Ischemic heart disease is caused by narrowing of the coronary arteries due to plaque buildup, reducing blood flow and oxygen to the heart. It can cause chest pain, heart attack, or heart failure. Risk factors include diabetes, family history, high cholesterol, smoking, and obesity. Treatment involves medications to manage symptoms, open blocked arteries through angioplasty or stents, or bypass surgery. Lifestyle changes like exercise, diet, quitting smoking, and controlling diabetes and cholesterol can also help.