The department of Cardiovascular Internal Medicine

A Talk of heart disease, Arterial sclerosis

Arterial sclerosis and Coronary risk factor

Arteria consists of the muscle constituents.
Other than elements such as red blood cell (which conveys oxygen), white blood cell (which kills bacteria and virus), and blood platelet(which cures wound) we have in our blood, sugar and fat which are the source of our energy.
But LDL, lipoprotein, is what called bad cholesterol, it builds overly stocked cholesterol in vascular layer.
Arterial stiffening is the condition that stored cholesterol is narrowing or hardening the tubes in the blood vessels. On the contrary, HDL is called good cholesterol and it works against arterial stiffening. Also, Diabetes, high-blood pressure and smoking are a risk factor of Arterial sclerosis.

Diseases caused by arterial sclerosis

There are diseases caused by arterial sclerosis such as ischemic heart disease typified by breast pang and heart infraction, and obstructive arterial sclerosis generated in not only neck, foot and hand but also arteries of kidney. They are both, caused by lacking supply of blood (ischemia) conveyed into the internal organ.
Take breast pang for an example, when you exercise and your heart works actively, the amount of blood required to support the activity increases, but if your blood tubes are narrowed due to arterial sclerosis, it fails to convey enough blood and aggravates the ischemic condition. It is related to the level of coarctation and ischemia but unfortunately, causes no symptoms even if you suffer arterial sclerosis and your blood tubes have become half of its original size(50% of coarctation) , or even after you have exercised hard.
So, when any symptoms occur due to arterial sclerosis, the blood tubes are considerably narrowed in most cases. Arterial sclerosis can be detected in its relatively early stage on a cardiac electrogram taken after exercising, as it spots the symptom of coarctation it may be provide an earlier diagnosis than usual.
Arterial sclerosis is a progressive disease. If ischemic condition becomes chronic and develops in a wide area, the heart runs a risk of pump being ill-performed (cardiac failure), or breast pang being advanced into heart infarction. If arterial stiffening in foot is advanced, it faces a risk of forefeet going rotten, which is called gangrene.

Subjective symptoms

Subjective symptoms of ischemia are characterized by when they occur rather than which part of the body feels hurt.

Breast pang Continues for 15 minutes at longest, it happens mostly after doing exercisices like going up stairs, it causes a pain in chest when you stop, the pain feels as if your chest is growing tight. It happens when you’re excited, or when you are suddenly exposed to cold air Anterior descending branch, precordium: symptoms in anterior chest, or sometimes left shoulder, jaw, back of teeth.
Looping branch: backache
Coronary :a pain in pit of the stomach
Coronary spastic angina When you get up or after you sleep.
After drinking or the following morning
Heart infarction It continues for 30 minutes or longer than 30 minutes, cold sweats and acute pain are involved in most of the cases.
Arteriosclerosis obliterans Footstrong> The condition becomes worse in accordance with progress of the disease.
It aches from forefoot when walking but the pain ceases when you stop
Feels pain, sluggish, coldness, and numbness It hurts even when resting
Wounds are not cured
The color of the foot changes and it goes rotten (gangrene)
Neck Briefly loses consciousness and feels dizzy.
Face or the either side of body feels numb
Liver blood pressure goes up

Arterial sclerosis and Coronary spastic angina

Ischemia means lack of the blood needed in your body= Abnormality in balance between supply and demand.

Coronary spastic angina is a condition that muscle spasmodically tightens a blood tube in paroxysmal spasms, it happens as the wall of blood tube is made of the muscle components.
In most cases, the blood tube remains normal when it is not in spasms
Characteristics of Ischemia
Arterial sclerosis Subjective symptoms Experienced during exercise as demand for blood increases
Medicine It can not be managed by medicines once it’s developed but can completely be cured by undergoing angioplasty.
Coronary spastic angina Subjective symptoms Experienced in the early morning and after going to sleep, as autonomic nervous system becomes upset
Medicine Can be managed by medicines, but it still develops and rarely cured completely.