In the 1994 Los Angeles earthquake, it was observed that around half of the all immediate deaths were found to be due to cardiac arrests. This is five times greater than on any given day. There appears to be a strong association between stress and heart disease. Since that observation in 1994, many other incidents have shown that physical and emotional triggers, such as environmental disasters and certain vigorous physical exercise, especially for those who are already at risk of heart disease, can precipitate heart attacks. Hence, coping with stress and stress factors is a crucial tool in tackling herat disease.

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