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Basically a heart attack is when one part of the heart requires more oxygen-containing blood than it is getting. Usually that happens because one (or more) of the blood vessels which supply blood to the heart muscle are blocked, often by build-up in the blood vessels due to cholesterol.

When the heart muscle can't get the oxygen it needs, the cells are injured and can die. This causes the pain that is felt during a heart attack. When the cells die, they leave scar tissue behind, which will keep the heart from contracting as effectively in the future (because muscle contracts, while scar tissue doesn't).

If the heart attack is a really big one-- a whole lot of the muscle can't get oxygen-- then the heart won't beat effectively enough to keep the person alive.

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14y ago

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