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Coronary heart disease (CHD), also known as coronary artery disease (CAD) or ischemic heart disease, is the most common type of heart disease. It occurs when plaque, made of cholesterol and other substances, builds up in the coronary arteries, narrowing them and reducing blood flow to the heart muscle. This plaque buildup is called atherosclerosis. If blood flow is significantly blocked, it can lead to a heart attack. CHD can also lead to abnormal heart rhythms or heart failure over time.
Common symptoms
Chest pain or discomfort (angina), which may feel like squeezing, pressure, heaviness, tightening, burning, or aching across the chest. Angina often occurs during physical activity or emotional distress and usually subsides with rest or medication.
Shortness of breath (dyspnea), sometimes during light physical activity.
Weakness, light-headedness, nausea, or a cold sweat (often associated with a heart attack).
Pain or discomfort in the arms or shoulder (often associated with a heart attack).
Unexplained fatigue.
Heart palpitations or abnormal rhythms.
Possible causes
Atherosclerosis: Plaque buildup (fats, cholesterol, and other substances) in the coronary arteries.
High LDL ("bad") cholesterol.
Low HDL ("good") cholesterol.
High triglycerides (hypertriglyceridemia).
High blood pressure.
Smoking, vaping, or other tobacco use.
Diabetes or insulin resistance.
Obesity or a body mass index (BMI) higher than 25.
Physical inactivity.
Unhealthy diet, especially one high in saturated fat, refined carbohydrates, trans fats, and sugar.
Family history of heart disease, particularly if a parent, sibling, or child developed it at an early age (before 55 for father/brother, before 65 for mother/sister).
Chronic kidney disease.
Autoimmune diseases, including lupus and rheumatoid arthritis.
HIV/AIDS.
Metabolic syndrome.
Ayurvedic perspective
In Ayurveda, heart disease, broadly termed 'Hridroga,' is understood as a manifestation of systemic doshic imbalance, primarily involving Vata, Pitta, and Kapha. These imbalances disrupt the Srotas (channels), impair Agni (digestive fire), and lead to the accumulation of Ama (toxic metabolic by-products). The heart (Hridaya) is considered not just a pumping organ but the seat of consciousness, mind, vitality (Ojas), and nutritive fluids (Rasa Dhatu). Coronary heart disease is often specifically referred to as 'Krimija Hrida Roga' in some Ayurvedic texts, describing interference in the supply of oxygen-rich blood to the heart due to plaque formation, leading to narrowing and blockage of arteries. Another concept, 'Dhamani Pratichaya,' is correlated with atherosclerosis, where accumulation of Kapha dosha and Medas (lipids) in the arteries causes obstruction (sanga), affecting Vyana Vata responsible for circulation. This condition is seen as a Kapha-dominant Hridroga in its initial stages. 'Hrudshoola' (angina) is recognized as a symptom of coronary artery disease. Chronic stress, improper diet, sedentary lifestyle, and sleep deprivation are primary contributing factors leading to Ama accumulation, lipid disorders (Medo Dushti), and disturbance of Vata and Ojas.
Ayurvedic herbs
Arjuna (Terminalia arjuna): Foremost cardiotonic, strengthens heart muscles, lowers blood pressure, improves circulation, and acts as a rejuvenative.
Guggulu (Commiphora mukul): Exhibits lipid-lowering and anti-inflammatory effects, effective in atherosclerosis and hyperlipidemia.
Tulsi (Holy Basil): Brings warmth and nourishment to the thoracic cavity, and is said to open the heart.
Cinnamon: Used for cardiovascular diseases and high blood pressure due to its anti-inflammatory and blood sugar control properties.
Ginger: Supports circulation, kindles Agni, destroys toxins, clears excess Kapha, and can help lower blood pressure.
Turmeric (Curcuma longa): Known for its anti-inflammatory properties.
Triphala (Haritaki, Amalaki, Bibhitaki): Helps reduce high cholesterol and prevent arterial plaque.
Pushkarmoola (Inula racemosa): Used for angina (Vatika Hridroga).
Dosha imbalance
Vata
Pitta
Kapha
Lifestyle tips
Practice Nidana Parivarjana, which means eliminating causative factors such as improper diet, eating before the previous meal is digested, sedentary lifestyle, excessive physical strain, suppression of natural urges, and psychological stress (fear, grief, anger).
Maintain a healthy lifestyle (Dinacharya) and follow seasonal routines (Ritucharya).
Engage in regular physical activity, avoiding a sedentary lifestyle. Exercise during Kapha hours (6-10 AM/PM) at 50-70% capacity, breathing through the nostrils throughout.
Incorporate Yogic practices such as Bhujangasana (cobra pose), Tadasana (mountain pose), Shavasana (relaxation pose), Locust, Bridge, Cow Face, Bow, Cobra, Seated Forward Bend, or Tree Pose.
Practice stress management techniques including daily morning meditation (15-20 minutes), Pranayama (breathing exercises like Anulom Vilom and Nadi Shodhana), mindful movement (Tai Chi, gentle yoga), and nature walks.
Ensure adequate and quality sleep by sleeping during Kapha hours (6-10 PM), maintaining consistent sleep-wake cycles, eating a light dinner 2-3 hours before bed, practicing Pranayama before bedtime, and avoiding electronic devices one hour before sleep.
Maintain regular bowel movements.
Avoid alcohol intake and smoking.
Monitor blood pressure, cholesterol levels, blood sugar, and weight regularly for early detection and intervention.
