coronary artery disease near sacramento. An abnormal EKG may be a "normal" variant for that patient and the result has to be interpreted based upon the patient's circumstances. coronary artery disease near sacramento

 
 An abnormal EKG may be a "normal" variant for that patient and the result has to be interpreted based upon the patient's circumstancescoronary artery disease near sacramento  773-702

Lifestyle: Eating unhealthy, high-fat foods and being sedentary. Previously considered a cholesterol storage disease, we currently. 708-660-2138. Abstract. The process may begin as early as childhood and continue throughout your life span. The coronary arteries supply blood to the heart. People who have one are likely to have the other. Emotions and heart disease. Find out your options to lower blood pressure and cholesterol and. Detrano R, Guerci AD, Carr JJ, et al. The innermost layer is termed the tunica intima, which is lined with endothelial cells that make contact with the circulating arterial blood. Heart attacks occur when a piece of cholesterol plaque breaks off and causes a blood clot that blocks blood flow to the heart. Thus, this study aims to investigate the metabolomic and lipidomic biomarkers of coronary artery disease (CAD) severity and to develop. Mercy San Juan Medical Center | (916) 537-5296. 171. Cardiologists Like Dr. Around 40% of all patients undergoing angiography are found to have normal coronary arteries or non-obstructive coronary artery disease (NOCAD). Yasuda S, Kaikita K, Akao M, et al. Almost 2 in every 3 Australian adults are overweight or obese. 79 miles from West Sacramento, CA. Sometimes it’s just called heart. Nearly half of the 1. This narrows or blocks the artery and can cause a heart attack because blood flow can’t reach the heart. Carotid artery stenosis reduces the flow of oxygen to the brain. In the. New patients are welcome. 1 Although death rates from CAD have decreased in most high- and middle-income countries in the past 2 decades, there are worrying signs of a lessening trend in the United States, 2 and the. 1999; 99:2633–2638. It branches from the left main coronary artery, which carries oxygenated blood to the left side of your heart. Ross R. Incidence of coronary artery disease in siblings of patients with premature coronary artery disease: 10 years of follow-up. Using marijuana every day can raise a person’s risk of coronary artery disease, or CAD, by a third compared with those who never partake, a new study found. By understanding the causes of coronary artery disease, you can effectively lower your risk of. The scan provides patients with a score related to how much hardened plaque was detected in their heart or coronary arteries. These are called. , M. Coronary spasm has been considered as having pivotal roles in. In people who have coronary artery disease, the arteries that supply blood to the heart get clogged with fatty deposits ( figure 1 ). Coronary artery calcium (CAC) is a marker of overall coronary atherosclerotic burden in an individual. What Is New? In this systematic review and meta‐analysis of >13 000 patients with acute and chronic coronary artery disease, we highlight that the adjunctive treatment with the anti‐inflammatory drug colchicine reduces the risk for ischemic events, namely, new myocardial infarction, stroke, and repeat revascularization procedures. Background: Coronary Artery Disease (CAD) is the foremost single cause of mortality and loss of Disability Adjusted Life Years (DALYs) globally. Coronary artery disease is very common. weakness or numbness in the face or limbs, often on one side of. It is usually caused by atherosclerosis which is a buildup of plaque inside the artery walls. Beating heart surgery – Also known as off-pump surgery, beating heart surgery is done while the heart is beating. Coronary artery spasm is a sudden hypercontraction of the microvascular or epicardial coronary vessels that causes near or total occlusion of the vessel and a. Disease Circulatory System Diseases I20. This condition can lead to heart attacks and is the leading cause of death in the United States. org The Sutter Heart and Vascular Institute is a pioneer in heart care in the Sacramento region, providing expert diagnosis and treatment for heart attacks, congenital cardiac defects, congestive heart failure, valve conditions, heart arrhythmias and more. (916) 453-4521. It can affect anyone. During the past decade, our understanding of the pathophysiology of coronary artery disease (CAD) has undergone a remarkable evolution. New patients are welcome. Introduction. These are called coronary arteries. Coronary Artery Disease; Electrophysiology (Arrhythmia) Heart Disease Prevention; Heart Failure Services; Heart Rhythm Disorders; Heart Valve Disease; Interventional Cardiology; Interventional Radiology; Pediatric Heart and Vascular Services; Peripheral Vascular Disease; Stroke and Cerebrovascular Disease; Transplants and Cardiac Assist Devices Treatment for Peripheral Vascular Disease (PVD) Surgical repair of arterial blockages in the extremities and carotid artery; Women’s heart health. 