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The blockage can be caused by a blood clot or by fatty plaques that have built up inside an artery

[DOI] [PMC free article] [PubMed] [Google Scholar] [40].Hughes JR

10: 219-230 [DOI] [PubMed] [Google Scholar] 7).Barua RS, Ambrose JA: Mechanisms of coronary thrombosis in cigarette smoke exposure

[11] [63] When nicotine enters the brain it stimulates, among other activities, the midbrain dopaminergic neurons situated in the ventral tegmental area and pars compacta

You cant identify tachycardia from a single moment in the EKG