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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: However, excessive hunting and poachers have also contributed heavily to the endangerment, extirpation and extinction of many animals, such as the quagga, the great auk, Steller's sea cow, the thylacine, the bluebuck, the Arabian oryx, the Caspian and Javan tigers, the markhor, the Sumatran rhinoceros, the bison, the North American cougar, the Altai argali sheep, the Asian elephant and many more, primarily for commercial sale or sport. All these animals have been hunted to endangerment or extinction. Question: What is the main predator of the quagga? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: However, excessive hunting and poachers have also contributed heavily to the endangerment, extirpation and extinction of many animals, such as the quagga, the great auk, Steller's sea cow, the thylacine, the bluebuck, the Arabian oryx, the Caspian and Javan tigers, the markhor, the Sumatran rhinoceros, the bison, the North American cougar, the Altai argali sheep, the Asian elephant and many more, primarily for commercial sale or sport. All these animals have been hunted to endangerment or extinction. Question: What animal was hunted mainly by Javan tigers? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: However, excessive hunting and poachers have also contributed heavily to the endangerment, extirpation and extinction of many animals, such as the quagga, the great auk, Steller's sea cow, the thylacine, the bluebuck, the Arabian oryx, the Caspian and Javan tigers, the markhor, the Sumatran rhinoceros, the bison, the North American cougar, the Altai argali sheep, the Asian elephant and many more, primarily for commercial sale or sport. All these animals have been hunted to endangerment or extinction. Question: What animal could usually be found with the markhor? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: However, excessive hunting and poachers have also contributed heavily to the endangerment, extirpation and extinction of many animals, such as the quagga, the great auk, Steller's sea cow, the thylacine, the bluebuck, the Arabian oryx, the Caspian and Javan tigers, the markhor, the Sumatran rhinoceros, the bison, the North American cougar, the Altai argali sheep, the Asian elephant and many more, primarily for commercial sale or sport. All these animals have been hunted to endangerment or extinction. Question: The thylacine usually tried to avoid which animal? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: However, excessive hunting and poachers have also contributed heavily to the endangerment, extirpation and extinction of many animals, such as the quagga, the great auk, Steller's sea cow, the thylacine, the bluebuck, the Arabian oryx, the Caspian and Javan tigers, the markhor, the Sumatran rhinoceros, the bison, the North American cougar, the Altai argali sheep, the Asian elephant and many more, primarily for commercial sale or sport. All these animals have been hunted to endangerment or extinction. Question: Which animal was similar to the North American cougar? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: On 16 March 1934, President Franklin D. Roosevelt signed the Migratory Bird Hunting Stamp Act, which requires an annual stamp purchase by all hunters over the age of sixteen. The stamps are created on behalf of the program by the US Postal Service and depict wildlife artwork chosen through an annual contest. They play an important role in habitat conservation because ninety-eight percent of all funds generated by their sale go directly toward the purchase or lease of wetland habitat for protection in the National Wildlife Refuge System.[citation needed] In addition to waterfowl, it is estimated that one third of the nation's endangered species seek food and shelter in areas protected using Duck Stamp funds.[citation needed] Question: In what year was the US Postal Service created? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: On 16 March 1934, President Franklin D. Roosevelt signed the Migratory Bird Hunting Stamp Act, which requires an annual stamp purchase by all hunters over the age of sixteen. The stamps are created on behalf of the program by the US Postal Service and depict wildlife artwork chosen through an annual contest. They play an important role in habitat conservation because ninety-eight percent of all funds generated by their sale go directly toward the purchase or lease of wetland habitat for protection in the National Wildlife Refuge System.[citation needed] In addition to waterfowl, it is estimated that one third of the nation's endangered species seek food and shelter in areas protected using Duck Stamp funds.[citation needed] Question: What President founded the US Postal Service? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: On 16 March 1934, President Franklin D. Roosevelt signed the Migratory Bird Hunting Stamp Act, which requires an annual stamp purchase by all hunters over the age of sixteen. The stamps are created on behalf of the program by the US Postal Service and depict wildlife artwork chosen through an annual contest. They play an important role in habitat conservation because ninety-eight percent of all funds generated by their sale go directly toward the purchase or lease of wetland habitat for protection in the National Wildlife Refuge System.[citation needed] In addition to waterfowl, it is estimated that one third of the nation's endangered species seek food and shelter in areas protected using Duck Stamp funds.[citation needed] Question: On what date was the National Wildlife Refuge System created? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: On 16 March 1934, President Franklin D. Roosevelt signed the Migratory Bird Hunting Stamp Act, which requires an annual stamp purchase by all hunters over the age of sixteen. The stamps are created on behalf of the program by the US Postal Service and depict wildlife artwork chosen through an annual contest. They play an important role in habitat conservation because ninety-eight percent of all funds generated by their sale go directly toward the purchase or lease of wetland habitat for protection in the National Wildlife Refuge System.[citation needed] In addition to waterfowl, it is estimated that one third of the nation's endangered species seek food and shelter in areas protected using Duck Stamp funds.[citation needed] Question: How many of the waterfowl in the US were endangered in 1934? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: On 16 March 1934, President Franklin D. Roosevelt signed the Migratory Bird Hunting Stamp Act, which requires an annual stamp purchase by all hunters over the age of sixteen. The stamps are created on behalf of the program by the US Postal Service and depict wildlife artwork chosen through an annual contest. They play an important role in habitat conservation because ninety-eight percent of all funds generated by their sale go directly toward the purchase or lease of wetland habitat for protection in the National Wildlife Refuge System.[citation needed] In addition to waterfowl, it is estimated that one third of the nation's endangered species seek food and shelter in areas protected using Duck Stamp funds.[citation needed] Question: What is the minimum age needed to take part in the US Postal Service stamp art contest? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Since 1934, the sale of Federal Duck Stamps has generated $670 million, and helped to purchase or lease 5,200,000 acres (8,100 sq mi; 21,000 km2) of habitat. The stamps serve as a license to hunt migratory birds, an entrance pass for all National Wildlife Refuge areas, and are also considered collectors items often purchased for aesthetic reasons outside of the hunting and birding communities. Although non-hunters buy a significant number of Duck Stamps, eighty-seven percent of their sales are contributed by hunters, which is logical, as hunters are required to purchase them. Distribution of funds is managed by the Migratory Bird Conservation Commission (MBCC). Question: In what year was the MBCC created? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Since 1934, the sale of Federal Duck Stamps has generated $670 million, and helped to purchase or lease 5,200,000 acres (8,100 sq mi; 21,000 km2) of habitat. The stamps serve as a license to hunt migratory birds, an entrance pass for all National Wildlife Refuge areas, and are also considered collectors items often purchased for aesthetic reasons outside of the hunting and birding communities. Although non-hunters buy a significant number of Duck Stamps, eighty-seven percent of their sales are contributed by hunters, which is logical, as hunters are required to purchase them. Distribution of funds is managed by the Migratory Bird Conservation Commission (MBCC). Question: What is needed to enter MBCC areas? