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hey guys nurse Mike here and welcome to simple nursing calm before we get todays lectures started please remember to access your free quiz and preview our cool nifty new study guides not here on YouTube click the link right up here at any time during this video today were wrapping up heart attack or mi that myocardial infarction so guy just think mi the heart muscles die like all heart muscles the heart needs oxygen to pump and during a heart attack there is a blockage and one or more of these oxygen tubes called the coronary arteries and so the heart muscle suffocates to death over 500 cells die per minute and if blocked over 45 minutes these cells can die forever called necrosis so guys minutes equals muscle now what causes this narrowing well fatty deposits called plaque develops on the walls of the coronary arteries narrowing the vessels which makes it harder for oxygen to get to the heart muscle so what causes this well just like hypertension we use the acronym soda s for stres