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What’s the Real Cause of Heart Attacks?

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  • Bypass surgery provides minimal benefit for most people, as sites that are over 90 percent blocked in almost all cases compensate for the blockage by developing collateral blood vessels
  • Most heart attacks are likely caused by an imbalance in your central nervous system (CNS) and your autonomic (or unconscious) nervous system (ANS), which controls the function of our internal organs

By Thomas S. Cowan, MD

In a previous article in this journal ("What Causes Heart Attacks," Fall 2007), I presented the case that the spectrum of heart disease, which includes angina, unstable angina, and myocardial infarction (heart attack), is better understood from the perspective of events happening in the myocardium (heart) as opposed to events happening in the coronary arteries (the arteries that supply the heart).


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