1 Procedure6 Key Points Introduction Coronary artery disease (CAD), or ischaemic heart disease, is the leading. Medical therapy is the cornerstone of CAD treatment ( 3 ). CAD (heart attack or other cardiovascular event) is the number one cause of death among adults in the US. The data completeness we report for the near wall common carotid artery IMT was 98. Coronary calcium as a predictor of coronary events in four racial or ethnic groups. We review here how these advances have altered our concepts of and clinical approaches to both the chronic and acute phases of CAD. Atherosclerosis is the main cause of cardiovascular-related death worldwide [ 7 ]. We review here how these advances have altered our concepts of and clinical approaches to both the chronic and acute phases of CAD. Sarwar Orakzai MD (3/5) Rancho. The coronary arteries supply blood to the heart muscle. 1. feeling faint. There is clear evidence that chronic physical. Previously considered a cholesterol storage disease, we currently. . 2. Aortoiliac occlusive disease. pain travelling through the body. Dr. The most common symptom of coronary artery disease is angina (also called angina pectoris). Francis Heart Study. Inflammatory Atherosclerosis: Characteristics of the Injurious Agent. , San Francisco, CA, 94131 Hospitals: Natividad Medical Center + 1Coronary heart disease (CHD) or coronary artery disease occurs when a coronary artery clogs and narrows because of a buildup of plaque. m. Providers. Coronary calcium scoring (heart scan) is a way to detect coronary artery disease in an early stage before symptoms arise using a computed tomography (CT) scan to detect the buildup of calcium on the walls of the arteries of the heart (coronary arteries). Antithrombotic Therapy in Atrial Fibrillation and Coronary Artery Disease. Dr. Find out more about our specialized services below. Source: American College of Cardiology. More than 50 years have passed since the first recognition of coronary spasm, and many findings on coronary spasm have been reported. These symptoms typically only appear late in the progression of heart disease when there is already enough of a blockage to cause symptoms. When ASCVD affects the arteries that supply blood to the heart, it’s called coronary artery disease (CAD). The advent of coronary angiography in the 1960s allowed for the risk stratification of patients with stable angina. Calcium in the coronary arteries may be a sign of coronary artery. It occurs when plaque builds up in the coronary arteries, reducing the amount of blood that reaches the heart. Noninvasive Testing for Coronary Artery Disease. Decreased cardiac output related to the disease process of coronary artery disease (CAD) as evidenced by fatigue and inability to do ADLs as normal. It can help your doctor diagnose coronary microvascular disease as well as nonobstructive or obstructive coronary artery disease. Aryana Near Me. This is also called ischemia. 5565 W. Or it can be acute, resulting from a sudden rupture of a plaque and formation of a thrombus or blood clot. browse our specialists. Coronary artery vasospasm (CAVS) is a constriction of the coronary arteries that can cause complete or near-complete occlusion of the vessel. Joseph Kozina, MD. Takeaway. Coronary Arteries. Coronary calcification, coronary disease risk factors, C-reactive protein, and atherosclerotic cardiovascular disease events: the St. At NYU Langone, our specialists use a variety of tests, including imaging and stress tests, to diagnose coronary artery disease. We have the expertise to treat all forms of CAD, including those not easily recognized. The heart doctor (cardiologist) guides a thin, flexible tube (catheter) to the narrowed part of the heart artery. Abstract. Control group (C, n = 60) was composed of patients with suspected CAD who were found to have entirely normal coronary arteries by angiography. Coronary artery disease (CAD) and severe aortic valve stenosis frequently coexist. n/a Courteous staff. The supply of blood to the heart muscle is reduced or blocked, potentially causing a heart attack and damage to the heart muscle. 10. Find out about convenient care options for Coronary Artery Disease Services in Sacramento at Sutter Health. A completely blocked coronary artery will cause a heart attack. As the coronary arteries continue to narrow, less and less blood gets to the heart and symptoms can become more severe or frequent. This is the most common complication of coronary artery disease. 