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Infarction
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==Causes== {{Unreferenced section|date=August 2011}} Infarction occurs as a result of prolonged [[ischemia]], which is the insufficient supply of oxygen and nutrition to an area of tissue due to a disruption in blood supply.<ref>{{Cite journal |last=Heusch |first=Gerd |date=2024-01-12 |title=Myocardial ischemia/reperfusion: Translational pathophysiology of ischemic heart disease |url=https://www.sciencedirect.com/science/article/pii/S2666634023004051 |journal=Med |volume=5 |issue=1 |pages=10β31 |doi=10.1016/j.medj.2023.12.007 |issn=2666-6340}}</ref> The blood vessel supplying the affected area of tissue may be blocked due to an obstruction in the vessel (e.g., an [[arterial embolus]], [[thrombus]], or [[atherosclerotic plaque]]), compressed by something outside of the vessel causing it to narrow (e.g., [[tumor]], [[volvulus]], or [[hernia]]), ruptured by trauma causing a loss of blood pressure downstream of the rupture, or vasoconstricted, which is the narrowing of the blood vessel by contraction of the muscle wall rather than an external force (e.g., cocaine vasoconstriction leading to [[myocardial infarction]]).<ref>{{Cite web |title=Infarction - an overview {{!}} ScienceDirect Topics |url=https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/infarction#:~:text=Infarction%20is%20tissue%20death%20or,,%20lung,%20etc.). |access-date=2023-04-01 |website=www.sciencedirect.com}}</ref> [[File:Atherosclerosis timeline - endothelial dysfunction.svg|left|thumb|200x200px|Infarction could be caused by damaged cholesterol plaque]] [[Hypertension]] and [[atherosclerosis]] are risk factors for both [[atherosclerotic plaque]]s and [[thromboembolism]]. In atherosclerotic formations, a plaque develops under a fibrous cap. When the fibrous cap is degraded by metalloproteinases released from macrophages or by intravascular shear force from blood flow, subendothelial thrombogenic material ([[extracellular matrix]]) is exposed to circulating platelets and thrombus formation occurs on the vessel wall [[Vascular occlusion|occluding]] blood flow. Occasionally, the plaque may rupture and form an [[Embolism|embolus]] which travels with the blood-flow downstream to where the vessel narrows and eventually clogs the vessel lumen.
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