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Coronary arteries

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dominant while in 7 to 13% of the population, the left coronary artery supplies the posterior descending artery, making it left heart dominant. In 7 to 8% of the population, both right and left coronary arteries supplies the posterior descending artery, making it right and left co-dominance. Narrowing of coronary arteries is more frequent in those who are left dominant when compared to those who have right dominant or co-dominant hearts.
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Reduced function of the coronary arteries can lead to decreased flow of oxygen and nutrients to the heart. Not only does this affect supply to the heart muscle itself, but it also can affect the ability of the heart to pump blood throughout the body. Therefore, any disorder or disease of the coronary
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Coronary artery dominance is described as the coronary artery that give branches to supply the right posterior descending artery and supplies the inferior wall of the heart. In 80 to 85% of the population, the right coronary artery supplies the posterior descending artery, making it right heart
385:, in which the wall of one of the coronary arteries tears, causing severe pain. Unlike CAD, spontaneous coronary artery dissection is not due to plaque buildup in arteries, and tends to occur in younger individuals, including women who have recently given birth or men who do intense exercise. 371:. Heart failure is caused by chronic oxygen deprivation due to reduced blood flow, which weakens the heart over time. Arrhythmias are caused by inadequate blood supply to the heart that interferes with the heart's electric impulse. 269:, and, in 67% of individuals, gives place to the posterior descending artery. The right marginal arteries perfuse the right ventricle and the posterior descending artery perfuses the left ventricular posterior and inferior walls. 242:
which perfuses the posterior and inferior walls of the left ventricle. Sometimes a third branch is formed at the fork between left anterior descending and left circumflex arteries, known as a
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Wynn GJ, Noronha B, Burgess MI (2008). "Functional significance of the conus artery as a collateral to an occluded left anterior descending artery demonstrated by stress echocardiography".
276:, which is only present in about 45 percent of the human population, and which provides collateral blood flow to the heart when the left anterior descending artery is occluded. 144:
The coronary arteries are mainly composed of the left and right coronary arteries, both of which give off several branches, as shown in the 'coronary artery flow' figure.
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is chest pain that can occur at rest, feels more severe, and/or last longer than stable angina. It is caused by more severe narrowing of the arteries.
238:. The left circumflex artery perfuses the left ventricular free wall. In approximately 33% of individuals, the left coronary artery gives rise to the 664: 266: 108:. The arteries can additionally be categorized based on the area of the heart for which they provide circulation. These categories are called 483:
in Latin) means "windpipe" and "an artery". It was applied to the coronary arteries because the arteries do not contain blood after death.
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As the disease progresses, plaque buildup can partially block blood flow to the heart muscle. Without enough blood supply (
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Franke, Kyle B; Wong, Dennis TL; Baumann, Angus; Nicholls, Stephen J; Gulati, Rajiv; Psaltis, Peter J (April 4, 2019).
456:, "garland, wreath"). It was applied to the coronary arteries because of a notional resemblance (compare the photos). 1075: 704: 1070: 223: 166: 97:
requires a continuous supply of oxygen to function and survive, much like any other tissue or organ of the body.
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The coronary arteries can constrict as a response to various stimuli, mostly chemical. This is known as a
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The coronary arteries wrap around the entire heart and both lungs . The two main branches are the
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Aricatt DP, Prabhu A, Avadhani R, Subramanyam K, Manzil AS, Ezhilan J, Das R (January 2022).
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Artery of the coronary circulation which transports blood into and out of the cardiac muscle
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Schlesinger MJ, Zoll PM, Wessler S (1949). "The conus artery: a third coronary artery".
563: 402: 1516: 1484: 1144: 1117: 1065: 978: 900: 641: 617:"Microvascular Coronary Dysfunction and Ischemic Heart Disease – Where Are We in 2014?" 616: 307: 257:(RCA) originates within the right cusp of the aortic valve. It travels down the right 1454: 1404: 1250: 1149: 1134: 1122: 1050: 1045: 982: 970: 905: 805: 801: 770: 733: 710: 700: 646: 416: 235: 873: 1547: 1288: 1184: 1154: 960: 895: 885: 823: 797: 762: 636: 628: 537: 368: 303: 86: 1434: 1429: 1409: 1282: 1266: 1262: 1060: 766: 527: 375: 334: 299: 258: 33:
Coronary arteries (labeled in red text) and other major landmarks (in blue text)
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and other substances) build up over time in the walls of the arteries.