7400 Florida: 877. tachycardia Irregular heartbeat Coronary artery disease Abnormal heart rate. Coronary artery disease can lead to other problems, too, including heart failure and arrhythmias. [2][3][4][5] Healthcare services for CAD are estimated to cost greater than 200 billion dollars annually in the United. This imaging test can range in cost from $100 to $400, but many insurance companies restrict coverage or do not. CAD is caused by a build-up of fatty material within the walls of the arteries. Coronary artery bypass graft, or CABG, is a cardiac surgical procedure often performed to treat coronary artery disease. A. Angioplasty, Coronary. A CT coronary angiogram is mainly used to check for narrowed or blocked arteries in the heart (coronary artery disease). Living well with heart disease. Woodland Memorial Hospital Cardiac Rehabilitation is a cardiology center that offers many services, including heart attack, coronary stents, and angioplasty, coronary. Figure 1. Coronary angioplasty treats vessels, called coronary arteries, which deliver blood to heart muscles. Clogged coronary arteries block blood flow to the muscle of the heart. Kawasaki disease is a systemic vasculitis with a risk of developing coronary artery lesions if left untreated. Over time, the disruption of blood flow may cause chest pain, also known as angina, shortness of breath, and general fatigue. Heart Surgery Clinic in Pleasanton. Tricuspid Valve Disease. A. Learn how we empower tomorrow's leaders. The overall takeaway points were that in patients who are at. At Miami Cardiac & Vascular Institute, we offer patients coronary artery disease treatment using a wide range of effective interventions. Angina is the term used to describe the most common symptoms of CHD. Best Hospitals in Sacramento, CA for Cardiology, Heart & Vascular Surgery. This causes the heart to have to pump harder, especially during increased activity, to send blood throughout the body. 5 to 15 micrometers), and these can grow into larger calcium sheet-like deposits (ie, >3 mm). Coronary artery disease (CAD) is a serious condition that can have life-altering complications if it is not treated. This group has a female preponderance. Coronary artery disease (CAD) is the world-wide leading cause of death not only in high-income countries but also increasingly in developing countries. Women are more likely to have heart disease in the smaller arteries of their heart, called coronary microvascular disease. The classic signs and symptoms of a heart attack include crushing chest pain or pressure, shoulder or arm pain, shortness of breath, and sweating. The inner layer of a coronary artery separates or tears, slowing blood flow to the heart. 3 in coronary artery. Most heart attacks occur as a result of coronary artery disease (CAD). Coronary artery disease develops when your coronary arteries, the blood vessels that supply blood to your heart, narrow. A widowmaker heart attack occurs when the left anterior descending (LAD) artery, which supplies blood to the larger, front part of the heart, is blocked at its origin. A new table in the CPT book clarifies what is included in the revised codes and the new parentheticals are under these codes: 93653, 93654 and 93656. You’re cared for by world-class heart care specialists who have superior success rates with treating complex conditions such as coronary artery disease, valve disease and heart failure. m. As. Plaque is made of fat, cholesterol and other materials. So CAD is a type of ASCVD. Coronary calcium does not accurately predict near-term future coronary events in high-risk adults. This reduces the blood flow and vital oxygen to your heart muscle. There are two main coronary arteries – the left main coronary artery and the right coronary artery. This increased workload can result in pain, pressure, and a squeezing sensation in the chest,. When plaque builds up in the arteries, the condition is called atherosclerosis. Call to Schedule (512) 453-6100. Coronary artery disease (CAD) is the most common kind of heart disease. Timothy Lee, MD, is a Cardiovascular Disease specialist practicing in Carmichael, CA. A tiny balloon on a narrow tube, called a catheter, is used to widen a clogged artery and improve blood flow. Coronary calcium scans are also called cardiac calcium scoring. Any coronary artery disease in which the cause of the disease is a mutation in the LRP6 gene. The test uses specialized CT X-rays to assess. At NYU Langone, our specialists use a variety of tests, including imaging and stress tests, to diagnose coronary artery disease. 10 I25. INOCA—Prevalence. A, Coronary artery section showing pathological intimal thickening with lipid accumulation (black arrows). Coronary artery disease is quite common in diabetes mellitus. 