Page Title Tag "Myocardial
Infarction"
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Myocardial infarction (MI) is usually caused by a blood clot in
a heart (coronary) artery. Phone for medical help immediately
if you develop severe chest pain. A 'clot busting' drug should
be given as soon as possible to prevent damage to heart muscle.
Also, other treatments help to ease the pain and prevent
complications. Reducing risk factors can help to prevent an
MI.
Myocardial infarction (MI) means that part of the heart muscle
suddenly loses it's blood supply. Without prompt treatment,
this can lead to damage to the affected part of the heart. An
MI is sometimes called a heart attack or a coronary
thrombosis.
The heart is mainly made of special muscle. The heart pumps
blood into arteries (blood vessels) which take the blood to
every part of the body. Information on Embolism and heart
attack. Like
any other muscle, the heart muscle needs a good blood
supply. The coronary arteries take blood to the heart
muscle. The main coronary arteries branch off from the
aorta. (The aorta is the large artery which takes
oxygen-rich blood from the heart chambers to the body.)
The main coronary arteries divide into smaller branches
which take blood to all parts of the heart muscle.
If you have an MI, a coronary artery or one of it's smaller
branches is suddenly blocked. The part of the heart muscle
supplied by this artery loses it's blood (and oxygen) supply.
This part of the heart muscle is at risk of dying unless the
blockage is quickly undone. (The word 'infarction' means death
of some tissue due to a blocked artery which stops blood from
getting past.)
If one of the main coronary arteries is blocked, a large part
of the heart muscle is affected. If a smaller branch artery is
blocked, a smaller amount of heart muscle is affected. In
people who survive an MI, the part of the heart muscle that
dies ('infarcts') is replaced by scar tissue over the next few
weeks.
The common cause of an MI is a blood clot (thrombosis) that
forms inside a coronary artery, or one of its branches. This
blocks the blood flow to a part of the heart.
Blood clots do not usually form in normal arteries. However, a
clot may form if there is some atheroma within the lining of
the artery. Atheroma is like fatty patches or 'plaques' that
develop within the inside lining of arteries. (This is similar
to water pipes that get 'furred up'.) Plaques of atheroma may
gradually form over a number of years in one or more places in
the coronary arteries. Each plaque has an outer firm shell with
a soft inner fatty core.
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