Heart Attack: Causes, Risks and Prevention

Heart attack, medically known as Myocardialirreversible death of the heart muscle supplied by
Infarction, is the sudden stoppage of the heartthat artery (myocardial infarction) and precipitates
due to death or damage to a large part of thea 'heart attack' i.e. the sudden stop of heart
heart muscles known as myocardium. It is widelybeat.Coronary heart disease, the commonest
acknowledged that heart related conditionsunderlying cause of heart attack, as with several
(cardiovascular diseases) are the number oneother cardiovascular conditions has been
cause of death and disability in the United Statesassociated with a number of risk factors;
and most parts of the civilized world, today. Andhowever, a family history of coronary heart
sudden death, from heart attack is by far thedisease appears to be one of the strongest risk
most common consequence of cardiovascularfactors. Also, men are more likely to suffer a
diseases.We have all seen someone, seeminglyheart attack than women, though after
healthy days or hours before, suddenly slump andmenopause, the risk of women approaches that
die. This is the kind of death or disability thatof men, especially with hormonal therapies, which
heart attack visits on its victims. Of the numeroustend to increase a woman's risk of CHD. Other
types of cardiovascular conditions, the one that isrisk factors include: Smoking, diabetes,
most likely to lead to a heart attack is what ishypertension, obesity (especially central or
known as Coronary Heart Disease (CHD) or morefemale-type obesity), a chronic sub-clinical lack of
appropriately, Coronary Artery Diseasevitamin C, elevated homocysteine levels, elevated
(CAD).Coronary arteries are the vessels (arteries)blood levels of asymmetric dimethylarginine and
that carry oxygen-rich blood to the heart musclesalso importantly, sedentary or inactive
or myocardium. So, as the name implies,lifestyle.Beside some factors which cannot be
Coronary Artery Disease is a condition thatcontrolled, such as hereditary and gender,
affects the coronary arteries (i.e. arteries of theprevention of CHD and hence, heart attack, is
heart). This condition is characterized by the slowusually achieved through the modification of risk
and gradual buildup of fatty deposits (fat streaks,factors. Leading an active life style with frequent
plaques or atheromatous streaks) in the walls ofexercise, cessation of smoking, maintaining a
the coronary arteries. Initially, these atheromatouslow-fat, low-calorie diet and decreasing blood
streaks/plaques expand into the walls of thecholesterol levels, especially Low density
arteries, but subsequently, they start building uplipoproteins (LDL) are crucial to preventing heart
and growing into the lumen of the affectedattack. Exercise and healthy diet have been
arteries, narrowing such arteries and obstructingshown to have profound effect on cardiovascular
blood flow. This is known as atherosclerosis.As therisks, although, cessation of cigarette smoking can
build up of the plaques continue, over the years,also profoundly reduce the risk of heart attack.It
the plaques increase in thickness and the degreeis important to note that despite the increasingly
of obstruction of blood flow to the heart musclesgrowing number of deaths recorded as a result of
becomes severe. Though, the buildup of theheart related conditions, cardiovascular diseases
plaques takes a very long time to completelycan still be prevented, or at least delayed, in most
occlude the lumen of an artery and result in heartcases, contrary to general beliefs. The increasing
attack, however, sudden rupture of a plaquenumber of deaths recorded in most western
usually speeds up the process. The rupture ofcountries is mainly due to unhealthy lifestyles; such
plaque activates the blood clotting system and theas smoking, lack of physical activity and unhealthy
clot-plaque interaction fills the lumen of sucheating habits; and worst still, the unwillingness to
artery to the point of sudden closure. Suchmodify these lifestyles in most individuals.
sudden occlusion of a coronary artery causes