3 Risk Prediction in Cardiac Surgery5. We’ll help you get care. The brain needs a constant supply of oxygen to work. Carotid Artery Screening. A necrotic core is not present. J Am Coll Cardiol 2005;46:158-65. A probe on a catheter sends out the light and detects it. 1 Among these, cardiovascular disease is now recognized as the most important and leading cause of death in many. CA. Below is a picture of a normal human heart. Methods. Electrophysiologists are heart doctors who specialize in diagnosing and treating heart rhythm abnormalities. Normally, the coronary arteries do not contain calcium. A complete blockage in the left anterior descending artery can cause a widowmaker heart attack. This narrowing can occur for several reasons, all of which are considered different types of CAD. . Coronary artery disease is a common heart condition. WebMD Care. Phone: 925-278-7017. Coronary calcium scans are also called cardiac calcium scoring. This disease has been proved to be the major cause of death in both the developed and developing countries. Symptoms of coronary artery disease can include: Chest pain, chest tightness, chest pressure and chest discomfort (angina) Shortness of breath. 37 Years Experience | Roseville, CA. Bellinger is a cardiologist in Sacramento,. 45. Type IV glycogen storage disease 100% Zellweger syndrome 100%Summary. It is. During the procedure, a surgeon cuts through the breastbone and spreads the ribcage to access the heart. 4. INTRODUCTION. This presses the plaque or blood clot against the sides of the artery, making more room. Carotid arteries are usually narrowed by a buildup of plaque — made up of fat, cholesterol, calcium and other substances that circulate in the bloodstream. The term coronary artery spasm (CAS) refers to a sudden, intense vasoconstriction of an epicardial coronary artery that causes vessel occlusion or near occlusion. This is a buildup of plaque and cholesterol inside your coronary arteries, which supply blood to your heart muscle. A coronary chronic total occlusion (CTO) is defined as 100% occlusion of a coronary artery for a duration of greater than or equal to 3 months based on angiographic evidence. A stent is often placed during or immediately after angioplasty. It is the result of atheromatous changes in the vessels supplying the heart. 18. Coronary artery disease (CAD) is the most common type of heart disease and remains the leading cause of death worldwide, accounting for over 350,000 deaths each year. Coronary calcium scoring (heart scan) is a way to detect coronary artery disease in an early stage before symptoms arise using a computed tomography (CT) scan to detect the buildup of calcium on the walls of the arteries of the heart (coronary arteries). Editorial: Becker RC. The complex process of. According to experts, laser angioplasty can help with tenacious calcium deposits, which is a major cause of coronary artery disease necessitating surgery in. The damaged arteries may become completely blocked, or become prone to clotting, causing a heart attack. Even a brief pause in blood supply can cause problems. This is usually due to cholesterol-containing deposits called plaques. Cardiothoracic Surgery Training. See full list on dignityhealth. Beta blockers should be continued for up to three years after myocardial infarction in. nausea. A genome-wide association study in Europeans and South Asians identifies five new loci for coronary artery disease. Over time, plaque can harden inside the walls of your arteries. 43, 339–344 (2011). In the US, it is still one. Coronary artery disease — also called coronary vascular, arteriosclerotic and ischemic heart disease — remains the leading cause of death in the United States. This thickening of the artery walls, called atherosclerosis, narrows the arteries and can decrease or block the flow of blood to the. 09 miles from Sacramento, CA. Cardiac MRI can also help explain results from other imaging tests. 4676 London: +44 20 3423 7500 Request an Appointment. Methods and Results Eleven hundred fifty-five native vessel target lesions in 1117 patients were studied by intravascular ultrasound (IVUS) and coronary angiography. Read more about the types of coronary artery disease, such as obstructive, non-obstructive, and SCAD. We present the coronary artery disease (CAD) database, a comprehensive resource, comprising 126 papers and 68 datasets relevant to CAD diagnosis, extracted from the scientific literature from 1992. Coronary artery disease (CAD) is the most common type of heart disease in the U. Coronary arteries are the vessels. The images show calcium deposits you may have in your coronary arteries. Northeast Ohio: 800. Find facts, statistics, maps, and other data related to heart disease. Coronary artery disease (CAD) is the most common form of heart disease. It puts stress on your heart, blood vessels, and body. This is called coronary artery disease (CAD). Dr. A coronary angiogram is a procedure that uses X-ray imaging to see your heart's blood vessels. Find out about convenient care options for Cardiovascular Imaging and Diagnostic Services in Sacramento at Sutter Health. If you’ve been told you are at risk for CAD, there is a simple test that measures. Pain, numbness, weakness or coldness in the legs or arms if the