need to watch for. […] Some people have no symptoms when their hearts aren’t getting enough blood and oxygen (silent ischemia). Sometimes a heart attack is the first sign that a person has CAD. Rarely, people have a heart attack without symptoms (silent heart attack). […] Heart attack triggers can include: High blood pressure, Severe infection, Major emotional distress. […] Without treatment, over time CAD can cause: Angina, a type of chest pain, when arteries are narrow. Heart attack, when arteries are blocked. Heart failure, when the heart is too weak to pump blood normally.
  • #55 Coronary Heart Disease Signs and Treatments | Banner Health
    https://www.bannerhealth.com/services/heart/heart-disease/coronary-heart-disease
    Coronary heart disease is caused by a hardened buildup of fatty deposits of plaque in the arteries this is called atherosclerosis. When atherosclerosis is present, blockages in the arteries can occur which may lead to a heart attack. […] Unfortunately, there is no cure for coronary heart disease. Treatment for the disease typically involves making lifestyle changes such as eating well and being active. Additionally, your doctor may recommend medication such as beta-blockers or nitroglycerin or in the case of more advanced coronary heart disease, surgery to open or replace a blocked artery.
  • #56
    https://www.mercy.net/service/coronary-artery-disease/
    Coronary artery disease (CAD) is caused by plaque, or fatty deposits, that build up in the walls of the arteries that supply blood to the heart and other parts of the body. As the condition progresses, the buildup restricts blood flow to the heart muscle. Over time, this can weaken or damage the heart and cause a heart attack. […] Symptoms of a heart attack include: […] If you experience these symptoms, take them seriously, and call 911 immediately. […] Treatment focuses on lowering your risk for heart attack and stroke, and managing your symptoms.
  • #57 Quick Facts:Overview of Coronary Artery Disease (CAD) – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/quick-facts-heart-and-blood-vessel-disorders/coronary-artery-disease/overview-of-coronary-artery-disease-cad
    Coronary artery disease (heart disease) happens when blood flow through the coronary arteries is partially or totally blocked. […] Unstable angina and heart attack can cause an abnormal heart rhythm or cause your heart to stop. You can die if you aren’t treated quickly. Also, a heart attack causes permanent heart damage. […] The most common cause of coronary artery disease is atherosclerosis, commonly known as hardening of the arteries. In atherosclerosis, cholesterol and other fatty material slowly build up in your arteries. This build-up is called an atheroma or plaque. The plaque may: Narrow the artery, partly blocking blood flow to your heart. […] Rupture suddenly, causing a blood clot that blocks the artery and causes a heart attack. […] If you have symptoms of a blocked artery, your doctor may do tests: Stress test to see whether your heart is getting enough blood when it works hard (is under stress), such as when you exercise. […] Depending on how much your coronary arteries are blocked, doctors may do a procedure to open your artery. They may do angioplasty or bypass surgery (also called coronary artery bypass grafting or coronary artery bypass surgery).
  • #58 Coronary artery disease: causes and symptoms | St. Luke’s Health | St. Luke’s Health
    https://www.stlukeshealth.org/services-specialties/cardiovascular-care/heart-conditions/coronary-artery-disease
    Coronary artery disease develops slowly and can often go unnoticed for decades until a large enough cholesterol plaque has built up. Signs may only present themselves once the heart is beating rapidly, like during exercise. Symptoms of coronary artery disease to pay attention to include: Chest pain […] Shortness of breath […] Dizziness […] Lightheadedness […] Nausea […] Fatigue […] Heart attack. Coronary artery disease is often diagnosed using some type of test, like an echocardiogram or stress test. Treatment includes medicinal or surgical options, like angioplasty and stent placement or coronary artery bypass graft surgery, when an artery needs to be unblocked.
  • #59
    https://www.nuhs.edu.sg/patient-care/find-a-condition/coronary-artery-disease-heart-disease
    There is a possibility of a recurrence of the narrowing of the coronary artery in the 6 months following the initial successful angioplasty or stenting, and you would usually feel a chest discomfort should it happen. If you feel a chest pain, you should seek medical attention immediately and inform your doctor.
  • #60 Coronary Heart Disease Symptoms, Causes & Treatment | Spire Healthcare
    https://www.spirehealthcare.com/conditions/coronary-heart-disease/
    Coronary heart disease is a lifelong condition. With treatment and lifestyle changes you can live a long life. […] An unhealthy heart eg a heart affected by coronary heart disease may not cause any obvious symptoms. However, you may experience chest pain and breathlessness when you engage in physical activity or are stressed.
  • #61 What Is Heart Disease? Symptoms, Signs, Types & Treatment
    https://www.emedicinehealth.com/coronary_heart_disease/article_em.htm
    Recovery from coronary heart disease depends on many factors, including the following: the extent of coronary artery disease and number of coronary arteries involved, the history of previous heart attacks or bypass surgery, the capacity for exercise or exertion, heart function (how well the heart contracts), and acuteness of symptoms. […] Regular follow-up visits with your health-care professional are essential. Coronary heart disease is a chronic (long-term, ongoing), relentlessly progressive disease. Reducing risk factors may only slow its pace. Even angioplasty or bypass surgery only reduces the severity of the symptoms. It does not cure the disease. It often comes back and gets worse, requiring further treatment for people with previous heart attacks or bypass, especially if the person has not corrected the abnormal risk factors.
  • #62 Coronary Artery Disease – „Heart Disease”
    https://www.svhhearthealth.com.au/conditions/coronary-artery-disease
    If you have coronary artery disease, a waxy substance called plaque has built up inside your coronary arteries. Plaque causes your arteries to become hard and narrow, which reduces the blood flow to your heart. […] As a result, you might experience chest pain or discomfort, called angina. […] The signs and symptoms of coronary artery disease only develop when a significant amount of plaque has built up over many years. You may not experience any symptoms if the disease is in early stages. […] Be mindful that not everyones symptoms are the same. If youre experiencing any of the symptoms listed in the diagram above, speak to your doctor. If you believe you are experiencing symptoms of heart attack, follow the Heart Foundations Heart Attack Action Plan. […] Remember: while there is no cure for coronary artery disease, with the help of your doctor and healthcare professional team you can reduce your risk of complications, manage your symptoms, and live a healthier life.