Coronary Atherosclerosis Disease

A Coronary Atherosclerosis Disease is an atherosclerosis disease that specifically affects coronary arterys supplying heart muscle.

• AKA: Coronary Artery Atherosclerosis, Atherosclerotic Coronary Disease, Coronary Plaque Disease.
• Context:
  • It can typically develop Coronary Plaques within epicardial coronary vessels.
  • It can typically cause Coronary Stenosis reducing myocardial blood flow.
  • It can typically present Coronary Ischemia during cardiac stress.
  • It can typically involve Coronary Risk Factors including hyperlipidemia.
  • It can typically progress through Coronary Disease Stages over decades.
  • ...
  • It can often affect Major Epicardial Vessels including lad, lcx, and rca.
  • It can often manifest Coronary Symptoms such as angina pectoris.
  • It can often require Coronary Intervention for flow-limiting lesions.
  • It can often benefit from Coronary Risk Modification through lifestyle change.
  • ...
  • It can range from being a Non-Obstructive Coronary Atherosclerosis Disease to being an Obstructive Coronary Atherosclerosis Disease, depending on its coronary stenosis degree.
  • It can range from being a Single-Vessel Coronary Atherosclerosis Disease to being a Multi-Vessel Coronary Atherosclerosis Disease, depending on its coronary vessel involvement.
  • It can range from being a Stable Coronary Atherosclerosis Disease to being an Unstable Coronary Atherosclerosis Disease, depending on its coronary plaque stability.
  • ...
  • It can be detected by Coronary Imaging Modalitys including coronary cta.
  • It can be assessed through Coronary Calcium Scoring measuring plaque burden.
  • It can lead to Acute Coronary Syndrome through plaque rupture.
  • It can be treated with Coronary Revascularization when medically indicated.
  • ...
• Example(s):
  • Coronary Vessel Distributions, such as:
    • Single-Vessel Atherosclerosis Disease affecting one coronary artery.
    • Two-Vessel Coronary Disease involving two major vessels.
    • Three-Vessel Coronary Disease affecting all major epicardial vessels.
    • Left Main Coronary Disease involving critical left main stem.
  • Coronary Plaque Types, such as:
    • Non-Calcified Coronary Plaque containing lipid-rich core.
    • Calcified Coronary Plaque with calcium deposition.
    • Mixed Coronary Plaque showing heterogeneous composition.
  • Coronary Disease Presentations, such as:
    • Chronic Stable Angina from fixed coronary stenosis.
    • Unstable Angina due to plaque instability.
    • Silent Coronary Ischemia without clinical symptom.
    • Acute Myocardial Infarction from coronary occlusion.
  • Coronary Disease Severitys, such as:
    • Mild Atherosclerosis Disease with minimal coronary narrowing.
    • Moderate Coronary Disease causing significant stenosis.
    • Severe Coronary Disease producing critical narrowing.
  • ...
• Counter-Example(s):
  • Carotid Atherosclerosis Disease, which affects neck arterys rather than coronary vessels.
  • Peripheral Atherosclerosis Disease, which involves limb arterys rather than heart vessels.
  • Coronary Vasospasm, which causes vessel spasm rather than atherosclerotic narrowing.
  • Coronary Microvascular Disease, which affects small vessels rather than epicardial arterys.
• See: Atherosclerosis Disease, Single-Vessel Atherosclerosis Disease, Coronary Artery Disease, Acute Coronary Syndrome, Myocardial Infarction.

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