around inflammation,” notes this cardiologist at St. Luke’s Mid America Heart Institute in Kansas City, Mo.

“I think of plaque in the arteries like pimples,
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,” she says. Yes — she’s talking about zitz.

As pimples become inflamed,
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, they fill with pus, eventually rupturing and then scabbing over. “And that’s essentially what happens in a sudden heart attack or sudden stroke,
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,” she argues.

Beginning in childhood, fatty plaque deposits can begin to accumulate along the interior walls of arteries. Various agents of the body’s immune system (such as the interleukins and tumor necrosis factor elevated in the new study)?can inflame this plaque. And when they do,
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, the fatty deposits can engorge with immunity-driven materials, eventually to the point of bursting.

The body will interpret a rupture as the equivalent of a cut — something that needs immediate repair, Stevens explains. In an attempt to seal the breach, a clot forms — “and it’s the clot that obstructs the blood flow and triggers the sudden crisis.” This,
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, in fact, explains why some people survive a stress test in the doctor’s office only to drop dead a day later from a heart attack. It’s not that the stress test failed to find a problem,
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, she says,
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, but that “the patient, for whatever reason,
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, had a spontaneous plaque rupture the next day.”

The elderly may be especially vulnerable to ozone’s inflammatory impacts, she worries, because they tend to have the most plaque and the longest exposure to this pollutant.

In addition, Stevens points out that some of the inflammatory chemicals

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