Munson Health
Conditions InDepth: Coronary Artery Disease (CAD)

Back to Document

by Badash M

CAD Causes

Atherosclerosis is the most common cause of CAD. It is the narrowing of blood vessels due to a build up of a waxy substance, called plaque, on the walls of the blood vessels. The plaque is made in reaction to injury of the blood vessel walls and/or from substances in the blood. Patches develop over areas of injury on the blood vessel walls to help them heal. Substances in the blood like LDL "bad" cholesterol and glucose can get trapped in these patches and remain even after the injury has healed. Over time, more substances can get trapped in this patch and form plaque. The plaque is irritating to the blood vessel walls which causes more injury and creates a cycle that develops more plaque. The plaque growth continues to narrow the blood vessel opening.
Damage to blood vessels can occur from multiple factors such as:
  • High blood pressure—causes turbulent blood flow that can injure the walls of blood vessels
  • High cholesterol—"bad" cholesterol can stick to and irritate the walls of the blood vessels
  • Diabetes—excess glucose in the blood can contribute to plaque build up in blood vessels
  • Smoking—chemicals from cigarette smoke can irritate blood vessel walls and make deposits in the walls of blood vessels
  • Radiation therapy
Blocked Coronary Artery
Animated image of person doing free weight biceps curl
Copyright © Nucleus Medical Media, Inc.


Angina—chest pain. American Heart Association website. Available at: Updated April 15, 2013. Accessed January 27, 2014.

Coronary artery disease (CAD). EBSCO DynaMed website. Available at: Updated December 16, 2013. Accessed January 27, 2014.

What is coronary heart disease? National Heart, Lung, and Blood Institute website. Available at: Updated August 23, 2012. Accessed January 27, 2014.


Revision Information