triggering of acute myocardial infarction

triggering of acute myocardial infarction   m. salehian [1]     abstract     coronary heart disease (chd) is the leading cause of death in the united states each year about 450.000 people die from chd, and 1.000.000 experience an initial or recurrent coronary event. plaque rupture and it's its subsequent thrombosis at the site of the plaque rupture is the most common underlying pathophysiological mechanisms of acute coronary syndromes. plaque rupture may be precipitated by external triggers (including physical activity and emotional stress or rare events such as earthquakes) imposed on coronary plaque.   in this article the impressions and importance of emotional stress and physical activities as triggers of acute my car dial complaints especially aw and their pathophysiological consequences are reviewed and strategies for preventing are given.     key words: triggers, coronary syndrome, acute myocardial infarction   [1] . faculty member of bojnord. nursing and midwifery college