environment applies to all the external factors that have a formative influence on one's physical, mental, or moral development. the kind of environment that produces juvenile delinquents; milieu applies especially to the physical and social surroundings of a person or group of persons.
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.
When the heart muscle is starved for oxygen and nutrients, it is called ischemia. When damage or death of part of the heart muscle occurs as a result of ischemia, it is called a heart attack or myocardial infarction (MI). About every 40 seconds, someone in the United States has a myocardial infarction (heart attack). Your heart muscle needs oxygen to survive.