Diets & Weight Loss

Thrombus

Blood clot

Question: Why might a thrombus in the anterior descending branch of the left coronary artery cause sudden death? Why might a thrombus in the anterior descending branch of the left coronary artery cause sudden death?

Answer: The anterior descending branch of the LCA supplies a good portion of the Left Ventricle of the heart. This chamber requires more blood flow than any of the other 3 chambers of the 4 chambered human heart. This is due to the fact that the left ventricle must pump blood through the entire systemic circulation before it returns to the right atrium/right ventricle to be sent through the pulmonary circulation (lungs). The left and right atria are less important than the ventricles in pumping blood. Because the left ventricle must generate so much more force than the right ventricle, it is much more sensitive to deoxygenation than the right ventricle. Oxygen is required for the heart muscle to "pump." Thrombus blocks the bloodflow to heart muscle cells (to a certain extent). The other way (and more likely to cause very sudden death) is through the LAD's function as blood supply to the IV septum, where cardiac pacemaker cells are. Cardiac pacemaker cells (of various types) link your atrial contractions with ventricular contractions so that the muscle contracts in a smooth, uniform, motion. Without oxygen delivery to these cells, the various parts of the heart may attempt to contract out of sequence (or maybe all at the same time), leading to the blood not actually being pumped out of the heart. It can also cause other thrombi to be released within the atrium as a result of the awkward pumping mechanism that the heart is not used to.

 


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