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Like all other tissues in the body, the heart muscle needs oxygen-rich blood to function. The coronary arteries, which are wrapped around the heart, fill that need. In some conditions, fat can build up along the walls of the coronary arteries, reducing the supply of oxygen to the heart muscle. This build-up is called atherosclerosis. The 3 major risk factors of atherosclerosis are high blood pressure, high cholesterol, and smoking. This plaque can tear, causing the bodys emergency repair system to rally. Blood components called platelets stick to the fat that is now exposed by the tear, forming a clot. The clot can completely block the blood supply downstream to the heart. Within a few minutes, muscle cells in the heart begin to die; this is a heart attack. The heart keeps beating but starts to lose its normal rhythm. If a larger part of the heart is affected, it can stop beating entirely; this is called a cardiac arrest. Despite common misconceptions, a guy grabbing his chest and f