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Dr. Hariom Tyagi

10 April, 2025

Cardiologist

The Most Common Heart Disease Explained

Heart disease is the leading cause of death worldwide, affecting millions of people every year. Among the many types of heart conditions, Coronary Artery Disease (CAD) stands out as the most common and dangerous. Understanding this disease—its causes, symptoms, and prevention—can help you take steps to protect your heart and live a healthier life.

What is Coronary Artery Disease (CAD)?

Coronary Artery Disease, also known as ischemic heart disease, occurs when the arteries that supply blood to your heart muscle become narrowed or blocked due to a buildup of plaque. Plaque is made up of cholesterol, fatty deposits, calcium, and other substances found in the blood.

Over time, this plaque buildup (a condition called atherosclerosis) reduces blood flow to the heart, depriving it of oxygen and essential nutrients. This can lead to serious health issues such as chest pain (angina), heart attacks, or even heart failure.

What Causes Coronary Artery Disease?

Several risk factors contribute to the development of CAD. These include:

  • High blood pressure (hypertension)
  • High cholesterol levels
  • Smoking
  • Diabetes or insulin resistance
  • Obesity
  • Sedentary lifestyle
  • Unhealthy diet
  • Family history of heart disease
  • Chronic stress

When these risk factors are not managed, they accelerate the damage to the arteries and increase the chances of heart disease.

Symptoms of Coronary Artery Disease

CAD often develops slowly over time and may not show any symptoms in the early stages. However, as the disease progresses, common signs may include:

  • Chest pain or discomfort (angina): Often triggered by physical activity or stress and relieved by rest.
  • Shortness of breath: Caused by reduced blood flow to the heart.
  • Fatigue: Feeling unusually tired even with minimal effort.
  • Heart palpitations
  • Dizziness or lightheadedness
  • Heart attack: In some cases, a heart attack may be the first sign of CAD. Symptoms include intense chest pain, nausea, cold sweats, and pain radiating to the arm or jaw.
How is CAD Diagnosed?

If you have symptoms or risk factors, your cardiologist may recommend the following tests:

  • Electrocardiogram (ECG) – to detect abnormal heart rhythms.
  • Echocardiogram – to assess heart function.
  • Stress test – to observe heart performance during physical exertion.
  • Blood tests – to check cholesterol and sugar levels.
  • Coronary angiography – to see blockages in the arteries using imaging.

Early diagnosis can help in managing the condition more effectively.

Treatment and Management

The treatment of CAD often involves a combination of lifestyle changes, medication, and sometimes surgical procedures.

Lifestyle changes include:

  • Eating a heart-healthy diet
  • Quitting smoking
  • Exercising regularly
  • Managing stress
  • Maintaining a healthy weight

Medications may include:

  • Cholesterol-lowering drugs (statins)
  • Blood pressure medicines
  • Aspirin or other blood thinners
  • Beta-blockers or calcium channel blockers

In more advanced cases, angioplasty or bypass surgery may be needed to restore blood flow.

Preventing Coronary Artery Disease

The good news is that CAD is largely preventable. Here’s how you can protect your heart:

  • Eat smart: Focus on fruits, vegetables, whole grains, lean proteins, and healthy fats.
  • Stay active: Aim for at least 30 minutes of moderate exercise most days of the week.
  • Avoid tobacco: Quitting smoking is one of the best things you can do for your heart.
  • Limit alcohol and processed foods
  • Get regular check-ups: Monitor your blood pressure, cholesterol, and blood sugar levels.
Conclusion

Coronary Artery Disease is common, but it’s not inevitable. By understanding the risk factors and making heart-healthy choices, you can significantly reduce your chances of developing this serious condition. Early intervention and ongoing care are key.

If you’re experiencing any symptoms or have risk factors, don’t delay—schedule an appointment with Dr. Hariom Tyagi today for a thorough cardiac evaluation and expert guidance tailored to your heart health.