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Heart Attack | Heart and Vascular

Heart and Vascular

Heart Attack

Heart attacks affect more than 805,000 Americans each year. At UC Davis Health, we’re here to help you survive or — better yet — prevent one.

Medically reviewed by Jeffrey Southard, M.D. on Feb. 11, 2026.

Man grasping at his chest during a heart attack.

What Is a Heart Attack?

A heart attack (also called a myocardial infarction) happens when your heart doesn’t receive the blood flow and oxygen it needs. Heart attacks often occur with little or no warning.

Heart attacks typically involve a blockage or rupture (sudden break) in your coronary arteries. These are the main arteries that bring blood and oxygen to your heart. The lack of blood causes damage to your heart muscle.

After a heart attack, your heart muscle may be weakened. At UC Davis Health cardiology clinics, we use the latest techniques to improve your heart health and help you recover.

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Symptoms of a Heart Attack

About 20% of heart attacks are “silent” heart attacks — meaning they produce no symptoms. But if you experience any of the symptoms of a heart attack, you should seek medical care right away.

Emergency Symptoms

A heart attack is a medical emergency, and prompt treatment is the key to survival. If you experience any of these symptoms and think you might be having a heart attack, call 911 immediately.

  • Chest pain
  • Lightheadedness or dizziness
  • Nausea or vomiting
  • Pain in your arm or shoulder
  • Pain in your back, neck or jaw
  • Shortness of breath
  • Tightening in your chest
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Heart Attack Causes

Various heart conditions can trigger a myocardial infarction, such as:

Coronary Artery Disease

Coronary artery disease occurs when plaque builds up in your coronary arteries. The buildup narrows your arteries, making it harder for your heart to get the blood flow and oxygen it needs. Plaque can also break off and form a clot that blocks the flow of blood and oxygen to the heart.

High Blood Pressure

When your blood pressure is high, it puts stress on your blood vessels and arteries. Over time, untreated high blood pressure can damage your heart muscle.

High Cholesterol

Too much cholesterol in your bloodstream can build up on the walls of the coronary arteries. The arteries then narrow, cutting off essential blood and oxygen to your heart.

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Heart Attack Risk Factors

People with existing heart disease are most at risk of having a heart attack. Additional risk factors include:

Smoking

Using tobacco products can damage your heart, raise blood pressure, and reduce the amount of oxygen that travels through your blood.

Poor Diet

A diet that is high in saturated fat and sodium can increase your risk of heart attack. Saturated fat can raise cholesterol and lead to plaque buildup in the arteries. Too much sodium can pull water into your blood, adding pressure to your arteries.

Lack of Exercise

Being sedentary increases your risk of other conditions — such as obesity and diabetes — which greatly increase your risk of heart disease.

Diabetes

Diabetes can double your risk for heart disease. It can damage blood vessels and cause a heart attack or heart failure.

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Diagnosis and Testing for a Heart Attack

If you arrive at the emergency room with heart attack symptoms, the physician will:

  • Check your blood pressure and pulse rate and listen to your heart with a stethoscope.
  • Take an electrocardiogram (ECG) reading to look for signs of heart damage.
  • Do blood tests to determine if there is heart tissue damage.
  • Perform a coronary angiogram to measure blood flow to your heart.

Heart Attack Treatments at UC Davis Health

Treatment for a heart attack depends in part on the severity of the attack and your overall health. Our cardiologists tailor both emergency and long-term care to your needs. If you need surgery, our cardiovascular surgeons use the most advanced surgical techniques.

Medications

You may receive aspirin and nitroglycerin in the ambulance or at the emergency room. These can improve blood flow and reduce chest pain. At the hospital, you might receive thrombolytic medicines to help break up blood clots.

Percutaneous Coronary Intervention (PCI)

PCI is a nonsurgical procedure, but it is performed in a cardiac catheterization laboratory. Doctors use this procedure (also called cardiac angioplasty) to open blocked arteries and improve blood flow to your heart.

Stent Implantation

Your doctor may use a stent — a small, mesh tube — to help open your arteries. They can insert the stent into the affected artery during a PCI procedure.

Coronary Artery Bypass Grafting (CABG)

CABG is also sometimes called heart bypass surgery. It’s used to repair blocked coronary arteries to prevent or treat a heart attack. During the procedure, the surgeon uses healthy arteries from another part of your body to create a new path around the blocked areas of your heart, bypassing the blockages.

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Preventing Heart Attacks

Preventing or managing heart disease can help you avoid a heart attack.

Control Blood Pressure

Keeping your blood pressure down — using medication or lifestyle changes — is the number one way to prevent heart disease and heart attacks.

Lower Your Cholesterol

High cholesterol increases your risk of plaque forming in your arteries and blocking blood flow to your heart.

Lose Excess Weight

Maintaining a healthy weight puts less stress on your heart. It also reduces your risk of related conditions, including diabetes.

Eat Healthfully

A diet that contains plenty of fruits, vegetables, whole grains and unsaturated fats is good for your heart. Limit your intake of saturated fats, red meat, sodium, added sugars and alcohol. This helps reduce your cholesterol and control your blood pressure.

Exercise Regularly

Physical activity strengthens your heart and improves blood flow. It also helps lower blood pressure, prevent weight gain and lower cholesterol.

Get Quality Sleep

Sleep gives your heart a break from its everyday workload. Try to get at least 7 to 9 hours of sleep per night to protect your heart health.

Don’s Smoke

Smoking cigarettes can significantly increase your risk for heart disease. If you smoke, quitting will decrease your risk for heart disease.

“Heart Disease Facts,” Centers for Disease Control and Prevention, https://www.cdc.gov/heart-disease/data-research/facts-stats/index.html

Annual deaths

805KPeople killed by heart attacks in the U.S. each year

Source: Centers for Disease Control: Heart Disease Facts

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