and the beat goes on
Supply side cardiology
Like all arteries, the job of coronary arteries is to deliver oxygenated blood. Don't be surprised that none of the blood the heart so diligently pumps does the heart itself any good. Blood cannot diffuse through the heart walls, so it can't nourish the heart muscle.

Supplying the heart with sugar and oxygen is the job of the coronary arteries shown here. These arteries obtain blood from the aorta. If they get blocked, the heart screams "angina" and its muscle cells can be injured and then die. This so-called ischemia (defined) produces the pain of angina.

heart and arteriesComputer generated heart image © Department of Engineering Science at the University of Auckland.

Patients also feel a general sense of fatigue as their bodies lose the nourishment and oxygen blood is supposed to provide.

You can see a blockage on this view of a heart, derived from a CT scan of a cadaver (dead body). It turns out that blockages are often very local -- which is handy indeed, since bypass surgery simply bypasses that blockage, and hooks into arteries further downstream.

This is how a healthy heart sounds. And now for some interesting statistics on heart surgery.


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