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Heart attack, blocked blood vessels, irregular heart beat, cause? - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Valvular Heart Disease
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3385 Questions
Doctor :   Hi
Doctor :   I am
Doctor :   Please proceed with your query
Doctor :   Please go ahead with your query
User :   Am back with another query!
Doctor :   Please Go ahead
User :   what may be the cause of a severe heart attack?
Doctor :   There are many reasons, Most commonly because of blocked blood vesels in the heart due to high cholesterol
User :   What defines the intensity of the heart attack?
Doctor :   Sometimes, sudden heart attacks happen due to reduced blood supply to the heart muscles
Doctor :   It depends on various factors
Doctor :   Like
Doctor :   Onset of chest pain
Doctor :   Number of arteries that are blocked
Doctor :   History of previous attacks
Doctor :   Co-existing medical conditions like Diabetes
User :   is there anything else besides cholesterol that may block the arteries?
Doctor :   Most important is time lag between onset of symptoms and receiving medical attention
Doctor :   Sudden embolism of fat or air from any other part of the body can also cause heart attack
Doctor :   In young individuals, Arrhythmia is another cause
User :   ?
User :   what is arrhythmia?
Doctor :   sometimes Electrolyte imbalances also cause heart attacks
Doctor :   Arrhythmia means to say heart beats very irregularly, not in the normal fashion of LUB-DUB sound
User :   ok. Doctor, does stress have any connection with a heart attack?
Doctor :   Yes, it does have an effect
Doctor :   Especially in patients who have already had an attack
User :   and for those who have no such history of a heart problem, can stress have a bearing?
User :   or can stress induce a heart attack?
Doctor :   Stress along with High Blood pressure has a bearing, but stress alone is very minimal
Doctor :   Very severe acute stress can trigger off an heart attack
User :   ok
Doctor :   Ok
User :   how severe can a stress-triggered heart attack be?
Doctor :   We actually cannot predict,
Doctor :   My brother died at 23 years due to a sudden heart attack
User :   Oh! am so sorry...
User :   I read some where that if stress itself is a risk factor for heart disease, it could be because chronic stress exposes your body to unhealthy, persistently elevated levels of stress hormones like adrenaline and cortisol. I want to understand how much role does stress play in triggering a heart attack?
Doctor :   I mean to say it can take away the life of a person
Doctor :   As I said Stress alone carries minimal risk of causing an heart attack
Doctor :   especially the % is less than 5% in young individuals
User :   ok...but you dont see a role of adrenaline and cortisol so much?
Doctor :   Not really
Doctor :   They are normally released in stress
Doctor :   and do not affect heart much
User :   ok.
Doctor :   May I know your age ?
User :   27years
Doctor :   ok
Doctor :   Is there anything else I may help you with?
User :   just an indicative idea of how much stress can contribute to a heart attack across age levels?
Doctor :   very minimal or negligible till 25yrs, increases gradually as age progressses, it is more after 45 years, definitely more risk in men, more risk is associated with other co-existing medical conditions
Doctor :   There are many trials happening regarding this
Doctor :   The results are not out yet
User :   ok. thanks much for your assistance!;
Doctor :   Thanks for consulting me
User :   that'll be all from my end. thanks
Doctor :   Bye for now
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