blood vessels in those body areas are narrowed. Coronary arteries are the blood vessels that nourish the heart muscle with oxygenated blood. The coronary arteries provide the main blood supply to the heart. Angina is a symptom of coronary artery disease. These arteries supply your heart muscle with oxygen-rich blood. Las Positas Blvd. Sierra Nevada Memorial Hospital | (530) 274-6103. It is the leading cause of death in the United States in both men and women. Conservative management. It affects more than 20 million adults in the U. The left anterior descending artery is the largest coronary artery. Atherosclerosis is the most common form of vascular disease and constitutes the major cause of death, with 17. Timothy Lee, MD. This makes it hard for blood and oxygen to reach your heart. 8120 Timberlake Way, Sacramento, CA, 95823. Coronary arteries lay initially on the surface of the heart before they dive deep and eventually reach the muscle cells: The left main coronary artery supplies the left side. Carmichael. Cardiovascular disease remains a leading cause of morbidity and mortality worldwide, despite advances in medical and procedural therapies. Coronary. 2 Several other medical conditions and lifestyle choices can also put people at a higher risk for heart disease, including. There are 328 doctors who treat Coronary Artery Disease in Sacramento. The providers below have at least 1 or more past patient ratings, so you can be confident that these providers have the experience that you are looking for. Introduction. 006, 0. Medical treatment, diet and exercise may also delay or stop the progression of the disease. A completely blocked coronary artery will cause a heart attack. But it’s important to know that there are differences in how blocked the. "Incredible teacher and motivator - After My first visit with Dr. Some people don't know they have CHD before they have a heart attack. Coronary artery disease (CAD) is caused by a buildup in your arteries of fatty substances like cholesterol. Objective To determine whether coronary computed tomography angiography (CTA) should be performed in patients with any clinical probability of coronary artery disease (CAD), and whether the diagnostic performance differs between subgroups of patients. Lippincott-Raven, 1996, vol 1, pp 401–420. It measures calcium in the walls of the coronary arteries and can detect the early signs of heart disease. This non-invasive heart test uses your coronary CT scan to provide a. A CAC test, also called a heart scan, is a CT scan of your heart done with a multidetector CT (MDCT) that takes detailed images of the arteries that supply blood to the heart muscle. The presence of calcium indicates that there may be plaque in the coronary artery that can. These blood vessels or arteries narrow or harden due to a buildup of plaque, a type of fatty deposit. The variant form of angina was first described in 1959 by Prinzmetal et al. During a bypass procedure, the physician sits at a controlling console in the operating room while an assistant surgeon is at the bedside next to the patient. The coronary calcium scan is a common way to screen for coronary artery disease. A coronary calcium scan is a special computerized tomography (CT) scan of the heart. Calcium in the coronary arteries may be a sign of coronary artery disease (CAD). 8 years ago. Patients with a previous ischemic stroke have a well-documented risk of myocardial infarction, ranging from 4% within 3 months of stroke onset to 1% per year thereafter. All three physicians are affiliated with the. Rajeev Gupta. Coronary artery disease (CAD) is one of the major cardiovascular diseases affecting the global human population. 1,2 SCAD can involve dissection within the coronary media, with intramural hematoma formation, coronary intima, or both. 3 was associated with subsequent survival/admission for cardiovascular disease event in individuals who were free of overt coronary artery disease at the time of study inclusion. For angioplasty, a long, thin tube (catheter) is put into a blood vessel and guided to the blocked coronary artery. (916) 887-4040. 1 Introduction1. eating healthier sources of protein, such as swapping red and processed meats for lean poultry, fish, and legumes. CAC begins as microscopic calcifications (0. Coronary artery disease (CAD) is a condition in which plaque builds up inside the coronary arteries. Coronary artery calcifications occur when calcium builds up in the arteries that supply blood to the heart. 4001 J St. Diagnosis is by symptoms, ECG, stress testing, and sometimes. Previously considered a cholesterol storage disease, we currently. Coronary. [PubMed. Introduction. Abstract. Some of the best evidence that coronary artery disease is reversible comes from. The metabolomic analysis of human fluids can provide an insight into the pathogenesis of complex disease. Heart Surgery Clinic in Pleasanton. Introduction. [1] Most patients with LAD anomalies are asymptomatic, and therefore most are discovered incidentally. For angioplasty, a long, thin tube (catheter) is put into a blood vessel and guided to the blocked coronary artery. Philadelphia - New York. Atherosclerosis is the buildup of fats, cholesterol and other substances in and on the artery walls. 