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Is stress really a reason for heart disease?

I am a 51 year old man in HK. I am healthy and have no family history of heart disease. I haven't drunk alcohol for  7 years. I smoked a bit socially when I was younger but I haven't since 2012. I don't eat sugar/salt much and I have been a vegetarian for 30 years. I don't eat diary or eggs other than skimmed milk. I run 30-40 kms a week. I had mildly elevated LDL for a few years but passed cardiac check ups in 2014 and 2016.

So, on 7 July 2018 I had a heart attack. A non-STEMI right out of the blue. I'd run 57kms in the mountains the week before with no symptoms whatsoever. Yet I had 90% occlusion of LAD and LCX arteries. I was only saved because it occurred at home, right in front of my wife, and we live 10 mins by ambulance from the nearest hospital - which has very good emergency facilities.

What could be the cause of this? I know my case is a Houdini act. I am a bad sleeper with anxiety as the main cause I think. Could this really have been the cause?

The good news is that I had 3 stents put in and have emerged with only mild damage (LVEF 54% on MRI) and normally functioning ventricles/values etc. I'm back to running with all the joy of knowing that I'm lucky to be alive.
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