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Heart Attack/Myocardial Infarction

Aug 20th 2008

There are more than a million heart attacks every year in the United States and as many as half of those having a heart attack will die before seeking medical attention.  Additionally, a large number of those experiencing heart attacks have no prior knowledge of any type of heart disease and have experienced no symptoms previously suggesting the presence of heart disease. Many have none of the “traditional” risk factors for heart disease.

 A heart attack is the term utilized to describe a condition in which the blood supply to the heart muscle is completely interrupted.  This results in the initiation of damage to the heart muscle.  If the blockage is not quickly relieved, this can result in permanent damage to the heart muscle, essentially, to that part of the heart muscle supplied by the blocked artery.  Generally, it is felt that irreversible damage begins to occur within 20 minutes of complete interruption of blood flow.  However, the amount of damage is progressive and in general the greater the amount of time between the interruption of blood flow and the restoration of blood flow, the greater the amount of damage and the less the chance that the damage is reversible.  If the heart muscle is irreversibly damaged, the heart in general is left weakened, and if this is severe enough, a patient is left with a condition called “heart failure"  An acute complication of a heart attack includes arrhythmias, some of which are sudden and cause immediate death.  Arrhythmias can continue to be a potential complication months or years later.  Occasionally, the electrical system of the heart is damaged resulting in slow heartbeats and the requirement for a pacemaker

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