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Since 1934, the sale of Federal Duck Stamps has generated $670 million, and helped to purchase or lease 5,200,000 acres (8,100 sq mi; 21,000 km2) of habitat. The stamps serve as a license to hunt migratory birds, an entrance pass for all National Wildlife Refuge areas, and are also considered collectors items often purchased for aesthetic reasons outside of the hunting and birding communities. Although non-hunters buy a significant number of Duck Stamps, eighty-seven percent of their sales are contributed by hunters, which is logical, as hunters are required to purchase them. Distribution of funds is managed by the Migratory Bird Conservation Commission (MBCC). Question: What does the MBCC buy a significant number of? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Since 1934, the sale of Federal Duck Stamps has generated $670 million, and helped to purchase or lease 5,200,000 acres (8,100 sq mi; 21,000 km2) of habitat. The stamps serve as a license to hunt migratory birds, an entrance pass for all National Wildlife Refuge areas, and are also considered collectors items often purchased for aesthetic reasons outside of the hunting and birding communities. Although non-hunters buy a significant number of Duck Stamps, eighty-seven percent of their sales are contributed by hunters, which is logical, as hunters are required to purchase them. Distribution of funds is managed by the Migratory Bird Conservation Commission (MBCC). Question: What percentage of hunters belong to the MBCC? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Since 1934, the sale of Federal Duck Stamps has generated $670 million, and helped to purchase or lease 5,200,000 acres (8,100 sq mi; 21,000 km2) of habitat. The stamps serve as a license to hunt migratory birds, an entrance pass for all National Wildlife Refuge areas, and are also considered collectors items often purchased for aesthetic reasons outside of the hunting and birding communities. Although non-hunters buy a significant number of Duck Stamps, eighty-seven percent of their sales are contributed by hunters, which is logical, as hunters are required to purchase them. Distribution of funds is managed by the Migratory Bird Conservation Commission (MBCC). Question: What is required to work at the MBCC? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The Arabian oryx, a species of large antelope, once inhabited much of the desert areas of the Middle East. However, the species' striking appearance made it (along with the closely related scimitar-horned oryx and addax) a popular quarry for sport hunters, especially foreign executives of oil companies working in the region.[citation needed] The use of automobiles and high-powered rifles destroyed their only advantage: speed, and they became extinct in the wild exclusively due to sport hunting in 1972. The scimitar-horned oryx followed suit, while the addax became critically endangered. However, the Arabian oryx has now made a comeback and been upgraded from “extinct in the wild” to “vulnerable” due to conservation efforts like captive breeding Question: In what year was oil first drilled for in the Middle East? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The Arabian oryx, a species of large antelope, once inhabited much of the desert areas of the Middle East. However, the species' striking appearance made it (along with the closely related scimitar-horned oryx and addax) a popular quarry for sport hunters, especially foreign executives of oil companies working in the region.[citation needed] The use of automobiles and high-powered rifles destroyed their only advantage: speed, and they became extinct in the wild exclusively due to sport hunting in 1972. The scimitar-horned oryx followed suit, while the addax became critically endangered. However, the Arabian oryx has now made a comeback and been upgraded from “extinct in the wild” to “vulnerable” due to conservation efforts like captive breeding Question: Why has the scimitar-horned oryx make a comeback? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The Arabian oryx, a species of large antelope, once inhabited much of the desert areas of the Middle East. However, the species' striking appearance made it (along with the closely related scimitar-horned oryx and addax) a popular quarry for sport hunters, especially foreign executives of oil companies working in the region.[citation needed] The use of automobiles and high-powered rifles destroyed their only advantage: speed, and they became extinct in the wild exclusively due to sport hunting in 1972. The scimitar-horned oryx followed suit, while the addax became critically endangered. However, the Arabian oryx has now made a comeback and been upgraded from “extinct in the wild” to “vulnerable” due to conservation efforts like captive breeding Question: What status has the scimitar-horned oryx been upgraded to? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The Arabian oryx, a species of large antelope, once inhabited much of the desert areas of the Middle East. However, the species' striking appearance made it (along with the closely related scimitar-horned oryx and addax) a popular quarry for sport hunters, especially foreign executives of oil companies working in the region.[citation needed] The use of automobiles and high-powered rifles destroyed their only advantage: speed, and they became extinct in the wild exclusively due to sport hunting in 1972. The scimitar-horned oryx followed suit, while the addax became critically endangered. However, the Arabian oryx has now made a comeback and been upgraded from “extinct in the wild” to “vulnerable” due to conservation efforts like captive breeding Question: What status was the addax upgraded from in 1972? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The Arabian oryx, a species of large antelope, once inhabited much of the desert areas of the Middle East. However, the species' striking appearance made it (along with the closely related scimitar-horned oryx and addax) a popular quarry for sport hunters, especially foreign executives of oil companies working in the region.[citation needed] The use of automobiles and high-powered rifles destroyed their only advantage: speed, and they became extinct in the wild exclusively due to sport hunting in 1972. The scimitar-horned oryx followed suit, while the addax became critically endangered. However, the Arabian oryx has now made a comeback and been upgraded from “extinct in the wild” to “vulnerable” due to conservation efforts like captive breeding Question: What feature in land areas of the Middle East first attracted foreign oil executives? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The American bison is a large bovid which inhabited much of western North America prior to the 1800s, living on the prairies in large herds. However, the vast herds of bison attracted market hunters, who killed dozens of bison for their hides only, leaving the rest to rot. Thousands of these hunters quickly eliminated the bison herds, bringing the population from several million in the early 1800s to a few hundred by the 1880s. Conservation efforts have allowed the population to increase, but the bison remains near-threatened. Question: What area did market hunters come from in the 1880's? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The American bison is a large bovid which inhabited much of western North America prior to the 1800s, living on the prairies in large herds. However, the vast herds of bison attracted market hunters, who killed dozens of bison for their hides only, leaving the rest to rot. Thousands of these hunters quickly eliminated the bison herds, bringing the population from several million in the early 1800s to a few hundred by the 1880s. Conservation efforts have allowed the population to increase, but the bison remains near-threatened. Question: How much did a bison hide cost in the 1800's? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The American bison is a large bovid which inhabited much of western North America prior to the 1800s, living on the prairies in large herds. However, the vast herds of bison attracted market hunters, who killed dozens of bison for their hides only, leaving the rest to rot. Thousands of these hunters quickly eliminated the bison herds, bringing the population from several million in the early 1800s to a few hundred by the 1880s. Conservation efforts have allowed the population to increase, but the bison remains near-threatened. Question: What was the population of the US in 1880? