Continuum: Coronary disease develops from our lifestyle and as we age real blockage develops in some or all coronary vessels. One or more plaques disrupt and obstruct. If adequate collateral pathways exist may just vagus transient angina or pain. Angina is pain without damage. If not adequate flow, or collateral, acute myocardial infarction- heart attack occurs and that is "damage". Heart failure may follow.
Answered 4/4/2013
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