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arteries can have a serious impact on health, possibly leading to
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Narrowing of the arteries can be caused by a process known as
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results from a sudden plaque rupture and formation of a
787: 924:"Coronary Artery Dissection: Not Just a Heart Attack" 333:is chest pain on exertion that improves with rest. 230:. The left anterior descending artery perfuses the 752: 1539: 665:"Anatomy and Function of the Coronary Arteries" 614: 1008: 728:Fuster, V; Alexander RW; O'Rourke RA (2001). 940: 116:, or the outermost tissue of the heart) and 477: 431: 1015: 1001: 732:(10th ed.). McGraw-Hill. p. 53. 27: 964: 899: 889: 640: 124:, or the innermost tissue of the heart). 1022: 690: 569: 562: 381:There is also a rare condition known as 339: 289: 279: 218:and feeds blood to the left side of the 148: 615:Petersen, J. W.; Pepine, C. J. (2014). 1540: 1275:moderator band/septomarginal trabecula 383:spontaneous coronary artery dissection 265:. The RCA primarily branches into the 996: 222:. It branches into two arteries, the 878:Cardiovascular Diagnosis and Therapy 721: 686: 684: 558: 755:International Journal of Cardiology 13: 695:(6th ed.). Philadelphia, PA: 14: 1564: 681: 621:Trends in Cardiovascular Medicine 392: 415: 401: 916: 865: 441:word meaning "crown", from the 167:Left anterior descending artery 841: 816: 781: 746: 657: 608: 584: 1: 577: 802:10.1016/0002-8703(49)90884-4 767:10.1016/j.ijcard.2008.11.039 452: 214:within the left cusp of the 181:Ramus or intermediate artery 139: 7: 1478:sternopericardial ligaments 1255:valve of inferior vena cava 691:Costanzo, Linda S. (2018). 486: 240:posterior descending artery 197:Posterior descending artery 177:Posterior descending artery 10: 1569: 1076:posterior interventricular 446: 283: 1509: 1490:epicardium/visceral layer 1463: 1445: 1390: 1372: 1365: 1303: 1279:crista supraventricularis 1213: 1206: 1180: 1108: 1101: 1071:anterior interventricular 1038: 1031: 849:"Coronary Artery Disease" 633:10.1016/j.tcm.2014.09.013 234:and anterior wall of the 55: 43: 38: 26: 21: 314:(made up of deposits of 224:left anterior descending 1259:valve of coronary sinus 1172:atrioventricular septum 1140:interventricular septum 891:10.21037/cdt.2019.04.03 669:www.hopkinsmedicine.org 518:Coronary artery disease 466: 363:CAD can also result in 320:Coronary artery disease 286:Coronary artery disease 267:right marginal arteries 232:interventricular septum 1497:fold of left vena cava 1247:limbus of fossa ovalis 790:American Heart Journal 574: 567: 478: 432: 345: 295: 172:Left circumflex artery 154: 79:arterial blood vessels 57:Anatomical terminology 1293:pulmonary circulation 966:10.5603/FM.a2022.0005 596:Texas Heart Institute 573: 566: 548:Foramen ovale (heart) 503:Right coronary artery 343: 293: 280:Clinical significance 255:right coronary artery 192:Right marginal artery 187:Right coronary artery 152: 106:right coronary artery 1522:Coronary circulation 1351:systemic circulation 1190:intervenous tubercle 553:Patent foramen ovale 498:Left coronary artery 493:Coronary circulation 422:Model of human heart 208:left coronary artery 162:Left coronary artery 153:Coronary artery flow 102:left coronary artery 83:coronary circulation 1473:fibrous pericardium 592:"Coronary Arteries" 310:. This occurs when 248:intermediate artery 1517:Circulatory system 1485:serous pericardium 1447:Pericardial cavity 1145:trabeculae carneae 1118:interatrial septum 953:Folia Morphologica 575: 568: 346: 308:arteriolosclerosis 296: 272:There is also the 155: 136:, and even death. 