Ischemic heart disease involves a reduced blood supply to the heart muscle. Angina pectoris is a type of ischemic heart disease and causes chest pain or discomfort due to coronary heart disease. Angina occurs when the heart muscle does not receive enough blood, usually because the heart's arteries are narrowed or blocked. Risk factors for angina include age, family history of heart disease, high blood pressure, high cholesterol, diabetes, obesity, stress, tobacco use, and lack of exercise.