CORONARY HEART DISEASE – a narrowing of the coronary arteries that prevents adequate blood supply to the heart muscle. Caused by atherosclerosis, it may progress to the heart muscl... CORONARY HEART DISEASE – a narrowing of the coronary arteries that prevents adequate blood supply to the heart muscle. Caused by atherosclerosis, it may progress to the heart muscle is damaged due to lack of blood supply. CORONARY ARTERY DISEASE ALSO KNOWN AS: ATHEROSCLEROTIC HEART DISEASE, CORONARY ATHEROSCLEROSIS, CORONARY ARTERIOSCLEROSIS, CORONARY HEART DISEASE. CORONARY ATHEROSCLEROSIS – is the abnormal accumulation of lipid or fatty substances or fatty plaque (atherosclerosis). RISK FACTORS MODIFIABLE: High blood cholesterol level, Cigarette smoking, Hypertension, DM, Lack of estrogen (woman), Physical activity, Obesity, Use of Prohibited Drugs. NON-MODIFIABLE: family history of CAD, increasing age, gender (male), Race (nonwhite pop). SIGNS AND SYMPTOMS: Chest pain (angina pectoris), Myocardial infarction, Diaphoresis (excessive sweating), Dysarrithmias, Chest heaviness, Dyspnea, Fatigue. ANGINA PECTORIS – is a clinical syndrome usually characterized by paroxysms of pain or pressure of anterior lobe (temporary chest pain). TYPES OF ANGINA PECTORIS: STABLE ANGINA – predictable consistent pain that occurs in exertion and relieved by REST. Attack of STABLE ANGINA last 1-5 minutes. UNSTABLE ANGINA – also called preinfarction angina. Symptoms occur frequently and LAST LONGER THAN STABLE ANGINA. Pain may occur at rest. Variant Angina – also called prinzmentals angina. PAIN AT REST. With reversible ST segment elevation through to be caused by coronary vasospasm. Microvascular Angina - patient have chest pain but do not seem to have any blockage in coronary artery. The pain may be due to tiny vessels that feed heart, arm and neck are NOT WORKING PROPERLY. SILENT ISCHEMIA – objective evidence of ischemia BUT PATIENT REPORT NO SYMPTOMS. REFERRED PAIN – not can’t locate the exact pain. Read more