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This extremely important and widespread illness is generally the result of atherosclerosis that hasnarrowed blood vessels in the heart to the pointthat they can no longer meet the heart's demands for blood. When the critical point isreached a section of muscle dies, releasing breakdown substances which cause severe painand which also affect the beating of the rest of the heart.Occasionallyheart attacks occur without there being known risk factors for atherosclerosis, the reasons for which are unknown but which may involve sudden abnormalities in the electrical control of the heart.A condition called cardiomyopathy also predisposes to heart attacks. Cardio-myopathy is an abnormality of the heart muscle, often congenital in origin and itmay be completely undetectable until symptoms arise of a heart attack or heart failure.