Coronary Heart Disease

Coronary Heart Disease (CHD) is heart disease caused by the narrowing of the coronary arteries. The most common cause of narrowing is atherosclerosis which is a disorder consisting of fibrolipid in the form of a protruding plaque or thickening of the intima and the inner tunica media.

The process of atherosclerosis has been started in childhood and become clinically apparent in adult life. More than half the incidence of these diseases can be explained by the occurrence of hypercholesterolemia, hypertension, and smoking.

There are several other risk factors also play a role but in a lesser degree such as obesity, less physical activity, and personality type A. Control of cardiovascular risk factors associated with the prevention of CHD must begin as early as possible before irreversible changes occur in blood vessel walls. This means that at the time of the development of the child. Two main strategies in the prevention of CHD is a public health or population approach and individualized approach to high-risk children.