The coronary arteries deliver blood to the heart muscle, providing a continuous supply of oxygen and nutrients needed for it to stay healthy and function normally.
The coronary arteries regulate the supply of blood to your heart muscle depending on how much oxygen your heart needs at the time, as indicated by:
The harder the heart has to work to pump blood, the more oxygen it needs. For example, when you exercise, your heart rate and blood pressure increase, which in turn increases your heart's demand for oxygen.
The main way to increase the oxygen supply to the heart is to increase the blood flow through the coronary arteries. Your heart increases the blood flow by widening (dilating) your coronary arteries.
If your coronary arteries aren't able to dilate properly, your heart muscle may not be able to get the amount of oxygen it needs to function properly.
Your left ventricle pumps blood into the main artery of your body, called the aorta. See a picture of the heart and coronary arteries. Close to the heart, the two main coronary arteries branch off of your aorta.
The coronary arteries also include the collateral coronary arteries, small blood vessels that connect the normal coronary arteries with one another. When the heart is healthy, these vessels play only a minor role. When a coronary artery becomes obstructed, though, collateral coronary arteries help increase the flow of blood to the area of the heart that is being deprived of blood flow. These vessels, although small, may actually succeed in providing sufficient blood to help prevent major damage to the heart muscle during a heart attack.
When the heart doesn't get enough oxygen-rich blood through the coronary arteries, the affected heart muscle can weaken or die. This is what happens during a heart attack. The damaged heart muscle cannot pump effectively, leading to heart failure.
|Primary Medical Reviewer||Rakesh K. Pai, MD, FACC - Cardiology, Electrophysiology|
|Specialist Medical Reviewer||Robert A. Kloner, MD, PhD - Cardiology|
|Last Revised||April 6, 2012|
Last Revised: April 6, 2012
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