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{
  "type": "comprehensive medical infographic",
  "style": "highly detailed 3D medical illustration, clinical white background, clean typography",
  "header": {
    "title_en": "[THE CAUSAL CHAIN OF HEART ATTACK]",
    "subtitle": "Chest pain is not the beginning. Vascular damage is.",
    "top_right_sequence": {
      "count": 6,
      "labels": [
        "Risk Factors",
        "Plaque Formation",
        "Rupture",
        "Clotting",
        "Ischemia",
        "Damage"
      ]
    }
  },
  "centerpiece": {
    "description": "[transparent anatomical human body showing heart, coronary arteries, lungs, and vascular system]",
    "details": "pathway highlighted in [glowing red] focusing on the coronary arteries and radiating pain to the chest and left arm"
  },
  "layout": {
    "left_column": [
      {
        "id": "01",
        "title": "Major Risk Factors",
        "elements": 6,
        "labels": [
          "Smoking",
          "High LDL cholesterol",
          "Hypertension",
          "Diabetes",
          "Obesity",
          "Chronic stress"
        ]
      },
      {
        "id": "02",
        "title": "Atherosclerosis Development",
        "elements": 2,
        "labels": [
          "Fatty streak to plaque",
          "Coronary artery wall"
        ]
      },
      {
        "id": "03",
        "title": "Reduced Coronary Blood Flow",
        "elements": 2,
        "labels": [
          "Narrowed artery lumen",
          "Oxygen delivery decline"
        ]
      },
      {
        "id": "04",
        "title": "Vulnerable Plaque",
        "elements": 2,
        "labels": [
          "Thin fibrous cap",
          "Lipid-rich core"
        ]
      }
    ],
    "center_overlay": [
      {
        "id": "05",
        "title": "Plaque Rupture & Clot Formation",
        "elements": 3,
        "labels": [
          "Plaque rupture diagram",
          "Platelet aggregation",
          "Occlusive thrombus"
        ]
      },
      {
        "id": "06",
        "title": "Myocardial Ischemia",
        "elements": 1,
        "labels": [
          "Heart muscle cross-section with blocked coronary artery"
        ]
      }
    ],
    "right_column": [
      {
        "id": "07",
        "title": "Cellular Injury Cascade",
        "elements": 4,
        "labels": [
          "Oxygen deprivation",
          "Mitochondrial failure",
          "Cell membrane breakdown",
          "Troponin release"
        ]
      },
      {
        "id": "08",
        "title": "Acute Heart Attack",
        "elements": 1,
        "labels": [
          "Patient clutching chest"
        ]
      },
      {
        "id": "09",
        "title": "Permanent Myocardial Damage",
        "elements": 1,
        "labels": [
          "Necrotic heart tissue"
        ]
      },
      {
        "id": "10",
        "title": "Complications",
        "elements": 2,
        "labels": [
          "Arrhythmia",
          "Heart failure"
        ]
      },
      {
        "id": "11",
        "title": "Beyond the Heart",
        "elements": 2,
        "labels": [
          "Reduced systemic perfusion",
          "Brain and kidney impact"
        ]
      }
    ],
    "bottom_row": [
      {
        "id": "12",
        "title": "Pain Is the Final Signal",
        "elements": 7,
        "labels": [
          "Risk Exposure",
          "Plaque Buildup",
          "Artery Narrowing",
          "Plaque Rupture",
          "Clot Formation",
          "Muscle Death",
          "Man in pain"
        ]
      }
    ]
  },
  "theme": "[heart attack and coronary artery blockage]"
}

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