Coronary Cardiovascular Disease

Coronary Cardiovascular disease is a cardiovascular disease which is mainly caused by narrowing of the arteries coronary due process of atherosclerosis or spasm, or a combination of both. Coronary Cardiovascular disease is a very scary and still be a problem both in developed and developing countries. The survey results showed that the prevalence of coronary cardiovascular disease increased from year to year. The cause of death also tends to change from infectious diseases to cardiovascular diseases such as coronary cardiovascular disease and degenerative. 

Clinical manifestations of classical coronary cardiovascular disease is angina pectoris. Angina pectoris is a clinical syndrome in which chest pain arising obtained at the time to do activities because of ischemic myocardial . This indicates that there has been> 70% narrowing of the coronary arteries. Angina pectoris may appear as stable angina pectoris ( stable angina) and this situation could develop into more severe and cause acute coronary syndrome, known as sudden cardiac arrest (heart attack) and can cause death.

The definition of Coronary Cardiovascular  Disease

Stable angina pectoris is a symbol of the clinic which is characterized by discomfort in the chest, jaw, shoulder, back or arm, which is usually triggered by physical work or emotional stress. All that can be reduced by rest or by nitroglycerin medication. 

 Prinzmetal Angina is chest pain caused by coronary artery spasm, This is often occur at rest time, is not related to physical activity and sometimes cyclic (at the same time each day). 

Acute Coronary Syndrome is a clinical syndrome that has the same basic pathophysiology that is the erosion, fissures, or atheroma plaque rupture, causing intravascular thrombosis leading to an imbalance of supply and myocardial oxygen demand. 

Types of Acute Coronary Syndrome are:

1.  Unstable angina pectoris (unstable angina) are characterized by suddenly chest pain and more severe, the attacks much longer (more than 20 minutes) and more frequently. Angina is emerging (less than one month), angina that arises within one month after infarction are also classified in unstable angina. 
2. Acute myocardial infarction is the pain of angina in acute cardiovascular infarction are generally more severe and longer (30 minutes or more). Nevertheless cardiac infarction can occur without chest pain (20-25%). Miokad acute infarction can be nonQMI (NSTEMI) and Q-wave MI (STEMI).