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The American bison is a large bovid which inhabited much of western North America prior to the 1800s, living on the prairies in large herds. However, the vast herds of bison attracted market hunters, who killed dozens of bison for their hides only, leaving the rest to rot. Thousands of these hunters quickly eliminated the bison herds, bringing the population from several million in the early 1800s to a few hundred by the 1880s. Conservation efforts have allowed the population to increase, but the bison remains near-threatened. Question: What areas of the US were settled first in 1880? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The American bison is a large bovid which inhabited much of western North America prior to the 1800s, living on the prairies in large herds. However, the vast herds of bison attracted market hunters, who killed dozens of bison for their hides only, leaving the rest to rot. Thousands of these hunters quickly eliminated the bison herds, bringing the population from several million in the early 1800s to a few hundred by the 1880s. Conservation efforts have allowed the population to increase, but the bison remains near-threatened. Question: What were buildings prone to when built in a prarie area? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: In contrast, Botswana has recently been forced to ban trophy hunting following a precipitous wildlife decline. The numbers of antelope plummeted across Botswana, with a resultant decline in predator numbers, while elephant numbers remained stable and hippopotamus numbers rose. According to the government of Botswana, trophy hunting is at least partly to blame for this, but many other factors, such as poaching, drought and habitat loss are also to blame. Uganda recently did the same, arguing that "the share of benefits of sport hunting were lopsided and unlikely to deter poaching or improve [Uganda's] capacity to manage the wildlife reserves." Question: What happened to antelope in Uganda? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: In contrast, Botswana has recently been forced to ban trophy hunting following a precipitous wildlife decline. The numbers of antelope plummeted across Botswana, with a resultant decline in predator numbers, while elephant numbers remained stable and hippopotamus numbers rose. According to the government of Botswana, trophy hunting is at least partly to blame for this, but many other factors, such as poaching, drought and habitat loss are also to blame. Uganda recently did the same, arguing that "the share of benefits of sport hunting were lopsided and unlikely to deter poaching or improve [Uganda's] capacity to manage the wildlife reserves." Question: What happened in Uganda after antelope numbers fell? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: In contrast, Botswana has recently been forced to ban trophy hunting following a precipitous wildlife decline. The numbers of antelope plummeted across Botswana, with a resultant decline in predator numbers, while elephant numbers remained stable and hippopotamus numbers rose. According to the government of Botswana, trophy hunting is at least partly to blame for this, but many other factors, such as poaching, drought and habitat loss are also to blame. Uganda recently did the same, arguing that "the share of benefits of sport hunting were lopsided and unlikely to deter poaching or improve [Uganda's] capacity to manage the wildlife reserves." Question: How was the elephant population in Uganda? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: In contrast, Botswana has recently been forced to ban trophy hunting following a precipitous wildlife decline. The numbers of antelope plummeted across Botswana, with a resultant decline in predator numbers, while elephant numbers remained stable and hippopotamus numbers rose. According to the government of Botswana, trophy hunting is at least partly to blame for this, but many other factors, such as poaching, drought and habitat loss are also to blame. Uganda recently did the same, arguing that "the share of benefits of sport hunting were lopsided and unlikely to deter poaching or improve [Uganda's] capacity to manage the wildlife reserves." Question: What animal population increased in Uganda? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: In contrast, Botswana has recently been forced to ban trophy hunting following a precipitous wildlife decline. The numbers of antelope plummeted across Botswana, with a resultant decline in predator numbers, while elephant numbers remained stable and hippopotamus numbers rose. According to the government of Botswana, trophy hunting is at least partly to blame for this, but many other factors, such as poaching, drought and habitat loss are also to blame. Uganda recently did the same, arguing that "the share of benefits of sport hunting were lopsided and unlikely to deter poaching or improve [Uganda's] capacity to manage the wildlife reserves." Question: What did Botswana argue sport hunting wouldn't be able to stop? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Myocardial infarction (MI) or acute myocardial infarction (AMI), commonly known as a heart attack, occurs when blood flow stops to a part of the heart causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Often it is in the center or left side of the chest and lasts for more than a few minutes. The discomfort may occasionally feel like heartburn. Other symptoms may include shortness of breath, nausea, feeling faint, a cold sweat, or feeling tired. About 30% of people have atypical symptoms, with women more likely than men to present atypically. Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. An MI may cause heart failure, an irregular heartbeat, or cardiac arrest. Question: What is the scientific name for blood flow? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Myocardial infarction (MI) or acute myocardial infarction (AMI), commonly known as a heart attack, occurs when blood flow stops to a part of the heart causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Often it is in the center or left side of the chest and lasts for more than a few minutes. The discomfort may occasionally feel like heartburn. Other symptoms may include shortness of breath, nausea, feeling faint, a cold sweat, or feeling tired. About 30% of people have atypical symptoms, with women more likely than men to present atypically. Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. An MI may cause heart failure, an irregular heartbeat, or cardiac arrest. Question: What percentage of women have had a heart attack? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Myocardial infarction (MI) or acute myocardial infarction (AMI), commonly known as a heart attack, occurs when blood flow stops to a part of the heart causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Often it is in the center or left side of the chest and lasts for more than a few minutes. The discomfort may occasionally feel like heartburn. Other symptoms may include shortness of breath, nausea, feeling faint, a cold sweat, or feeling tired. About 30% of people have atypical symptoms, with women more likely than men to present atypically. Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. An MI may cause heart failure, an irregular heartbeat, or cardiac arrest. Question: What percentage of people have chest pain when experiencing an MI? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Myocardial infarction (MI) or acute myocardial infarction (AMI), commonly known as a heart attack, occurs when blood flow stops to a part of the heart causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Often it is in the center or left side of the chest and lasts for more than a few minutes. The discomfort may occasionally feel like heartburn. Other symptoms may include shortness of breath, nausea, feeling faint, a cold sweat, or feeling tired. About 30% of people have atypical symptoms, with women more likely than men to present atypically. Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. An MI may cause heart failure, an irregular heartbeat, or cardiac arrest. Question: What is heartburn a commonly known as? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Myocardial infarction (MI) or acute myocardial infarction (AMI), commonly known as a heart attack, occurs when blood flow stops to a part of the heart causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Often it is in the center or left side of the chest and lasts for more than a few minutes. The discomfort may occasionally feel like heartburn. Other symptoms may include shortness of breath, nausea, feeling faint, a cold sweat, or feeling tired. About 30% of people have atypical symptoms, with women more likely than men to present atypically. Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. An MI may cause heart failure, an irregular heartbeat, or cardiac arrest. Question: How long does heartburn last? