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Myocardial ischemia, reduction of blood flow, develops when the coronary circulation is inadequate to supply myocardial oxygen demands.

Coronary atherosclerosis is the most frequent process involved in impaired myocardial perfusion.

Disorders of the coronary arteries are the most common cause of death in affluent countries, affecting more than one million Americans each year.

The development of ischemia depends upon the: The three major clinical manifestations of myocardial ischemia are: angina pectoris, myocardial infarction, and sudden cardiac death.

Angina pectoris (chest pain) is a clinical syndrome resulting from transient and reversible ischemia.

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