4 and –13. The catheter has a tiny balloon at its tip. 240 patients with CAD divided into three age-matched groups: Group 1 (n = 60), ACS with one-vessel disease (1VD); group 2 (n = 60), ACS with 2,3VD; group 3 (n = 60), CSA. The median age of the study cohort was 73. We're taking extra precautions every day to help keep patients, staff and providers safe. Inconclusive stress test: If data gathered from a stress test does not provide a clear answer to your health concerns, we may recommend a cardiac. Antithrombotic Therapy for Atrial Fibrillation With Stable Coronary Disease. A buildup of calcium can narrow the arteries and reduce blood flow to the heart. Echocardiography. A buildup of calcium can narrow the arteries and reduce blood flow to the heart. 8. “Coronary artery disease develops slowly, usually over decades, so the good news is that we have a huge window of opportunity for prevention, through a good lifestyle and healthy habits,” says Seth Martin, M. Quitting smoking and avoiding secondhand smoke can help reverse the damage smoking has caused to the heart and blood vessels. View All Practice Locations. The complex process of atherosclerosis begins early in life and is thought to initiate with dysfunction of endothelial cells that line the coronary arteries; these cells are no longer able to. 40. Daily low-dose aspirin is recommended for all patients with stable CAD, unless contraindicated. This procedure improves blood flow to the heart. It may feel like a heavy weight lying. The traditional risk factors for coronary artery disease are high LDL cholesterol, low HDL. Chest pain is often the herald of cardiovascular disease and is one of the most common diagnostic challenges encountered by practicing clinicians. The purpose of the CT calcium scoring exam is to understand your risk for coronary heart disease (CAD) so you can take preventive measures based on the results. 3 (initial episode of care) I25. Coronary. Desired outcome: The patient will be able to maintain adequate cardiac output. The classic signs and symptoms of a heart attack include crushing chest pain or pressure, shoulder or arm pain, shortness of breath, and sweating. Diffuse coronary artery disease is a subtype of coronary artery disease (CAD) in which larger sections of coronary arteries have a high plaque buildup. This procedure improves blood flow to the heart. Pathological coronary artery anatomy for a patient with coronary artery disease (CAD). 3. Coronary artery disease is caused by the gradual buildup of cholesterol or plaque, which makes the arteries stiffen and narrow. Dr. , of the Johns. 6555 Coyle Ave Suite 280. Coronary artery disease is caused by atherosclerosis. 6% (35/55), and the positive predictive value was 94. Depending on the reason for the procedure, different types of angiography may be used: coronary, aortic, or left heart ventricular. A coronary chronic total occlusion (CTO) is defined as 100% occlusion of a coronary artery for a duration of greater than or equal to 3 months based on angiographic evidence. Scores between 100 and 300 indicate more calcium in your. Two bypass surgical procedures for coronary artery disease are: (1) beating heart surgery and (2) arrested heart surgery. A comprehensive guide for heart patients like you, your family and friends to improve your success of recovery, understand the diagnosis and treatment you will receive and make healthy changes to your lifestyle. browse our specialists. This usually happens because one or more of the heart's arteries is narrowed or blocked, also called ischemia. shortness of breath. Suite 150. [2][3][4][5] Healthcare services for CAD are estimated to cost. All coronary artery segments with <50% luminal stenosis in patients with a first‐time coronary angiogram between 1989 and 2017 were identified (n=2 661 245 coronary artery segments in 248 736 patients) and followed until a clinically indicated angiography within 15 years was performed or until death or end of. This causes blood flow to the heart to slow and, if not treated, can lead to a heart attack. Normally, the coronary arteries do not contain calcium. 9 million deaths in 2016 1. Pei-Hsiu Huang, M. 659. This disease is the accumulation of cholesterol-laden plaque inside the arteries nourishing your heart, a process known as atherosclerosis. This is also called ischemia. Peripheral artery disease. Cardiovascular disease (CVD) is the leading cause of death globally, responsible for approximately 17. Angina pectoris is the medical term for chest pain or discomfort due to coronary heart disease .