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Coronary Artery Disease: Pathophysiology, Prevention, and Treatment

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Coronary artery disease (CAD) represents the most prevalent form of cardiovascular disease and stands as the leading cause of death globally, affecting millions of individuals worldwide. According to the American Heart Association, CAD accounts for approximately 655,000 deaths annually in the United States alone, with over 18 million adults currently living with this condition (Yahagi et al., 2017). When coronary arteries become narrowed or blocked by atherosclerosis, this condition arises. The disease often takes decades to develop, starting with problems in the endothelium and ending with plaque accumulation, inflammation, and the risk of rupture. Factors that increase the risk of CAD are high blood pressure, diabetes, smoking, obesity, a lack of exercise, as well as being older, a male, or having a family history. Heart disease costs the United States more than $200 billion every year, including both direct expenses for treatment and lost productivity, as well as the deaths of patients.

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Coronary Artery Disease: Pathophysiology, Prevention, and Treatment




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Description of Pathology

Coronary artery disease (CAD) represents the most prevalent form of cardiovascular

disease and stands as the leading cause of death globally, affecting millions of individuals

worldwide. According to the American Heart Association, CAD accounts for approximately

655,000 deaths annually in the United States alone, with over 18 million adults currently living

with this condition (Yahagi et al., 2017). When coronary arteries become narrowed or blocked

by atherosclerosis, this condition arises. The disease often takes decades to develop, starting with

problems in the endothelium and ending with plaque accumulation, inflammation, and the risk of

rupture. Factors that increase the risk of CAD are high blood pressure, diabetes, smoking,

obesity, a lack of exercise, as well as being older, a male, or having a family history. Heart

disease costs the United States more than $200 billion every year, including both direct expenses

for treatment and lost productivity, as well as the deaths of patients.

Normal Anatomy of the Major Body System Affected

In the cardiovascular system, the heart, blood vessels, and about five liters of blood all

cooperate to bring oxygen, nutrients, hormones, and waste products to every part of the body.

The location of the heart, a closed-fist-sized organ, is in the space called the mediastinum, just

under the lungs and inside a pericardial sac. Anatomically, the heart consists of four chambers:

two upper chambers called atria (right and left) and two lower chambers called ventricles (right

and left), separated by a muscular wall known as the septum (Dhakal & Pokharel, 2024). The

heart wall itself comprises three distinct layers: the epicardium (outer layer), myocardium

(middle muscular layer responsible for contraction), and endocardium (inner smooth layer that

lines the chambers). The main arteries of the coronary system begin from the aortic root and are

the right and left main coronary arteries. The left coronary artery divides into the left anterior

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