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Most MIs occur due to coronary artery disease. Risk factors include high blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol, poor diet, and excessive alcohol intake, among others. The mechanism of an MI often involves the complete blockage of a coronary artery caused by a rupture of an atherosclerotic plaque. MIs are less commonly caused by coronary artery spasms, which may be due to cocaine, significant emotional stress, and extreme cold, among others. A number of tests are useful to help with diagnosis, including electrocardiograms (ECGs), blood tests, and coronary angiography. An ECG may confirm an ST elevation MI if ST elevation is present. Commonly used blood tests include troponin and less often creatine kinase MB. Question: What is used to confirm a artery spasm? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Most MIs occur due to coronary artery disease. Risk factors include high blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol, poor diet, and excessive alcohol intake, among others. The mechanism of an MI often involves the complete blockage of a coronary artery caused by a rupture of an atherosclerotic plaque. MIs are less commonly caused by coronary artery spasms, which may be due to cocaine, significant emotional stress, and extreme cold, among others. A number of tests are useful to help with diagnosis, including electrocardiograms (ECGs), blood tests, and coronary angiography. An ECG may confirm an ST elevation MI if ST elevation is present. Commonly used blood tests include troponin and less often creatine kinase MB. Question: What test includes cocaine? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Most MIs occur due to coronary artery disease. Risk factors include high blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol, poor diet, and excessive alcohol intake, among others. The mechanism of an MI often involves the complete blockage of a coronary artery caused by a rupture of an atherosclerotic plaque. MIs are less commonly caused by coronary artery spasms, which may be due to cocaine, significant emotional stress, and extreme cold, among others. A number of tests are useful to help with diagnosis, including electrocardiograms (ECGs), blood tests, and coronary angiography. An ECG may confirm an ST elevation MI if ST elevation is present. Commonly used blood tests include troponin and less often creatine kinase MB. Question: What type of rupture helps prevent MI? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Most MIs occur due to coronary artery disease. Risk factors include high blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol, poor diet, and excessive alcohol intake, among others. The mechanism of an MI often involves the complete blockage of a coronary artery caused by a rupture of an atherosclerotic plaque. MIs are less commonly caused by coronary artery spasms, which may be due to cocaine, significant emotional stress, and extreme cold, among others. A number of tests are useful to help with diagnosis, including electrocardiograms (ECGs), blood tests, and coronary angiography. An ECG may confirm an ST elevation MI if ST elevation is present. Commonly used blood tests include troponin and less often creatine kinase MB. Question: What causes extreme cold? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Most MIs occur due to coronary artery disease. Risk factors include high blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol, poor diet, and excessive alcohol intake, among others. The mechanism of an MI often involves the complete blockage of a coronary artery caused by a rupture of an atherosclerotic plaque. MIs are less commonly caused by coronary artery spasms, which may be due to cocaine, significant emotional stress, and extreme cold, among others. A number of tests are useful to help with diagnosis, including electrocardiograms (ECGs), blood tests, and coronary angiography. An ECG may confirm an ST elevation MI if ST elevation is present. Commonly used blood tests include troponin and less often creatine kinase MB. Question: What does a coronary angiography look for? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Aspirin is an appropriate immediate treatment for a suspected MI. Nitroglycerin or opioids may be used to help with chest pain; however, they do not improve overall outcomes. Supplemental oxygen should be used in those with low oxygen levels or shortness of breath. In ST elevation MIs treatments which attempt to restore blood flow to the heart are typically recommended and include angioplasty, where the arteries are pushed open, or thrombolysis, where the blockage is removed using medications. People who have a non-ST elevation myocardial infarction (NSTEMI) are often managed with the blood thinner heparin, with the additional use angioplasty in those at high risk. In people with blockages of multiple coronary arteries and diabetes, bypass surgery (CABG) may be recommended rather than angioplasty. After an MI, lifestyle modifications, along with long term treatment with aspirin, beta blockers, and statins, are typically recommended. Question: What drugstore item is a poor treatment for MI? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Aspirin is an appropriate immediate treatment for a suspected MI. Nitroglycerin or opioids may be used to help with chest pain; however, they do not improve overall outcomes. Supplemental oxygen should be used in those with low oxygen levels or shortness of breath. In ST elevation MIs treatments which attempt to restore blood flow to the heart are typically recommended and include angioplasty, where the arteries are pushed open, or thrombolysis, where the blockage is removed using medications. People who have a non-ST elevation myocardial infarction (NSTEMI) are often managed with the blood thinner heparin, with the additional use angioplasty in those at high risk. In people with blockages of multiple coronary arteries and diabetes, bypass surgery (CABG) may be recommended rather than angioplasty. After an MI, lifestyle modifications, along with long term treatment with aspirin, beta blockers, and statins, are typically recommended. Question: Supplemental oxygen does not improve what? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Aspirin is an appropriate immediate treatment for a suspected MI. Nitroglycerin or opioids may be used to help with chest pain; however, they do not improve overall outcomes. Supplemental oxygen should be used in those with low oxygen levels or shortness of breath. In ST elevation MIs treatments which attempt to restore blood flow to the heart are typically recommended and include angioplasty, where the arteries are pushed open, or thrombolysis, where the blockage is removed using medications. People who have a non-ST elevation myocardial infarction (NSTEMI) are often managed with the blood thinner heparin, with the additional use angioplasty in those at high risk. In people with blockages of multiple coronary arteries and diabetes, bypass surgery (CABG) may be recommended rather than angioplasty. After an MI, lifestyle modifications, along with long term treatment with aspirin, beta blockers, and statins, are typically recommended. Question: What medicine is used to remove blockages? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Aspirin is an appropriate immediate treatment for a suspected MI. Nitroglycerin or opioids may be used to help with chest pain; however, they do not improve overall outcomes. Supplemental oxygen should be used in those with low oxygen levels or shortness of breath. In ST elevation MIs treatments which attempt to restore blood flow to the heart are typically recommended and include angioplasty, where the arteries are pushed open, or thrombolysis, where the blockage is removed using medications. People who have a non-ST elevation myocardial infarction (NSTEMI) are often managed with the blood thinner heparin, with the additional use angioplasty in those at high risk. In people with blockages of multiple coronary arteries and diabetes, bypass surgery (CABG) may be recommended rather than angioplasty. After an MI, lifestyle modifications, along with long term treatment with aspirin, beta blockers, and statins, are typically recommended. Question: What surgery is designed to slow blood flow? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Aspirin is an appropriate immediate treatment for a suspected MI. Nitroglycerin or opioids may be used to help with chest pain; however, they do not improve overall outcomes. Supplemental oxygen should be used in those with low oxygen levels or shortness of breath. In ST elevation MIs treatments which attempt to restore blood flow to the heart are typically recommended and include angioplasty, where the arteries are pushed open, or thrombolysis, where the blockage is removed using medications. People who have a non-ST elevation myocardial infarction (NSTEMI) are often managed with the blood thinner heparin, with the additional use angioplasty in those at high risk. In people with blockages of multiple coronary arteries and diabetes, bypass surgery (CABG) may be recommended rather than angioplasty. After an MI, lifestyle modifications, along with long term treatment with aspirin, beta blockers, and statins, are typically recommended. Question: What blood thinner is used in ST elevation treatments? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The onset of symptoms in myocardial infarction (MI) is usually gradual, over several minutes, and rarely instantaneous. Chest pain is the most common symptom of acute MI and is often described as a sensation of tightness, pressure, or squeezing. Chest pain due to ischemia (a lack of blood and hence oxygen supply) of the heart muscle is termed angina pectoris. Pain radiates most often to the left arm, but may also radiate to the lower jaw, neck, right arm, back, and upper abdomen, where it may mimic heartburn. Levine's sign, in which a person localizes the chest pain by clenching their fists over their sternum, has classically been thought to be predictive of cardiac chest pain, although a prospective observational study showed it had a poor positive predictive value. Question: What type of heart problem has a typically instantaneous onset? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The onset of symptoms in myocardial infarction (MI) is usually gradual, over several minutes, and rarely instantaneous. Chest pain is the most common symptom of acute MI and is often described as a sensation of tightness, pressure, or squeezing. Chest pain due to ischemia (a lack of blood and hence oxygen supply) of the heart muscle is termed angina pectoris. Pain radiates most often to the left arm, but may also radiate to the lower jaw, neck, right arm, back, and upper abdomen, where it may mimic heartburn. Levine's sign, in which a person localizes the chest pain by clenching their fists over their sternum, has classically been thought to be predictive of cardiac chest pain, although a prospective observational study showed it had a poor positive predictive value. Question: How is pain in the left arm often described? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The onset of symptoms in myocardial infarction (MI) is usually gradual, over several minutes, and rarely instantaneous. Chest pain is the most common symptom of acute MI and is often described as a sensation of tightness, pressure, or squeezing. Chest pain due to ischemia (a lack of blood and hence oxygen supply) of the heart muscle is termed angina pectoris. Pain radiates most often to the left arm, but may also radiate to the lower jaw, neck, right arm, back, and upper abdomen, where it may mimic heartburn. Levine's sign, in which a person localizes the chest pain by clenching their fists over their sternum, has classically been thought to be predictive of cardiac chest pain, although a prospective observational study showed it had a poor positive predictive value. Question: What is a good way to predict a heart attack? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The onset of symptoms in myocardial infarction (MI) is usually gradual, over several minutes, and rarely instantaneous. Chest pain is the most common symptom of acute MI and is often described as a sensation of tightness, pressure, or squeezing. Chest pain due to ischemia (a lack of blood and hence oxygen supply) of the heart muscle is termed angina pectoris. Pain radiates most often to the left arm, but may also radiate to the lower jaw, neck, right arm, back, and upper abdomen, where it may mimic heartburn. Levine's sign, in which a person localizes the chest pain by clenching their fists over their sternum, has classically been thought to be predictive of cardiac chest pain, although a prospective observational study showed it had a poor positive predictive value. Question: What is the term for pain in the left arm? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The onset of symptoms in myocardial infarction (MI) is usually gradual, over several minutes, and rarely instantaneous. Chest pain is the most common symptom of acute MI and is often described as a sensation of tightness, pressure, or squeezing. Chest pain due to ischemia (a lack of blood and hence oxygen supply) of the heart muscle is termed angina pectoris. Pain radiates most often to the left arm, but may also radiate to the lower jaw, neck, right arm, back, and upper abdomen, where it may mimic heartburn. Levine's sign, in which a person localizes the chest pain by clenching their fists over their sternum, has classically been thought to be predictive of cardiac chest pain, although a prospective observational study showed it had a poor positive predictive value. Question: What does a lack of oxygen supply cause? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Shortness of breath occurs when the damage to the heart limits the output of the left ventricle, causing left ventricular failure and consequent pulmonary edema. Other symptoms include diaphoresis (an excessive form of sweating), weakness, light-headedness, nausea, vomiting, and palpitations. These symptoms are likely induced by a massive surge of catecholamines from the sympathetic nervous system, which occurs in response to pain and the blood flow abnormalities that result from dysfunction of the heart muscle. Loss of consciousness (due to inadequate blood flow to the brain and cardiogenic shock) and sudden death (frequently due to the development of ventricular fibrillation) can occur in MIs. Question: What is excessive weakness called? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Shortness of breath occurs when the damage to the heart limits the output of the left ventricle, causing left ventricular failure and consequent pulmonary edema. Other symptoms include diaphoresis (an excessive form of sweating), weakness, light-headedness, nausea, vomiting, and palpitations. These symptoms are likely induced by a massive surge of catecholamines from the sympathetic nervous system, which occurs in response to pain and the blood flow abnormalities that result from dysfunction of the heart muscle. Loss of consciousness (due to inadequate blood flow to the brain and cardiogenic shock) and sudden death (frequently due to the development of ventricular fibrillation) can occur in MIs. Question: Diaphoresis causes a massive surge of what hormones? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Shortness of breath occurs when the damage to the heart limits the output of the left ventricle, causing left ventricular failure and consequent pulmonary edema. Other symptoms include diaphoresis (an excessive form of sweating), weakness, light-headedness, nausea, vomiting, and palpitations. These symptoms are likely induced by a massive surge of catecholamines from the sympathetic nervous system, which occurs in response to pain and the blood flow abnormalities that result from dysfunction of the heart muscle. Loss of consciousness (due to inadequate blood flow to the brain and cardiogenic shock) and sudden death (frequently due to the development of ventricular fibrillation) can occur in MIs. Question: Which nervous system is responsible for shortness of breath? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Shortness of breath occurs when the damage to the heart limits the output of the left ventricle, causing left ventricular failure and consequent pulmonary edema. Other symptoms include diaphoresis (an excessive form of sweating), weakness, light-headedness, nausea, vomiting, and palpitations. These symptoms are likely induced by a massive surge of catecholamines from the sympathetic nervous system, which occurs in response to pain and the blood flow abnormalities that result from dysfunction of the heart muscle. Loss of consciousness (due to inadequate blood flow to the brain and cardiogenic shock) and sudden death (frequently due to the development of ventricular fibrillation) can occur in MIs. Question: What is left ventricular failure called? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Shortness of breath occurs when the damage to the heart limits the output of the left ventricle, causing left ventricular failure and consequent pulmonary edema. Other symptoms include diaphoresis (an excessive form of sweating), weakness, light-headedness, nausea, vomiting, and palpitations. These symptoms are likely induced by a massive surge of catecholamines from the sympathetic nervous system, which occurs in response to pain and the blood flow abnormalities that result from dysfunction of the heart muscle. Loss of consciousness (due to inadequate blood flow to the brain and cardiogenic shock) and sudden death (frequently due to the development of ventricular fibrillation) can occur in MIs. Question: What kind of shock can cause sudden death? