Coronary Artery Disease (CAD)
Coronary artery disease (CAD) is the most common type of heart disease in the United States. For some people, the first sign of CAD is a heart attack. You and your health care team may be able to help you reduce your risk for CAD.
Causes of CAD
CAD is caused by plaque buildup in the walls of the arteries that supply blood to the heart (called coronary arteries) and other parts of the body. Plaque is made up of deposits of cholesterol and other substances in the artery. Plaque buildup causes the inside of the arteries to narrow over time, which could partially or totally block the blood flow. This process is called atherosclerosis.
Too much plaque buildup and narrowed artery walls can make it harder for blood to flow through your body. When your heart muscle doesn’t get enough blood, you may have chest pain or discomfort, called angina. Angina is the most common symptom of CAD.
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 that it should. An irregular heartbeat, or arrhythmia, also can develop.
To find out your risk for CAD, your health care team may measure your blood pressure, cholesterol, and sugar levels. Being overweight, physical inactivity, unhealthy eating, and smoking tobacco are risk factors for CAD. A family history of heart disease also increases your risk for CAD. If you’re at high risk for heart disease or already have symptoms, your doctor can use several tests to diagnose CAD.
|Test||What it Does|
|ECD or EKG (electrocardiogram)||Measures the electrical activity, rate, and regularity of your heartbeat.|
|Echocardiogram||Uses ultrasound (special sound wave) to create a picture of the heart.|
|Exercise stress test||Measures your heart rate while you walk on a treadmill. This helps to determine how well your heart is working when it has to pump more blood.|
|Chest X-ray||Uses x-rays to create a picture of the heart, lungs, and other organs in the chest.|
|Cardiac catheterization||Checks the inside of your arteries for blockage by inserting a thin, flexible tube through an artery in the groin, arm, or neck to reach the heart. Health care professionals can measure blood pressure within the heart and the strength of blood flow through the heart’s chambers as well as collect blood samples from the heart or inject dye into the arteries of the heart (coronary arteries).|
|Coronary angiogram||Monitors blockage and flow of blood through the coronary arteries. Uses X-rays to detect dye injected via cardiac catheterization.|
Reducing Your Risk for CAD
If you have CAD, your health care team may suggest the following steps to help lower your risk for heart attack or worsening heart disease:
- Lifestyle changes, such as eating a healthier (lower sodium, lower fat) diet, increasing physical activity, and quitting smoking.
- Medications to treat the risk factors for CAD, such as high cholesterol, high blood pressure, an irregular heartbeat, and low blood flow.
- Surgical procedures to help restore blood flow to the heart.
Every 43 seconds, someone in the United States has a heart attack.1
A heart attack, also called a myocardial infarction, occurs when a part of the heart muscle doesn’t receive enough blood flow. The more time that passes without treatment to restore blood flow, the greater the damage to the heart muscle. Learn more about the signs and symptoms of a heart attack.
Every year, about 735,000 Americans have a heart attack. Of these cases
- 525,000 are a first heart attack.
- 210,000 happen to people who have already had a first heart attack.1
One of 5 heart attacks is silent—the damage is done, but the person is not aware of it.1Coronary artery disease (CAD) is the main cause of heart attack. A less common cause is a severe spasm, or sudden contraction, of a coronary artery that can stop blood flow to the heart muscle. If you know the signs and symptoms of a heart attack and recognize that you or someone near you is having a heart attack, seek immediate treatment by calling 9-1-1. The longer you wait, the more damage to the heart muscle can occur.