!Blood Vessels - Coronary Arteries
!!Anatomy:
The coronary circulation is the circulation of ((Circulatory - Blood|blood)) in the blood vessels that __supply blood to and from the heart muscle__ itself. Although blood fills the ((Circulatory - Myocardium - Ventricles|chambers)) of the heart, the muscle tissue of the heart or myocardium is so thick that it requires coronary blood vessels to deliver blood deep into it. The vessels that deliver oxygen-rich blood to the myocardium are known as coronary arteries. ((Circulatory - Coronary Veins (intima)|cardiac veins)) are vessels that remove the deoxygenated blood from the heart muscle. The coronary arteries that run on the surface of the heart are called epicardial coronary arteries. These arteries are capable of __auto regulation to maintain coronary blood flow__ at levels appropriate to the needs of the heart muscle.

There are two main coronary arteries: 
*The __left main coronary artery__ supplies blood to the left ((Circulatory - Myocardium - Ventricles|ventricle)) and left ((Circulatory - Myocard - Atria|atrium)), the anterior part of the cardiac septum and part of the anterior wall of the right ventricle. 
*The __right main coronary artery__ supplies the right atrium and ventricle, the posterior part of the cardiac septum, the sinus and AV nodes, and part of the posterior wall of the left ventricle.

Additional arteries branch off the left main coronary artery to supply the left side of the heart muscle with blood. The coronary arteries that run deep within the myocardium are referred to as subendocardial. The coronary arteries are classified end circulation since they represent the only source of blood supply to the myocardium: there is very little redundant blood supply which is why blockage of these vessels can be critical.  

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!!Brain
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{img fileId="355" thumb="box"}insular cortex, graphic: wikipedia, Henry Gray

!!!Relay:
A) __Cerebral Cortex__/Plexus Cardiacus ( - / + ) for intima and AV node stimulation
{img fileId="125" thumb="box"} Cut through cerebral cortex insular region, coronary arteries intima at "3 o´clock"

B ) __Cerebral Medulla__/Plexus Cardiacus ( - / + ) for vessel walls/connective tissue
{img fileId="175" thumb="box"}heart region in central area, brain-organ-relation uncrossed!

C) __Midbrain__/Plexus Cardiacus (+/0) for muscle layer 
compare __Brain Stem__ {img fileId="190" thumb="box"} heart relay in central area, brain-organ relation crossed!

!!Mind
!!!Theme
Conflict nuances:

A1) CC: Loss of territory/status (male perception): can be family-related, sexually-related or profession-related

A2) CC: Sexual frustration/not feeling loved (feminine perception) or sexual conflict

B ) MB: Supply for survival (blood-"chunk"-transport)

C) CM: Self-esteem, Autonomy, Pride

!!!Emotions and Thoughts
A1) CC: __Indignation, panic, hate__
*My domain has been invaded. 
*They took my place! 
*I have to fight for my status!
*He stole my woman.
*It's over for me. 
*My life lost it's meaning.

A2) CC: __Jealousy or self-abandonment__
*I gave up my heart
*Why doesn't he want me?
*You don't love me anymore.
*My life has lost it's meaning.
*I'm just a sex object for him.
*I am defiled.

B ) MB: __Panic__
*The heart must get oxygen!

C) CM: __Worry__
*Do I do enough for my heart?
*Can my heart do it?

!!!META-Meaning
Now I can decide to open up for being free.
Now I can decide to open up for feeling the true meaning of love.
I totally love and accept myself as I am.

!!Organ
The brain relay is shared with the mucosa in ((Reproductive - Seminal Duct, Prostate Ducts, Seminal Vesicle|prostate ducts, seminal vesicle & duct)), as well as the penal and clitoral libido.

__Sensitivity change __
*in __coronary arteries__ according to IS with __hyperesthesia in stress phase__
*in seminal ducts and __libido__ according to OS wth __hyperesthesia in regeneration phase__.

!!!Stress Phase Symptoms
Elevated blood flow and pressure due to smooth muscle relaxation in the coronary arteries, possibly followed by ulceration of the intima of the vessel walls. Typical symptoms are __shooting heart pain__, chest tightness (__angina pectoris__) and possibly a depressive state (see constellations). __Bradycardia__ and extrasystoles are possible

In case of a sexuality-related theme, testosterone level decreases which leads to indecisiveness and __depressive states__. Simultaneously in men, ulcers can appear in seminal gland intima or prostate duct, which affects the potency and fertility of the man. Depending on the conflict’s intensity the patient may experience erectile dysfunction, infertility or other disorders of potency. The penal excitability (clitoral in women) is reduced.

!!!Regeneration Phase A
Typical symptoms are a painless swelling of the intima of the coronary arteries (stricture of the arteries /__stenosis__), and a cerebral periinsular edema in regeneration phase A. The tissue repair uses cholesterol, therefore elevated levels appear. Due to the development of collateral coronary circulation by anastomose, the blood supply of the heart can usually be maintained. [http://www.wrf.org/alternative-therapies/g-strophantin-heart-disease.php|Source] .