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Atypical symptoms are more frequently reported by women, the elderly, and those with diabetes when compared to their male and younger counterparts. Women also report more numerous symptoms compared with men (2.6 on average vs. 1.8 symptoms in men). The most common symptoms of MI in women include dyspnea, weakness, and fatigue. Fatigue, sleep disturbances, and dyspnea have been reported as frequently occurring symptoms that may manifest as long as one month before the actual clinically manifested ischemic event. In women, chest pain may be less predictive of coronary ischemia than in men. Women may also experience back or jaw pain during an episode. Question: How many symptoms do people with diabetes typically report? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Atypical symptoms are more frequently reported by women, the elderly, and those with diabetes when compared to their male and younger counterparts. Women also report more numerous symptoms compared with men (2.6 on average vs. 1.8 symptoms in men). The most common symptoms of MI in women include dyspnea, weakness, and fatigue. Fatigue, sleep disturbances, and dyspnea have been reported as frequently occurring symptoms that may manifest as long as one month before the actual clinically manifested ischemic event. In women, chest pain may be less predictive of coronary ischemia than in men. Women may also experience back or jaw pain during an episode. Question: What are the most common symptoms for men? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Atypical symptoms are more frequently reported by women, the elderly, and those with diabetes when compared to their male and younger counterparts. Women also report more numerous symptoms compared with men (2.6 on average vs. 1.8 symptoms in men). The most common symptoms of MI in women include dyspnea, weakness, and fatigue. Fatigue, sleep disturbances, and dyspnea have been reported as frequently occurring symptoms that may manifest as long as one month before the actual clinically manifested ischemic event. In women, chest pain may be less predictive of coronary ischemia than in men. Women may also experience back or jaw pain during an episode. Question: How long after the ischemic event do symptoms manifest? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Atypical symptoms are more frequently reported by women, the elderly, and those with diabetes when compared to their male and younger counterparts. Women also report more numerous symptoms compared with men (2.6 on average vs. 1.8 symptoms in men). The most common symptoms of MI in women include dyspnea, weakness, and fatigue. Fatigue, sleep disturbances, and dyspnea have been reported as frequently occurring symptoms that may manifest as long as one month before the actual clinically manifested ischemic event. In women, chest pain may be less predictive of coronary ischemia than in men. Women may also experience back or jaw pain during an episode. Question: What is more predictive of coronary ischemia for women? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: At least one quarter of all MIs are silent, without chest pain or other symptoms. These cases can be discovered later on electrocardiograms, using blood enzyme tests, or at autopsy without a prior history of related complaints. Estimates of the prevalence of silent MIs vary between 22 and 64%. A silent course is more common in the elderly, in people with diabetes mellitus and after heart transplantation, probably because the donor heart is not fully innervated by the nervous system of the recipient. In people with diabetes, differences in pain threshold, autonomic neuropathy, and psychological factors have been cited as possible explanations for the lack of symptoms. Question: What percentage of silent cases are later discovered on electrocardiograms? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: At least one quarter of all MIs are silent, without chest pain or other symptoms. These cases can be discovered later on electrocardiograms, using blood enzyme tests, or at autopsy without a prior history of related complaints. Estimates of the prevalence of silent MIs vary between 22 and 64%. A silent course is more common in the elderly, in people with diabetes mellitus and after heart transplantation, probably because the donor heart is not fully innervated by the nervous system of the recipient. In people with diabetes, differences in pain threshold, autonomic neuropathy, and psychological factors have been cited as possible explanations for the lack of symptoms. Question: People with what disease are least likely to experience a silent MI? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: At least one quarter of all MIs are silent, without chest pain or other symptoms. These cases can be discovered later on electrocardiograms, using blood enzyme tests, or at autopsy without a prior history of related complaints. Estimates of the prevalence of silent MIs vary between 22 and 64%. A silent course is more common in the elderly, in people with diabetes mellitus and after heart transplantation, probably because the donor heart is not fully innervated by the nervous system of the recipient. In people with diabetes, differences in pain threshold, autonomic neuropathy, and psychological factors have been cited as possible explanations for the lack of symptoms. Question: Why is a donor heart more sensitive to pain from MIs? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: At least one quarter of all MIs are silent, without chest pain or other symptoms. These cases can be discovered later on electrocardiograms, using blood enzyme tests, or at autopsy without a prior history of related complaints. Estimates of the prevalence of silent MIs vary between 22 and 64%. A silent course is more common in the elderly, in people with diabetes mellitus and after heart transplantation, probably because the donor heart is not fully innervated by the nervous system of the recipient. In people with diabetes, differences in pain threshold, autonomic neuropathy, and psychological factors have been cited as possible explanations for the lack of symptoms. Question: What have been ruled out as possible explanations for silent MIs in diabetics? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: At least one quarter of all MIs are silent, without chest pain or other symptoms. These cases can be discovered later on electrocardiograms, using blood enzyme tests, or at autopsy without a prior history of related complaints. Estimates of the prevalence of silent MIs vary between 22 and 64%. A silent course is more common in the elderly, in people with diabetes mellitus and after heart transplantation, probably because the donor heart is not fully innervated by the nervous system of the recipient. In people with diabetes, differences in pain threshold, autonomic neuropathy, and psychological factors have been cited as possible explanations for the lack of symptoms. Question: What fraction of MIs are discovered with blood enzyme tests? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Tobacco smoking (including secondhand smoke) and short-term exposure to air pollution such as carbon monoxide, nitrogen dioxide, and sulfur dioxide (but not ozone) have been associated with MI. Other factors that increase the risk of MI and are associated with worse outcomes after an MI include lack of physical activity and psychosocial factors including low socioeconomic status, social isolation, and negative emotions. Shift work is also associated with a higher risk of MI. Acute and prolonged intake of high quantities of alcoholic drinks (3-4 or more) increase the risk of a heart attack. Question: What forms of air pollution does smoking tobacco cause? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Tobacco smoking (including secondhand smoke) and short-term exposure to air pollution such as carbon monoxide, nitrogen dioxide, and sulfur dioxide (but not ozone) have been associated with MI. Other factors that increase the risk of MI and are associated with worse outcomes after an MI include lack of physical activity and psychosocial factors including low socioeconomic status, social isolation, and negative emotions. Shift work is also associated with a higher risk of MI. Acute and prolonged intake of high quantities of alcoholic drinks (3-4 or more) increase the risk of a heart attack. Question: How many cigarettes per day increase the risk of a heart attack? