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The fact that you were healthy, in good shape, and got an ambulance quickly probably was a significant contributor to your survival.I had one recently (a month ago, actually). No warning signs. Started my 26 mile bicycle trip, woke up later in the hospital. No memory of the bicycle trip, or of the day after. Short term memory returned the day after (I quit asking people why I was at the hospital every five minutes starting that day).
I'm 49, in fairly good health, the only stat that was off is that my good cholesterol was too low. Docs said exercise solves that. I replied "such as doing 26 mile bike rides?". Everything else was fine, BP, bad cholesterol levels, etc.
100% blockage in a minor artery triggered a genetic defect with the electrical center of the heart (ventricular fibrillation). They tell me I'm extremely lucky, ambulance arriving so quick, getting to the ER as fast as I did. Now I have a defib unit implanted in my chest for the rest of my life and no heart tissue damage.
Ironic thing is I had bronchitis in June and promised my GP that I would come back later for a full physical. That probably wouldn't have uncovered my blocked artery, but he may have found something (like the good cholesterol being too low).
Heart attacks, well, guess they can happen to anyone, regardless of BMI.
I remember when the founder of a runners magazine had his heart attack and the large number of my work associates who used that as an example of why they should not exercise.