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Heart attacks and new prevention methods
Inflammation and how it effects your heart
When plaque tears
open, however, a blood clot forms at the point of injury. This clot can
block the already narrowed vessel and cut off blood flow, thus causing a
heart attack. And the longer the blood flow is absent, the more damage the
heart sustains.
"Most people think heart
attacks are caused by continuous narrowing of the arteries (with plaque),"
Victor said, "but it's not like that. Some people don't have much plaque but
their plaque is tearing open and causing heart attacks."
Previous studies were unable to determine whether the cells were in the plaque before the heart
attacks occurred -- perhaps even causing them -- or gravitated to the point
of injury after the attack.
To answer that question, Victor and Helfant studied plaque from 10 people who died of heart
attacks. Four died within an hour of the their attack and six died several
days later.
"We found no significant difference in the amount of inflammatory cells in the two
groups," Victor said. "So it looks like these inflammatory cells are
actually causing the plaque to break open and cause the heart attack, rather
than being an inflammatory response after the heart attack."
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In a previous study, Victor and co-researcher Richard Helfant, M.D., showed that people who died
from heart attacks had clusters of collagen-dissolving inflammatory cells in
their plaque. By contrast, people who died of other causes had extensive but
stable plaque lacking the inflammatory cells. These research
findings could lead scientists to change their view of heart attacks, Victor
said.
"Maybe a heart attack is not an inevitable product of our lifestyle. It could be just another
inflammatory disease, such as arthritis," he said. "If there were some way
to inhibit these enzymes, you might be able to prevent heart attacks."
The researcher emphasizes, however, that his findings do not make it any less important for
individuals to lead healthy lifestyles in order to prevent heart disease and
strokes.
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Read the first part of this article.
Heart attacks may
result from an inflammatory process gone awry that causes plaque to form
in the arteries.
heart attacks may result
from an inflammatory process gone awry that causes plaque in the
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