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what is the difference between myocardial infarction and heart attack.?
We often hear in news reports that some well-known person has died of a "heart attack" or a "cardiac arrest." Or worse, after the sudden death of a loved one, a doctor might use one of these two terms to describe the cause of death. Unfortunately, these terms often seem to be used almost interchangeably by news reporters (and even, disturbingly, by some doctors). They are two different things.

A heart attack, or myocardial infarction, occurs when a coronary artery (one of the arteries that supplies blood to the heart muscle) becomes suddenly blocked. The sudden blockage robs a portion of the heart muscle of its vital blood supply, and the muscle dies. So a heart attack is the death of a part of the heart muscle.

The sudden blockage of a coronary artery is usually caused by the rupture of a plaque in the artery. Plaque rupture can produce a variety of clinical conditions -- including heart attacks and unstable angina -- that are lumped together under the name acute coronary syndrome (ACS). All forms of ACS are medical emergencies, and they generally need to be treated with medications, angioplasty and stenting, or surgery to restore normal blood flow through the blocked artery. If blood flow can be restored within a few hours, permanent damage to the heart muscle can usually be minimized.

A cardiac arrest, in contrast, is caused by a sudden heart arrhythmia called ventricular fibrillation. In ventricular fibrillation, the electrical signals within the heart suddenly become completely chaotic. Because these electrical signals control the timing and the organization of the heartbeat, when those signals degenerate to total chaos, the heart suddenly stops beating. That is, it goes into "cardiac arrest." The most common outcome of a cardiac arrest is sudden death.


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