Hard6 marksExtended Response
OrganisationHighercoronary heart diseaserespirationheart attack

AQA GCSE · Question 02.8 · Organisation

Explain the effect of a partly blocked coronary artery on the human body.

How to approach this question

Structure your answer as a cause-and-effect chain: 1. What is the immediate effect of the blockage on blood flow? 2. What substances are carried in the blood that are vital for muscle cells? 3. What process in the cells requires these substances? 4. What is the consequence of this process being reduced? 5. What are the symptoms or medical events that can result from this?

Full Answer

The coronary arteries are the blood vessels that supply the heart muscle itself with oxygen and glucose. 1. **Reduced Blood Flow:** A blockage (caused by a build-up of fatty material, called an atheroma) narrows the lumen of the artery, restricting blood flow to the cardiac (heart) muscle. 2. **Reduced Supply of Reactants:** This means the heart muscle cells receive less oxygen and glucose. 3. **Impact on Respiration:** Oxygen and glucose are the reactants for aerobic respiration. With a reduced supply, the rate of aerobic respiration in the heart muscle cells decreases. 4. **Energy Deficiency:** Since aerobic respiration is the process that releases energy (in the form of ATP), less energy is available for the heart muscle to contract. 5. **Consequences:** To compensate, the heart muscle may start to respire anaerobically. This is less efficient and produces lactic acid, which can cause chest pain (angina). If the artery becomes completely blocked by a blood clot forming on the atheroma, the cells are completely starved of oxygen and will die. This is a heart attack (myocardial infarction) and can be fatal.

Common mistakes

✗ Confusing coronary arteries with other blood vessels like the aorta or pulmonary artery. ✗ Simply stating "it causes a heart attack" without explaining the biological sequence of events leading to it. ✗ Forgetting to mention respiration as the key process that is affected.

Practice the full AQA GCSE Biology Higher Tier Paper 1

52 questions · hints · full answers · grading

More questions from this exam