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Background information

Every year there are an estimated 280,000 heart attacks in the UK - that's one every 2 minutes.

Less than half of those who have a heart attack die within 28 days.

Coronary Heart Disease is the most common cause of premature death.

About 28,000 coronary artery by-pass grafts are carried out each year - a 5-fold increase since 1980.

The number of coronary angioplasties has also increased, with 14,000 now being carried out annually.

Around 2.6 million people are currently suffering from coronary heart disease.
(British Heart Foundation, 2002)

In 2000, over 120,000 people died from coronary heart disease. That's around 330 deaths every day.
(Office for National Statistics, 2001)

Studies have indicated that two-thirds of men suffering their first heart attack will survive for a minimum of 5 years.
( Munich Re, 2002)

Definition

The death of a portion of heart muscle, due to inadequate blood supply, that has resulted in all of the following evidence of acute myocardial infarction:

where all of the above shows a definite acute myocardial infarction. Other acute coronary syndromes, including but not limited to angina, are not covered under this definition.

What does this mean?

The body needs oxygen to survive and it receives this from the blood. The heart is effectively a pump, which ensures that oxygenated blood circulates through the body to where it is needed.

The heart itself also needs oxygen to continue to work effectively. If the supply of oxygen to the heart is cut off then a portion of the heart muscle is damaged. This can be caused by the blockage of a coronary artery.

Arteries can become blocked by fatty material or by blood clots. Damage to the heart muscle usually causes severe pain and results in an increase in cardiac enzymes and the introduction of troponins, which are released into the blood.

A heart attack will also result in electrocardiograph changes. Angina produces similar symptoms to an actual heart attack, but is caused by a reduction in the supply of blood to the heart rather than a complete blockage. Heart muscle does not die as a result.

Angina may be an early indication that a future heart attack is likely. Angina is not covered.

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