85:, which transport 1535: 1534: 1527:Coronary arteries 1505: 1504: 1455:pericardial sinus 1415:Bachmann's bundle 1405:cardiac pacemaker 1400:Conduction system 1361: 1360: 1251:crista terminalis 1202: 1201: 1198: 1197: 1150:chordae tendineae 1123:pectinate muscles 739:978-0-07-135694-7 730:Hurst's The Heart 559:Additional images 463:in Anglo-French ( 263:crux of the heart 75:coronary arteries 71: 70: 66: 22:Coronary arteries 1560: 1370: 1369: 1325:atrial appendage 1289:pulmonary artery 1239:atrial appendage 1211: 1210: 1185:cardiac skeleton 1155:papillary muscle 1106: 1105: 1036: 1035: 1017: 1010: 1003: 994: 993: 987: 986: 968: 944: 938: 937: 935: 934: 920: 914: 913: 903: 893: 869: 863: 862: 860: 859: 853:Cleveland Clinic 845: 839: 838: 836: 835: 820: 814: 813: 785: 779: 778: 750: 744: 743: 725: 719: 718: 688: 679: 678: 676: 675: 661: 655: 654: 644: 612: 606: 605: 603: 602: 588: 538:Cardiac skeleton 481: 469: 455: 449: 448: 435: 419: 405: 304:arteriosclerosis 210:arises from the 87:oxygenated blood 63:edit on Wikidata 60: 31: 19: 18: 1568: 1567: 1563: 1562: 1561: 1559: 1558: 1557: 1553:Cardiac anatomy 1538: 1537: 1536: 1531: 1501: 1459: 1441: 1435:Purkinje fibers 1430:bundle branches 1386: 1357: 1315:pulmonary veins 1299: 1283:pulmonary valve 1267:right ventricle 1263:tricuspid valve 1194: 1176: 1128:terminal sulcus 1097: 1027: 1023:Anatomy of the 1021: 991: 990: 945: 941: 932: 930: 922: 921: 917: 870: 866: 857: 855: 847: 846: 842: 833: 831: 822: 821: 817: 786: 782: 751: 747: 740: 726: 722: 707: 689: 682: 673: 671: 663: 662: 658: 613: 609: 600: 598: 590: 589: 585: 580: 561: 528:Unstable angina 489: 427: 426: 425: 424: 423: 420: 412: 411: 406: 395: 376:coronary reflex 335:Unstable angina 302:(most common), 300:atherosclerosis 294:Atherosclerosis 288: 282: 259:coronary sulcus 228:left circumflex 142: 67: 34: 17: 12: 11: 5: 1566: 1556: 1555: 1550: 1533: 1532: 1530: 1529: 1524: 1519: 1513: 1511: 1507: 1506: 1503: 1502: 1500: 1499: 1494: 1493: 1492: 1482: 1481: 1480: 1469: 1467: 1461: 1460: 1458: 1457: 1451: 1449: 1443: 1442: 1440: 1439: 1438: 1437: 1432: 1427: 1422: 1417: 1412: 1407: 1396: 1394: 1388: 1387: 1385: 1384: 1378: 1376: 1367: 1363: 1362: 1359: 1358: 1356: 1355: 1333:left ventricle 1309: 1307: 1301: 1300: 1298: 1297: 1229:coronary sinus 1219: 1217: 1208: 1204: 1203: 1200: 1199: 1196: 1195: 1193: 1192: 1187: 1181: 1178: 1177: 1175: 1174: 1169: 1164: 1159: 1158: 1157: 1152: 1147: 1142: 1132: 1131: 1130: 1125: 1120: 1109: 1103: 1099: 1098: 1096: 1095: 1094: 1093: 1088: 1080: 1079: 1078: 1073: 1068: 1063: 1053: 1048: 1042: 1040: 1033: 1029: 1028: 1020: 1019: 1012: 1005: 997: 989: 988: 959:(1): 102–107. 939: 915: 884:(3): 281–298. 864: 840: 815: 796:(6): 823–838. 780: 761:(1): e14–e15. 