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welcome back to Mayo Clinic radio Im dr. Tom shives but Im Tracy McCray Tracy as you know there are millions of people in this country with heart disease in fact its the number one killer of both men and women in the US and the majority of those people have CA D or coronary artery disease and thats when the major blood vessels that supply the muscles of your heart they supply blood they supply nutrients they supplied a supply oxygen and when they become damaged or diseased its called coronary artery disease and that of course is usually the result of cholesterol containing deposits called plaque along with a little information inflammation and it is a process that we know as atherosclerosis when the plaque builds up it narrows your coronary arteries and that decreases the blood flow to your heart eventually that can cause symptoms that you might recognize chest pain shortness of breath a complete blockage can even cause a heart attack we know theres lots of things that you can d