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With time, fat and cholesterol can get trapped in the areas of wear and tear and cause plaque formation. The plaques can damage us in 2 ways. Firstly the plaque may continue to build up and cause actually restrict blood from getting to the heart muscle and this often presents with symptoms of chest tightness on exertion or angina.
Patients with a completely normal CT scan are very unlikely to have a heart attack within the next 3-5 years. So when a patient has palpitations, the only way to catch the palpitations is to provide the patient with a heartmonitor for as long as a duration as possible in order to maximise the chances of catching it.
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