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Coronary Heart Disease

Coronary heart disease, the most common type of heart disease caused by atherosclerosis, the buildup of fatty material called plaque on the inside of the coronary arteries (see Arteriosclerosis ). Over the course of many years, this plaque narrows the arteries so that less blood can flow through them and less oxygen reaches the heart muscle. The most common symptom of coronary heart disease is angina pectoris , a squeezing chest pain that may radiate to the neck, jaw, back, and left arm. Angina pectoris is a signal that blood flow to the heart muscle falls short when extra work is required from the heart muscle. An attack of angina is typically triggered by exercise or other physical exertion, or by strong emotions. Coronary heart disease can also lead to a heart attack, which usually develops when a blood clot forms at the site of a plaque and severely reduces or completely stops the flow of blood to a part of the heart. In a heart attack, also known as myocardial infarction, part of