Recognizing the symptoms of narrowed heart blood vessels early is crucial, as this condition is closely related to coronary artery disease—a disorder caused by plaque buildup in the coronary arteries. Common symptoms include chest pain (angina), shortness of breath, fatigue, and discomfort that may radiate to the arms, neck, or jaw. If left untreated, the narrowing can worsen and eventually lead to complete blockage, triggering a life-threatening heart attack.
To manage this condition, Mandaya Royal Hospital Puri is supported by a team of cardiologists with subspecialty training in interventional cardiology, experienced in diagnosing and treating coronary artery disease.
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Symptoms of Narrowed Heart Blood Vessels
Symptoms may appear when the heart does not receive enough oxygen-rich blood. These may include:
- Chest pain (angina), which may feel like pressure, tightness, squeezing, heaviness, or discomfort, often in the center or left side of the chest. It can be triggered by physical activity or emotional stress. In some individuals, especially women, the pain may spread to the neck, arms, or back.
- Shortness of breath, or a feeling of not getting enough air.
- Fatigue, due to the heart’s reduced ability to pump enough blood to meet the body’s needs.
In the early stages, symptoms may not be noticeable and often appear only when the heart is working harder, such as during exercise. Over time, symptoms may become more frequent and severe.
If a coronary artery becomes completely blocked, it can lead to a heart attack. Common symptoms include:
- Chest pain or discomfort that feels like pressure, tightness, squeezing, or aching
- Pain spreading to the shoulder, arm, back, neck, jaw, teeth, or upper abdomen
- Cold sweats
- Fatigue
- A burning sensation in the chest (heartburn)
- Nausea
- Shortness of breath
- Dizziness or lightheadedness
Chest pain is the most common symptom of a heart attack. However, in some individuals—such as women, the elderly, or people with diabetes—symptoms may be atypical, such as nausea or brief pain in the neck or back. Some people may even experience a heart attack without noticeable symptoms.
Causes of Narrowed Heart Blood Vessels
Narrowing of the heart’s blood vessels in coronary artery disease occurs due to the buildup of fats, cholesterol, and other substances on the artery walls. This condition is known as atherosclerosis. The buildup forms plaque, which can narrow the arteries and restrict blood flow. In some cases, plaque can rupture and lead to blood clot formation.
Factors that contribute to atherosclerosis and coronary artery disease include:
- Diabetes or insulin resistance
- High blood pressure (hypertension)
- Lack of physical activity
- Smoking or tobacco use
Doctors Who Treat Coronary Artery Disease at Mandaya Royal Hospital Puri
Coronary artery disease can be treated by cardiologists with subspecialty expertise in interventional cardiology. These specialists are trained to manage heart and blood vessel conditions using minimally invasive procedures. In practice, they may use techniques such as catheterization, balloon angioplasty, and stent (ring) placement to open narrowed coronary arteries and restore blood flow to the heart.
Here are some interventional cardiology specialists you can find at Mandaya Royal Hospital Puri:
1. dr. Amir Aziz Alkatiri, Sp.JP (K), FIHA, FSCAI
dr. Amir Aziz Alkatiri, Sp.JP (K), FIHA, FSCAI is a cardiologist specializing in interventional cardiology. He completed his medical education at the Faculty of Medicine, University of Indonesia, followed by cardiology training at the University of Indonesia and the National Cardiovascular Center Harapan Kita, Jakarta. He further enhanced his expertise through a fellowship in interventional cardiology at the National Heart Institute, Kuala Lumpur, Malaysia.
He is experienced in modern cardiac procedures such as coronary angiography and stent placement (PCI), as well as imaging techniques like IVUS and OCT. He also performs advanced procedures including IFR, rotablator, alcohol septal ablation for HOCM, and structural heart interventions.
Practice schedule:
- Tuesday: 5:00 PM – 8:00 PM
- Saturday: 9:00 AM – 12:00 PM
2. dr. A. Sunarya Soerianata, Sp.JP (K), FIHA
dr. A. Sunarya Soerianata, Sp.JP (K), FIHA is a cardiologist trained at the University of Indonesia. He has also participated in international training programs, including cardiothoracic critical care at St. Vincent Hospital, Sydney, and invasive and interventional cardiology at Royal Perth Hospital, Australia.
He has extensive experience in cardiac procedures such as coronary angiography and stent placement (PCI), as well as permanent pacemaker implantation, vascular imaging (IVUS and OCT), and procedures like Balloon Mitral Valvotomy (BMV).
Practice schedule:
- Tuesday: 9:00 AM – 12:00 PM
- Thursday: 9:00 AM – 12:00 PM
3. dr. Abhirama Nofandra Putra, Sp.JP (K)
dr. Abhirama Nofandra Putra, Sp.JP (K) completed his medical degree at the Faculty of Medicine, University of Indonesia in 2011 and his cardiology specialization at the National Cardiovascular Center Harapan Kita in 2019. He also pursued advanced training in interventional cardiology at Renji Hospital, affiliated with Shanghai Jiaotong University School of Medicine in 2025.
In clinical practice, he handles a wide range of cardiac diagnostics and procedures, from basic tests such as EKG and stress tests to advanced procedures like cardiac catheterization, coronary angiography, stent placement, and electrophysiology. He is also experienced in cardioversion, temporary pacemaker insertion, and pericardiocentesis.
Practice schedule:
- Monday: 9:00 AM – 3:30 PM
- Tuesday: 9:00 AM – 3:30 PM
- Wednesday: 9:00 AM – 12:00 PM
- Thursday: 9:00 AM – 3:30 PM
- Friday: 9:00 AM – 3:30 PM
- Saturday: 1:00 PM – 3:00 PM
4. dr. Stefanus Andy Wiyono, Sp.JP (K), FIHA
dr. Stefanus Andy Wiyono, Sp.JP (K), FIHA is a cardiologist who trained at the Faculty of Medicine, Diponegoro University. He further expanded his expertise internationally, including at Erasmus Medical Centre Rotterdam, the Netherlands, and in interventional cardiology at Leuven University Hospital.
He is skilled in various diagnostic and interventional cardiac procedures, including cardiac catheterization, coronary angiography, and stent placement (PCI). He also specializes in cardiac imaging techniques such as IVUS and OCT, as well as physiological studies like IFR and FFR. Additional services include echocardiography, electrophysiology, cardiac rehabilitation, and advanced diagnostics such as TEE and stress testing.
Practice schedule:
- Monday: 3:00 PM – 6:00 PM
- Tuesday: 4:00 PM – 6:00 PM
- Thursday: 3:00 PM – 6:00 PM
- Friday: 3:00 PM – 6:00 PM
To make your visit to Mandaya Royal Hospital Puri more convenient, you can use the WhatsApp Chat feature, book an appointment, or download the Care Dokter app via Google Play or the App Store to check queue numbers and access other important information.
The information provided on this page is intended for general educational purposes and may not represent the full scope of medical services offered by each doctor. For appropriate diagnosis and treatment, it is recommended to consult directly with a healthcare professional.
If you have any questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.
