Coronary Heart Disease Symptoms in the Elderly

Coronary heart disease (CHD), also known as coronary artery disease, is caused by atherosclerosis in the coronary arteries. This condition leads to narrowing or even complete blockage of the arteries, which are responsible for supplying oxygen-rich blood to the heart muscle. In elderly patients, this restricted blood flow becomes especially concerning when the heart's oxygen demand increases due to various factors.

Understanding the Imbalance Between Oxygen Supply and Demand

As the heart works harder, the demand for oxygen rises. However, due to the narrowed arteries, the supply of oxygen may not keep up with the demand. This mismatch can trigger warning signals from the heart. These signals are sent through sensory nerves to the central nervous system, alerting the body to potential distress.

How the Body Responds to Cardiac Stress

The central nervous system then sends these signals back to the body via motor nerves. This process isn't always precise, which is why the discomfort may be felt in different areas of the body. Commonly, patients report sensations in the chest, but pain or discomfort can also radiate to the jaw, left shoulder, or back.

Common Symptoms Experienced by Elderly Patients

In addition to localized pain, elderly individuals may experience a range of symptoms including chest tightness, shortness of breath, and palpitations. These signs can vary in intensity and duration, sometimes presenting subtly and other times as acute distress.

Recognizing Severe Angina and Its Implications

In more severe cases of coronary heart disease, patients may suffer from angina that feels like a heavy pressure or squeezing sensation in the chest. Some individuals describe it as a feeling of impending doom or a loss of breath that doesn't subside easily. These symptoms should be taken seriously, as they may indicate a higher risk of cardiac events.