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Heart disease or ischaemic

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Ischaemia comes from the Greek words "Tschein" and "haima" meaning 'restrain' and 'blood' respectively. Ischaemia therefore points to a condition with an inadequate flow of blood to a part of the body caused by a blockage or constriction of a blood vessel.

The coronary arteries supply the hard-working heart muscle with oxygen-rich blood. If these arteries become narrowed with fatty deposits known as atheroma (the major cause of coronary artery disease) then the heart muscle (myocardium) is starved of oxygen. This is the major cause of angina. Angina consists of a squeezing pain in the chest that is usually precipitated by exertion, cold air, or emotional stress and is relieved by a few minutes rest to reduce the heart's oxygen demand. The pain of angina can extend into the left arm, left shoulder and jaw.

Myocardial infarction is the medical term for a heart attack. Infarction is the death of tissue caused by oxygen deprivation. Hence a heart attack involves sufficient coronary disease occlusion for a blood clot to form and totally block the blood supply to part of the heart muscle. While angina is relieved by rest, myocardial infarction is not. It takes the form of an excruciating crushing pain under the breastbone that, like angina, can radiate into the arms, jaw and neck. The patient often feels very anxious, sweaty and cold.

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