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What Causes Heart Disease - The Medical Model

‘Heart Disease’ can be caused by a congenital problem with the heart, by infections such as rheumatic fever that damage the heart valves, or most commonly by atherosclerosis and arteriosclerosis.

Arteriosclerosis is a general hardening of the arteries - a loss of elasticity in the vessels that can occur throughout the body. A major reason for this seems to be a long term lack of quality nutrition such as antioxidants.

Atherosclerosis is slightly different, although it is a type of hardening of the arteries - its cause lies with hardening and narrowing of the artery caused specifically by plaque buildup within the arteries - most notably the coronary arteries.

Atherosclerosis is a major cause of heart disease. Atherosclerosis occurs when buildup of cholesterol and fat create plaques that thicken the walls of blood vessels causing them to stiffen and become more narrow. The theories about why this plaque builds up are certainly wide and varied - more information on this is available in other articles on this site.

When atherosclerosis and arteriosclerosis is severe, it can weaken the heart in several ways. When it is widespread in arteries throughout the body, the heart must work extra hard to pump the same amount of blood through the now narrower vessels because the space for the blood to move through is smaller. Over the long term, the heart cannot sustain this heavy work load and begins to weaken, leading to the condition known as heart failure.

When atherosclerosis occurs in the vessels that nourish the heart itself, called the coronary arteries, the result is coronary artery disease. This condition results in reduced blood flow to the heart muscle tissue and can cause angina (chest pain) - and if the blockage of these arteries is severe, can lead to heart attack (myocardial infarction).

atherosclerosis - plaque buidup in an artery

Heart Attacks

Most heart attacks occur as a result of coronary artery disease (CAD). CAD is the buildup over time of a material referred to as plaque - on the inner walls of the coronary arteries. Eventually, a section of plaque can break open, causing a blood clot to form at the site. A heart attack occurs if the clot becomes large enough to cut off most or all of the blood flow through the artery. The blocked blood flow prevents oxygen-rich blood from reaching the part of the heart muscle fed by the artery. The lack of oxygen damages the heart muscle. If the blockage isn’t treated quickly, the damaged heart muscle begins to die.

Heart attack also can occur due to problems with the very small, microscopic blood vessels of the heart. This condition is called microvascular disease. It’s believed to be more common in women than in men.

The illustration shows a normal artery with normal blood flow (figure A) and an artery containing plaque buildup (figure B).

  1. Another less common cause of heart attack is a severe spasm (tightening) of a coronary artery that cuts off blood

  2. flow through the artery. These spasms can occur in coronary arteries that don’t have CAD. It’s not always clear

  3. what causes a coronary artery spasm, but sometimes it can be related to:

•Taking certain drugs, such as cocaine

•Emotional stress or pain

•Exposure to extreme cold

•Cigarette smoking

•Progesterone lack and estrogen dominance in women





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