B3.2.6—Coronary artery occlusion

Coronary artery occlusion reduces oxygen supply to heart muscle when atherosclerotic plaques, thrombosis or cholesterol-related narrowing restrict coronary blood flow.

Syllabus
First assessment 2025
Objective
B3.2.6
Level
HL

Exam analysis

Chance of appearing1%of analysed past papers
Latest appearanceMay 2018
Most common paperPaper1
Typical marks1

Common command terms

  • Outline

Scoring notes

Common mistake
Treating cholesterol correlation data as proof of direct causation.

Recent exam appearances

May 2018Paper1 ["HL"] · TZ26[ 1 ]B3.2.6—Coronary artery occlusion
Practice this objective

Coverage 2018–2018 · Updated 15 Jul 2026

Coronary Occlusion Starves Heart Muscle

Coronary artery occlusion interrupts oxygen delivery to cardiac muscle and can cause myocardial infarction: irreversible death of part of the heart muscle.

Endothelial damage can allow lipid-rich atheroma to develop beneath the artery lining. A plaque narrows the lumen, and rupture can activate platelets and fibrin formation, producing a thrombus that partly or completely blocks flow.

Reduced coronary flow causes ischaemia: aerobic ATP production falls while cardiac muscle continues to demand energy. Prolonged complete occlusion damages and kills the supplied tissue, impairing contraction.

Epidemiological data may show a positive correlation between a proposed risk factor and coronary disease. A correlation coefficient quantifies direction and strength, but confounding variables and study design must be considered.

Even a strong correlation does not by itself prove that one variable causes coronary occlusion. Distinguish gradual plaque narrowing from an acute thrombus after plaque rupture.

Coronary artery occlusion

Assessment in practice

1–2 marks
How it is assessed

This objective is assessed through structured response, commonly using Outline.

Command terms

Outline

What earns marks

Build the answer around this relationship: Coronary arteries supply oxygen to cardiac muscle.

Watch for

Treating cholesterol correlation data as proof of direct causation.

Representative question

Question 1

[Maximum number: 2]

Outline the causes and consequences of blood clot formation in coronary arteries.

Link Transport Structure To Function

Animal and plant transport answers should link structure to function. In animals, capillaries exchange, arteries maintain high-pressure flow, veins return low-pressure blood, pulse measures arterial pressure waves, and coronary occlusion blocks oxygen delivery to heart muscle. In plants, xylem transports water by transpiration tension and cohesion, while stem and root tissue plans show where xylem and phloem are arranged.

  • Blood vessel answers need structure plus pressure or exchange function.
  • Xylem answers need transpiration pull, cohesion, adhesion, lignin, pits, and hollow vessels when relevant.
  • Plant diagrams should identify tissue distribution: stem vascular bundles in a ring, root xylem cross with phloem between arms.

Concept essentials

  • Coronary arteries supply oxygen to cardiac muscle.
  • Atherosclerotic plaques can narrow arteries and reduce blood flow.
  • Plaque rupture may trigger thrombosis and coronary occlusion.
  • Oxygen deprivation can kill cardiac muscle tissue.