More than two-thirds of people who have a type of heart attack not caused by a blood clot also may have undiagnosed heart disease, according to a small study from Scotland.
The study, published Monday in the American Heart Association journal Circulation, focused on people who had what’s known as Type 2 heart attacks, which result from strain caused by an illness such as infections or fast heart rates that can lower blood pressure or oxygen in the blood. But when researchers conducted advanced heart imaging, they discovered study participants also had conditions such as narrowed arteries or weakened heart muscles that were frequently undiagnosed. Fewer than a third of those patients were being treated for heart disease.

“This is the first evidence from a study to demonstrate underlying heart artery disease and heart weakness is common in this condition,” said the study’s senior author Dr. Andrew Chapman of the BHF Centre for Cardiovascular Science at the University of Edinburgh in Scotland.