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Tobacco smoking (including secondhand smoke) and short-term exposure to air pollution such as carbon monoxide, nitrogen dioxide, and sulfur dioxide (but not ozone) have been associated with MI. Other factors that increase the risk of MI and are associated with worse outcomes after an MI include lack of physical activity and psychosocial factors including low socioeconomic status, social isolation, and negative emotions. Shift work is also associated with a higher risk of MI. Acute and prolonged intake of high quantities of alcoholic drinks (3-4 or more) increase the risk of a heart attack. Question: Increased physical activity is bad for what? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Tobacco smoking (including secondhand smoke) and short-term exposure to air pollution such as carbon monoxide, nitrogen dioxide, and sulfur dioxide (but not ozone) have been associated with MI. Other factors that increase the risk of MI and are associated with worse outcomes after an MI include lack of physical activity and psychosocial factors including low socioeconomic status, social isolation, and negative emotions. Shift work is also associated with a higher risk of MI. Acute and prolonged intake of high quantities of alcoholic drinks (3-4 or more) increase the risk of a heart attack. Question: Short term exposure to 3-4 servings of what is dangerous? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The evidence for saturated fat is unclear. Some state there is evidence of benefit from reducing saturated fat, specifically a benefit from eating polyunsaturated fat instead of saturated fat. While others state there is little evidence that reducing dietary saturated fat or increasing polyunsaturated fat intake affects heart attack risk. Dietary cholesterol does not appear to have a significant effect on blood cholesterol and thus recommendations about its consumption may not be needed. Trans fats do appear to increase risk. Question: Evidence for what product has proven to be unequivocally dangerous? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The evidence for saturated fat is unclear. Some state there is evidence of benefit from reducing saturated fat, specifically a benefit from eating polyunsaturated fat instead of saturated fat. While others state there is little evidence that reducing dietary saturated fat or increasing polyunsaturated fat intake affects heart attack risk. Dietary cholesterol does not appear to have a significant effect on blood cholesterol and thus recommendations about its consumption may not be needed. Trans fats do appear to increase risk. Question: Study show you should replace polyunsaturated fat with what? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The evidence for saturated fat is unclear. Some state there is evidence of benefit from reducing saturated fat, specifically a benefit from eating polyunsaturated fat instead of saturated fat. While others state there is little evidence that reducing dietary saturated fat or increasing polyunsaturated fat intake affects heart attack risk. Dietary cholesterol does not appear to have a significant effect on blood cholesterol and thus recommendations about its consumption may not be needed. Trans fats do appear to increase risk. Question: Blood cholesterol has a significant impact on what? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The evidence for saturated fat is unclear. Some state there is evidence of benefit from reducing saturated fat, specifically a benefit from eating polyunsaturated fat instead of saturated fat. While others state there is little evidence that reducing dietary saturated fat or increasing polyunsaturated fat intake affects heart attack risk. Dietary cholesterol does not appear to have a significant effect on blood cholesterol and thus recommendations about its consumption may not be needed. Trans fats do appear to increase risk. Question: What type of cholesterol requires careful limitations? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: The evidence for saturated fat is unclear. Some state there is evidence of benefit from reducing saturated fat, specifically a benefit from eating polyunsaturated fat instead of saturated fat. While others state there is little evidence that reducing dietary saturated fat or increasing polyunsaturated fat intake affects heart attack risk. Dietary cholesterol does not appear to have a significant effect on blood cholesterol and thus recommendations about its consumption may not be needed. Trans fats do appear to increase risk. Question: Trans what decreases risk? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Genome-wide association studies have found 27 genetic variants that are associated with an increased risk of myocardial infarction. Strongest association of MI has been found with the 9p21 genomic locus, which contains genes CDKN2A & 2B, although the single nucleotide polymorphisms that are implicated are within a non-coding region. The majority of these variants are in regions that have not been previously implicated in coronary artery disease. The following genes have an association with MI: PCSK9, SORT1, MIA3, WDR12, MRAS, PHACTR1, LPA, TCF21, MTHFDSL, ZC3HC1, CDKN2A, 2B, ABO, PDGF0, APOA5, MNF1ASM283, COL4A1, HHIPC1, SMAD3, ADAMTS7, RAS1, SMG6, SNF8, LDLR, SLC5A3, MRPS6, KCNE2. Question: How many genetic variants are shown to decrease risk of an MI? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Genome-wide association studies have found 27 genetic variants that are associated with an increased risk of myocardial infarction. Strongest association of MI has been found with the 9p21 genomic locus, which contains genes CDKN2A & 2B, although the single nucleotide polymorphisms that are implicated are within a non-coding region. The majority of these variants are in regions that have not been previously implicated in coronary artery disease. The following genes have an association with MI: PCSK9, SORT1, MIA3, WDR12, MRAS, PHACTR1, LPA, TCF21, MTHFDSL, ZC3HC1, CDKN2A, 2B, ABO, PDGF0, APOA5, MNF1ASM283, COL4A1, HHIPC1, SMAD3, ADAMTS7, RAS1, SMG6, SNF8, LDLR, SLC5A3, MRPS6, KCNE2. Question: PCSK9 is found in what locus? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Genome-wide association studies have found 27 genetic variants that are associated with an increased risk of myocardial infarction. Strongest association of MI has been found with the 9p21 genomic locus, which contains genes CDKN2A & 2B, although the single nucleotide polymorphisms that are implicated are within a non-coding region. The majority of these variants are in regions that have not been previously implicated in coronary artery disease. The following genes have an association with MI: PCSK9, SORT1, MIA3, WDR12, MRAS, PHACTR1, LPA, TCF21, MTHFDSL, ZC3HC1, CDKN2A, 2B, ABO, PDGF0, APOA5, MNF1ASM283, COL4A1, HHIPC1, SMAD3, ADAMTS7, RAS1, SMG6, SNF8, LDLR, SLC5A3, MRPS6, KCNE2. Question: How many genetic variants are in the 9p21 genomic locus? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Genome-wide association studies have found 27 genetic variants that are associated with an increased risk of myocardial infarction. Strongest association of MI has been found with the 9p21 genomic locus, which contains genes CDKN2A & 2B, although the single nucleotide polymorphisms that are implicated are within a non-coding region. The majority of these variants are in regions that have not been previously implicated in coronary artery disease. The following genes have an association with MI: PCSK9, SORT1, MIA3, WDR12, MRAS, PHACTR1, LPA, TCF21, MTHFDSL, ZC3HC1, CDKN2A, 2B, ABO, PDGF0, APOA5, MNF1ASM283, COL4A1, HHIPC1, SMAD3, ADAMTS7, RAS1, SMG6, SNF8, LDLR, SLC5A3, MRPS6, KCNE2. Question: What was implicated in the coding region of 9p21? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Genome-wide association studies have found 27 genetic variants that are associated with an increased risk of myocardial infarction. Strongest association of MI has been found with the 9p21 genomic locus, which contains genes CDKN2A & 2B, although the single nucleotide polymorphisms that are implicated are within a non-coding region. The majority of these variants are in regions that have not been previously implicated in coronary artery disease. The following genes have an association with MI: PCSK9, SORT1, MIA3, WDR12, MRAS, PHACTR1, LPA, TCF21, MTHFDSL, ZC3HC1, CDKN2A, 2B, ABO, PDGF0, APOA5, MNF1ASM283, COL4A1, HHIPC1, SMAD3, ADAMTS7, RAS1, SMG6, SNF8, LDLR, SLC5A3, MRPS6, KCNE2. Question: SORT1 is associated with decreasing risk of what? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Acute myocardial infarction refers to two subtypes of acute coronary syndrome, namely non-ST-elevated and ST-elevated MIs, which are most frequently (but not always) a manifestation of coronary artery disease. The most common triggering event is the disruption of an atherosclerotic plaque in an epicardial coronary artery, which leads to a clotting cascade, sometimes resulting in total occlusion of the artery. Atherosclerosis is the gradual buildup of cholesterol and fibrous tissue in plaques in the wall of arteries (in this case, the coronary arteries), typically over decades. Bloodstream column irregularities visible on angiography reflect artery lumen narrowing as a result of decades of advancing atherosclerosis. Plaques can become unstable, rupture, and additionally promote the formation of a blood clot that occludes the artery; this can occur in minutes. When a severe enough plaque rupture occurs in the coronary arteries, it leads to MI (necrosis of downstream myocardium). It is estimated that one billion cardiac cells are lost in a typical MI. Question: How many subtypes does ST-elevated MI have? