Heart attack
A heart attack—also called myocardial infarction or MI—occurs when an area of heart muscle is completely deprived of blood, and the heart muscle cells die.
A heart attack may result when plaque inside the heart arteries breaks open or ruptures, forming a clot that significantly blocks blood flow through the artery.
A plaque is made up of cholesterol, white blood cells, calcium, and other components, and it is surrounded by a fibrous cap. This fibrous cap may tear or rupture if blood suddenly flows faster, or the artery suddenly narrows. A tear or rupture signals the body to repair the injured artery lining, much as it might heal a cut on the skin, by forming a blood clot to seal the area. A blood clot that forms in an artery can completely block blood flow to the heart muscle and cause a heart attack.
The pain of a heart attack often occurs with other symptoms, including:
- Chest discomfort or pain that may be crushing or squeezing or may feel like a heavy weight on the chest.
- Chest discomfort or pain that occurs with:
- Sweating.
- Shortness of breath.
- Nausea or vomiting.
- Pain that spreads from the chest to the neck, the jaw, or one or both shoulders or arms.
- Dizziness or lightheadedness.
- A fast or irregular heartbeat.
- Loss of consciousness.
The pain of a heart attack usually will not go away with rest.
It is important to recognize the early stages of a heart attack and to seek emergency care. Medical treatment is needed to prevent death. Sometimes medicines can be given to reduce the damage to the heart muscle caused by a heart attack.
Credits
| Author | Jeannette Curtis |
| Author | Caroline Rea, RN, BS, MS |
| Editor | Kathleen M. Ariss, MS |
| Editor | Susan Van Houten, RN, BSN, MBA |
| Associate Editor | Tracy Landauer |
| Associate Editor | Pat Truman |
| Primary Medical Reviewer | Patrice Burgess, MD - Family Medicine |
| Primary Medical Reviewer | Adam Husney, MD - Family Medicine |
| Primary Medical Reviewer | Kathleen Romito, MD - Family Medicine |
| Last Updated | May 25, 2007 |
| Last updated: | May 25, 2007 |
|---|---|
| Author: | Caroline Rea, RN, BS, MS |
| Reviewed By: | Kathleen Romito, MD - Family Medicine |
| Editors: | Susan Van Houten, RN, BSN, MBA, Pat Truman |
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