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What is the main cause of heart attacks / cardiac arrest?

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What is the main cause of heart attacks / cardiac arrest?

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Coronary heart disease accounts for about 450,000 of the nearly 870,000 adults who die each year as a result of cardiovascular disease. Approximately 310,000 of all annual adult coronary heart disease deaths in the United States are suffered outside the hospital setting and in hospital emergency departments. Of those deaths, about 166,200 are due to sudden cardiac arrest.

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