745: 738: 720: 705: 680: 656: 607: 582: 581: 579: 576: 560: 557: 556: 555: 550: 545: 543:Coronary sinus 540: 535: 530: 525: 520: 515: 510: 505: 500: 495: 488: 485: 421: 414: 413: 407: 400: 399: 398: 397: 396: 394: 393:Name etymology 391: 284:Main article: 281: 278: 261:, towards the 236:left ventricle 204: 203: 202: 201: 200: 199: 194: 184: 183: 182: 179: 174: 169: 141: 138: 120:(close to the 69: 68: 59: 53: 52: 47: 41: 40: 36: 35: 32: 24: 23: 15: 9: 6: 4: 3: 2: 1565: 1554: 1551: 1549: 1546: 1545: 1543: 1528: 1525: 1523: 1520: 1518: 1515: 1514: 1512: 1508: 1498: 1495: 1491: 1488: 1487: 1486: 1483: 1479: 1476: 1475: 1474: 1471: 1470: 1468: 1466: 1462: 1456: 1453: 1452: 1450: 1448: 1444: 1436: 1433: 1431: 1428: 1426: 1425:bundle of His 1423: 1421: 1418: 1416: 1413: 1411: 1408: 1406: 1403: 1402: 1401: 1398: 1397: 1395: 1393: 1389: 1383: 1380: 1379: 1377: 1375: 1371: 1368: 1364: 1354: 1352: 1348: 1342: 1338: 1334: 1330: 1326: 1322: 1318: 1316: 1311: 1310: 1308: 1306: 1302: 1296: 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Retrieved 595: 586: 533:Heart attack 476: 464: 460: 458: 430: 428: 387: 380: 373: 362: 350:heart attack 347: 344:Heart attack 324: 297: 274:conus artery 273: 271: 252: 247: 243: 216:aortic valve 205: 143: 134:heart attack 126: 117: 109: 99: 91:heart muscle 74: 72: 1465:Pericardium 1374:Endocardium 1321:left atrium 1225:venae cavae 1215:Right heart 1066:interatrial 828:www.cdc.gov 369:arrhythmias 316:cholesterol 122:endocardium 112:(above the 39:Identifiers 1542:Categories 1392:Myocardium 1305:Left heart 1135:ventricles 933:2019-09-02 858:2019-09-01 834:2019-09-01 693:Physiology 674:2019-09-01 601:2019-09-01 578:References 513:Cardiology 473:Old French 114:epicardium 110:epicardial 983:246428206 715:965761862 459:The word 429:The word 140:Structure 1207:Chambers 1102:Internal 1082:borders 1061:coronary 975:35099044 910:31275818 810:15395916 775:19108914 697:Elsevier 651:25454903 487:See also 479:artērium 354:thrombus 327:ischemia 226:and the 77:are the 1548:Anatomy 1420:AV node 1410:SA node 1039:Surface 1032:General 901:6603494 642:4336803 467:artaire 461:arterie 358:infarct 312:plaques 89:to the 1366:Layers 1281:), → 1162:valves 981:  973:  908:  898:  808:  773:  736:  713:  703:  649:  639:  523:Angina 475:, and 453:korōnè 447:κορώνη 433:corona 130:angina 93:. The 1347:aorta 1327:) → 1167:cusps 1113:atria 1086:right 1056:sulci 1025:heart 979:S2CID 508:Heart 439:Latin 437:is a 306:, or 244:ramus 220:heart 212:aorta 157:Aorta 95:heart 61:[ 50:49893 1349:and 1343:) → 1291:and 1261:) → 1091:left 1051:apex 1046:base 971:PMID 906:PMID 806:PMID 771:PMID 734:ISBN 711:OCLC 701:ISBN 647:PMID 253:The 206:The 132:, a 104:and 73:The 961:doi 896:PMC 886:doi 798:doi 763:doi 759:140 637:PMC 629:doi 471:in 367:or 360:). 246:or 81:of 45:FMA 1544:: 1335:→ 1331:→ 1319:→ 1285:→ 1277:, 1273:, 1265:→ 1257:, 1253:, 1249:, 1245:, 1241:, 1233:→ 1227:, 977:. 969:. 957:82 955:. 951:. 926:. 904:. 894:. 880:. 876:. 851:. 826:. 804:. 794:38 792:. 769:. 757:. 709:. 699:. 683:^ 667:. 645:. 635:. 625:25 623:. 619:. 594:. 378:. 348:A 250:. 1353:) 1345:( 1339:( 1323:( 1317:) 1313:( 1295:) 1287:( 1269:( 1237:( 1231:) 1223:( 1016:e 1009:t 1002:v 985:. 963:: 936:. 912:. 888:: 882:9 861:. 837:. 812:. 800:: 777:. 765:: 742:. 717:. 677:. 653:. 631:: 604:. 450:( 65:]

Index


FMA
49893
Anatomical terminology
edit on Wikidata
arterial blood vessels
coronary circulation
oxygenated blood
heart muscle
heart
left coronary artery
right coronary artery
epicardium
endocardium
angina
heart attack

Aorta
Left coronary artery
Left anterior descending artery
Left circumflex artery
Posterior descending artery
Right coronary artery
Right marginal artery
Posterior descending artery
left coronary artery
aorta
aortic valve
heart
left anterior descending

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