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Heart & Cardiovascular Disease • ICD-10-CM I21.4

Heart Attack

Also known as: MI, Myocardial infarction, Non-Q-wave infarct, Infarction, Stroke

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM I21.4 • 8 Linked .gov / PubMed Citations • Governance: Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Heart Attack Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Heart Attack?

What is a heart attack? A heart attack, also called a myocardial infarction, is a type of heart disease . It happens when blood flow to the heart suddenly becomes blocked. Without the blood coming in, the heart can't get oxygen. If not treated quickly, the heart muscle begins to die. But if you get quick treatment, you may be able to prevent or limit damage to the heart muscle. That's why it's important to know the symptoms of a heart attack and call 911 if you or someone else is having them. A heart attack is different than sudden cardiac arrest . During a heart attack, the heart usually doesn't suddenly stop beating.

Pathophysiology, Underlying Causes & Clinical Presentation

Heart Attack (I21.4) alters heart & vascular homeostasis through subendocardial perfusion deficits [Heart Attack I21.4]; Cross-referenced with NIH MeSH (Myocardial Infarction), clinical remission targets Left Ventricular Ejection in Heart Attack (I21.4: Fraction (LVEF)) within 55% – 70% (I21.4).

Common Symptoms & Clinical Signs

  • • Smoking. Quit , or never start, smoking
  • • High cholesterol and high blood pressure . Manage both with diet , exercise , and medicine
  • • Presentation of Heart Attack (I21.4): palpitations, skipped beats, in Heart Attack (I21.4: or irregular resting)
  • • Secondary Heart Attack clinical sign: unexplained lower-extremity ankle in Heart Attack (I21.4: edema or rapid)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Heart Attack Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code I21.4 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Heart & Cardiovascular Disease NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Apolipoprotein B (ApoB) [Heart Attack I21.4] < 70 mg/dL (I21.4) Clinical Reference Target Range
Diagnostic / Lab Marker: Left Ventricular Ejection in Heart Attack (I21.4: Fraction (LVEF)) 55% – 70% (I21.4) Clinical Reference Target Range
Diagnostic / Lab Marker: NT-proBNP [Heart Attack I21.4] < 100 pg/mL (I21.4) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Heart Attack

Check Drug Interactions →
Medication Pharmacologic Class Patient Worth-It CMS NADAC / Unit Typical Lowest Cash
Nitroglycerin Rectiv, Nitrostat • RxCUI 198040 Nitrate Vasodilator 94% $0.0619 $ 19.89 /mo
Nitroglycerin Lingual Nitroglycerin Lingual Generic • RxCUI 705129 Nitrate Vasodilator 83% $0.4761 $ 27.78 /mo
Nitrostat (Nitroglycerin) Nitrostat • RxCUI 198038 Nitrate Vasodilator 80% $1.5506 $ 8.56 /mo
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Heart Attack)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
GLP-1RA vs. Placebo: Which Works Better for Heart failure and mildly reduced or preserved ejection fraction?

GLP-1RA reduce HF exacerbations and can play a role in reducing hospitalizations, improving patient's functional status, and significantly impacting the global healthcare burden of HF.

International journal of cardiology • 2025-11-01 • Meta-Analysis
N = 4,474 99/100 PMID 40623630 ↗
New Insights on GLP-1 receptor agonists on heart and blood vessel outcomes in heart failure with: What a 4,043-Participant Study Found

GLP-1 RAs may significantly lower the combined risk of mortality and hospitalization in patients with HFpEF.

Clinical research in cardiology : official journal of the German Cardiac Society • 2026-09-15 • Meta-Analysis
N = 4,043 99/100 PMID 40637782 ↗
New Insights on Sildenafil for congenital heart diseases induced lung high blood pressure, a: What a 849-Participant Study Found

Sildenafil is a well-tolerated treatment in congenital heart diseases induced lung high blood pressure, as it has proven its efficacy not only in lowering both PAP mean and systolic but also in reducing the ventilation time,...

BMC pediatrics • 2023-07-20 • Meta-Analysis
N = 849 97/100 PMID 37474896 ↗
New Insights on Major outcomes in high-risk hypertensive patients randomized to: What a 9,048-Participant Study Found

Thiazide-type diuretics are superior in preventing 1 or more major forms of CVD and are less expensive.

JAMA • 2002-12-18 • Randomized Controlled Trial
N = 9,048 96/100 PMID 12479763 ↗
New Insights on Glucose levels predict hospitalization for congestive heart failure in patients: What a 25,620-Participant Study Found

Fasting plasma glucose is an independent predictor of hospitalization for CHF in high-risk subjects.

Circulation • 2007-03-20 • Randomized Controlled Trial
N = 25,620 96/100 PMID 17339550 ↗
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Heart Attack Patient Community & “People Like Me” Threads

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