Ischemic heart disease is a condition where the heart does not receive enough blood. The heart is a muscle that requires nutrients and oxygen. These are supplied by blood that travels through tubes or vessels called the “coronary arteries”. When these tubes become damaged or clogged, limiting the blood flow to the heart, a patient can develop ischemic heart disease. This leads to symptoms of chest pain and shortness of breath, and when the arteries are completely blocked, a patient may have a heart attack. A physician can diagnose ischemic heart disease with a physical exam and by asking questions, but will often also use blood tests, stress tests, or imaging, such as an x-ray. Ischemic heart disease can be managed with healthy life style changes, medication, and, if needed, surgery.