!!!Healing Peak
The healing peak, which happens latest 3-6 weeks after conflict resolution, can show __bradycardia possibly up to cardiac arrest__, together with  loss of consciousness, dizziness, heart pain, headache and loss of balance. Nevertheless, in cases of lower impact it often goes unnoticed!

The main reason for these type of heart attack symptoms is the edema in the peri-insular area of the brain being “squeezed out” in the healing crisis. Due to brain regulation, there is a higher incidence of cardiac dysrhythmias (ventricular escape rhythm, bradycardia, sinus arrhythmia, under certain circumstances __cardioplegia__).The smooth muscles in coronary arteries often react with __seizures__. Patients often experience suspended animation with ca. 3-4 beats/minute and shallow breathing.

!!!Regeneration Phase B
After the healing peak, ventricular frequency normalizes and the damages to vessel walls repair with scar tissue. The scarring of coronary arteries through recurring conflicts can intensify the symptoms of angina pectoris

!!!Biological Meaning
Dilatation and muscle tonus of the coronary arteries during the stress phase are meant to provide better blood supply for the myocardium, and thereby better performance of the organism to re-gain his territory.
It is obvious that these changes are meant for a short duration or an emergency situation. The organism is not cut out for permanent high performance. Therefore, these reactions cannot be sustainable strategies!.

!!!Examples
__Loss of territory/status:__
*The wife separates from the man (possibly she has another lover)

*A dismissal from work

*Having a new supervisor at work

*Formerly, there was only one family physician in the village, but now, there are two more doctors. Depending on the individual’s personality, it can be experienced as an existential angst.

__Sexual frustration conflict or loss of love:__
*Parents tell their child that he was an unwanted baby

*A woman has been raped throughout her childhood. She later has nymphomanic tendencies but gets no children of her own. (Klapp)

*A woman is left by her lover for another woman. Her heart symptoms trigger worry about her health, resulting in pericardium reactions. (Klapp)

!!Additional Information
__Warning__: When this type of conflict is constantly stress-active during __more than 9 months__, the conflict mass might be so big that the healing peak may __kill the person__. This is often prevented by adopting a territorial constellation (see below) which keeps the conflict mass (and physical symptoms) on a lower level.

!!!Possible Constellations
__Death-Seeking__: together with ((Circulatory - Coronary Veins (intima)|Coronary Veins)) relay. __Interest in death__ and afterlife. Fearlessness, giving oneself up for a greater purpose. Suicidal thoughts and risk of suicide in mania. __Positive: Unconditional love__
{img fileId="229" thumb="box"}
If together with aggressive constellation, possibly suicidal assassin.

__Nymphomania__: together with ((Circulatory - Coronary Veins (intima)|Coronary Veins)) relay, if both conflicts had a sexual theme. __Flirting__ and constant attraction of transitory lovers. Frigidity and often reduced potency.__Positive: Unconditional love__.
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These schizophrenic constellations show manic, depressive or bipolar moods, depending on conflict impact and hormone affection: 
*impact left hemisphere= reduced oestrogen release, mania; 
*impact right hemisphere: reduced androgen release, depression
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!!!Differentiation of coronary heart disease and myocardial infarction
The coronary vessels supply the cardiac muscle and thereby influence it's reaction. Therefore, in long-termed territorial loss conflicts, the heart muscle will be weakened. However, there are myocardial infarctions that show no obstruction of blood vessels. These are due only to overwhelm and performance regarding supporting another person (compassion). A myocardial infarction of the right heart leads to spontaneous elevation of blood pressure by compensatory mechanism. When the left heart is affected, blood pressure falls. __In a coronary infarction, blood pressure does not change obviously__.

Myocardial changes may result in the development of ((Circulatory - Myocardium - Ventricles|heart insufficiency)).

!!!Differential Diagnosis:
__((Circulatory - Coronary Veins (intima)|Coronary Veins))__ (Cerebral Cortex, Plexus Cardiacus, -/+) with painful angina pectoris in the stress phase (loss of love/rank); and absence, tachycardia or ventricular fibrillation in the regeneration phase

__((Circulatory - Endocardium and Heart Valves|Endocardium))__ (Cerebral Medulla, Plexus Cardiacus, -/+) with reduced heart performance due to valve insufficiency in stress phase (performance self-devaluation), painful endocarditis in regeneration phase

__((Circulatory - Myocardium - Ventricles|Myocardium/Ventricular))__ (Cerebral Medulla, Plexus Cardiacus, -/+) with reduced heart performance due to local paralysis in the stress phase (overwhelm/support), myocardium infarction in healing peak

__((Circulatory - Myocard - Atria|Myocardium/Atrium)) __(Midbrain, Plexus Cardiacus, +/0) with atrial tachycardia and fibrillation in regeneration phase (after overwhelm/survival)

__((Circulatory - Pericardium and Epicardium|Pericardium))__ (Cerebellum, Plexus Cardiacus, +/-) with feeling of pressure or “armored heart” in stress phase (protection of the heart), cardiac insufficiency due to effusion in regeneration phase
