Coronary Heart Disease Coronary heart disease primarily caused by abnormalities of myocardial blood flow due to coronary insufficiency due to atherosclerosis which is a degenerative process, in addition to many other factors. Therefore with increasing Indonesia human life expectancy, the incidence will increase and become an important disease, let alone often cause sudden death. (1) Seven types of heart disease is the most important: 1. Coronary heart disease (the cause of 80% of deaths caused by heart disease) 2. Heart disease due to hypertension (9%) 3. Rernatik heart disease (2-3%) 4. Congenital heart disease (2%) 5. Bacterial endocarditis (1-2%) 6. Syphilitic heart disease (1%) 7. Cor pulmonale (1%), 8. and others (5%) (4). Atherosclerosis is a condition of large and small arteries are characterized by the deposition of fat, platelets, macrophages and leukocytes in all layers of the tunica intima and eventually into the tunica media (5). It is known that atherosclerosis is not a continuous process, but rather a disease with a phase of stable and unstable phases are alternated. Changes in clinical symptoms are sudden and unexpected presumably related to plaque rupture, although the rupture is not always followed by clinical symptoms. Often the rupture recover soon, evidently this is how the process of plaque in progress. (3.6) Now atherosclerosis is no longer considered an aging process alone. The emergence of "fat spots" in the coronary artery wall is a natural phenomenon even since childhood and do not always have to be atherosclerotic lesions; there are many interrelated factors that may accelerate the atherogenic process. It has been known for some of the factors that increase the risk of coronary atherosclerosis in certain individuals.