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hi im katie hubbell im the nurse here at good shepherds cardiac rehab in todays class were going to talk about heart attack and congestive heart failure so were going to touch base on two different topics today heart attack and congestive heart failure heart attack is also known as a myocardial infarction or mi for short and it results in plaque buildup where blood clot from ruptured plaque completely obstructs a coronary artery that supplies blood to the heart muscle when that happens the heart begins to die so in this diagram here youll see this is showing your left ascending coronary artery and theres a blockage right here theyre expanding this to show you this plaque buildup the yellow plaque build up here has completely obstructed the blood flow so anything below this blocked area that heart muscle is beginning to die because its not receiving blood its not receiving the oxygen and the nutrients that it needs once that heart muscle dies that is permanent damage cardiac