Coronary blood vessel is a blood channel (brings O2 and food that needed by a miocard so that it can function normally.

Coronary heart disease is a one major cause for arteriosklerosis (hardening of bloode vessel) mostly known by atherosklerosis. Blood vessel is narrowed because of fat sediment in its walls

Coronary heart disease caused by coronary aterosklerosis where there is abnormality in intime, started by fibrous plaque and then there is ulceration, bleeding, calcification and trombosis.

 1. 2.

Coronary heart disease is divided to: Angina Pectoris

Stable Angina Pectoris: Diagnose:

ECG (Electrocardiogram)
Exersice

stress testing radionuclide Coronary angiography

with

or

without

Therapy:
Get rid of ballast factor

Decrease risk factor

During the attack Beta blocker

Calcium antagonist
Combination

3. Unstable Angina Pectoris Therapy:

High dose nitroglycerine For prophylaxis, pasta nitroglycerine can be

used, high dose nitrate or calcium antagonist. If there is heavy aterosklerosis, give nitrate, calcium antagonist and beta blocker combination. Percutanous Transluminal coronary angioplasty (PTCA) or coronary bypass Graff Surgery (CBGS)

4. Acute Miocard Infark (AMI) Therapy

The objective of first therapy of AMI is

relieving of pain and anxious. Second, is treat complication as fast as possible (3040%) like arrhytmia, Thrombo-embolism, pericarditis, m. Papillaris rupture, ventricle aneurism, right ventrivle infark, repeating ischemic and sudden death. On very heavy pain give sulfas morphin 2,5-10 mg IV.

Coronary heart disease is a heart disease that caused by coronary blood vessel that knowing and treating of this disease need a attention in risk factor that patient have, and a action in a matter of second preventing complication. So many treatment is developed this day, but the using of it must be in right place.