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Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Myocardial ischemia is an imbalance between myocardial oxygen supply and demand. Left untreated, it results in angina pectoris, myocardial stunning, myocardial hibernation, ischemic preconditioning, postconditioning, or under the most severe instances, acute coronary syndrome and myocardial infarction. Myocardial ischemia is the pathological state underlying ischaemic heart disease. Cardiac muscle (heart muscle) is a type of involuntary striated muscle found in the walls and histologic foundation of the heart, specifically the myocardium.