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Acute myocardial infarction refers to two subtypes of acute coronary syndrome, namely non-ST-elevated and ST-elevated MIs, which are most frequently (but not always) a manifestation of coronary artery disease. The most common triggering event is the disruption of an atherosclerotic plaque in an epicardial coronary artery, which leads to a clotting cascade, sometimes resulting in total occlusion of the artery. Atherosclerosis is the gradual buildup of cholesterol and fibrous tissue in plaques in the wall of arteries (in this case, the coronary arteries), typically over decades. Bloodstream column irregularities visible on angiography reflect artery lumen narrowing as a result of decades of advancing atherosclerosis. Plaques can become unstable, rupture, and additionally promote the formation of a blood clot that occludes the artery; this can occur in minutes. When a severe enough plaque rupture occurs in the coronary arteries, it leads to MI (necrosis of downstream myocardium). It is estimated that one billion cardiac cells are lost in a typical MI. Question: What are always a manifestation of artery disease? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Acute myocardial infarction refers to two subtypes of acute coronary syndrome, namely non-ST-elevated and ST-elevated MIs, which are most frequently (but not always) a manifestation of coronary artery disease. The most common triggering event is the disruption of an atherosclerotic plaque in an epicardial coronary artery, which leads to a clotting cascade, sometimes resulting in total occlusion of the artery. Atherosclerosis is the gradual buildup of cholesterol and fibrous tissue in plaques in the wall of arteries (in this case, the coronary arteries), typically over decades. Bloodstream column irregularities visible on angiography reflect artery lumen narrowing as a result of decades of advancing atherosclerosis. Plaques can become unstable, rupture, and additionally promote the formation of a blood clot that occludes the artery; this can occur in minutes. When a severe enough plaque rupture occurs in the coronary arteries, it leads to MI (necrosis of downstream myocardium). It is estimated that one billion cardiac cells are lost in a typical MI. Question: How long does an MI take? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Acute myocardial infarction refers to two subtypes of acute coronary syndrome, namely non-ST-elevated and ST-elevated MIs, which are most frequently (but not always) a manifestation of coronary artery disease. The most common triggering event is the disruption of an atherosclerotic plaque in an epicardial coronary artery, which leads to a clotting cascade, sometimes resulting in total occlusion of the artery. Atherosclerosis is the gradual buildup of cholesterol and fibrous tissue in plaques in the wall of arteries (in this case, the coronary arteries), typically over decades. Bloodstream column irregularities visible on angiography reflect artery lumen narrowing as a result of decades of advancing atherosclerosis. Plaques can become unstable, rupture, and additionally promote the formation of a blood clot that occludes the artery; this can occur in minutes. When a severe enough plaque rupture occurs in the coronary arteries, it leads to MI (necrosis of downstream myocardium). It is estimated that one billion cardiac cells are lost in a typical MI. Question: How many plaques become unstable in a typical MI? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Acute myocardial infarction refers to two subtypes of acute coronary syndrome, namely non-ST-elevated and ST-elevated MIs, which are most frequently (but not always) a manifestation of coronary artery disease. The most common triggering event is the disruption of an atherosclerotic plaque in an epicardial coronary artery, which leads to a clotting cascade, sometimes resulting in total occlusion of the artery. Atherosclerosis is the gradual buildup of cholesterol and fibrous tissue in plaques in the wall of arteries (in this case, the coronary arteries), typically over decades. Bloodstream column irregularities visible on angiography reflect artery lumen narrowing as a result of decades of advancing atherosclerosis. Plaques can become unstable, rupture, and additionally promote the formation of a blood clot that occludes the artery; this can occur in minutes. When a severe enough plaque rupture occurs in the coronary arteries, it leads to MI (necrosis of downstream myocardium). It is estimated that one billion cardiac cells are lost in a typical MI. Question: How long does an angiography take? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: If impaired blood flow to the heart lasts long enough, it triggers a process called the ischemic cascade; the heart cells in the territory of the occluded coronary artery die (chiefly through necrosis) and do not grow back. A collagen scar forms in their place. Recent studies indicate that another form of cell death, apoptosis, also plays a role in the process of tissue damage following an MI. As a result, the person's heart will be permanently damaged. This myocardial scarring also puts the person at risk for potentially life-threatening abnormal heart rhythms (arrhythmias), and may result in the formation of a ventricular aneurysm that can rupture with catastrophic consequences. Question: What does necrosis trigger? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: If impaired blood flow to the heart lasts long enough, it triggers a process called the ischemic cascade; the heart cells in the territory of the occluded coronary artery die (chiefly through necrosis) and do not grow back. A collagen scar forms in their place. Recent studies indicate that another form of cell death, apoptosis, also plays a role in the process of tissue damage following an MI. As a result, the person's heart will be permanently damaged. This myocardial scarring also puts the person at risk for potentially life-threatening abnormal heart rhythms (arrhythmias), and may result in the formation of a ventricular aneurysm that can rupture with catastrophic consequences. Question: What is a collagen scar called? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: If impaired blood flow to the heart lasts long enough, it triggers a process called the ischemic cascade; the heart cells in the territory of the occluded coronary artery die (chiefly through necrosis) and do not grow back. A collagen scar forms in their place. Recent studies indicate that another form of cell death, apoptosis, also plays a role in the process of tissue damage following an MI. As a result, the person's heart will be permanently damaged. This myocardial scarring also puts the person at risk for potentially life-threatening abnormal heart rhythms (arrhythmias), and may result in the formation of a ventricular aneurysm that can rupture with catastrophic consequences. Question: What is another name for a ventricular aneurysm? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: If impaired blood flow to the heart lasts long enough, it triggers a process called the ischemic cascade; the heart cells in the territory of the occluded coronary artery die (chiefly through necrosis) and do not grow back. A collagen scar forms in their place. Recent studies indicate that another form of cell death, apoptosis, also plays a role in the process of tissue damage following an MI. As a result, the person's heart will be permanently damaged. This myocardial scarring also puts the person at risk for potentially life-threatening abnormal heart rhythms (arrhythmias), and may result in the formation of a ventricular aneurysm that can rupture with catastrophic consequences. Question: apoptosis is the death of what artery? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: If impaired blood flow to the heart lasts long enough, it triggers a process called the ischemic cascade; the heart cells in the territory of the occluded coronary artery die (chiefly through necrosis) and do not grow back. A collagen scar forms in their place. Recent studies indicate that another form of cell death, apoptosis, also plays a role in the process of tissue damage following an MI. As a result, the person's heart will be permanently damaged. This myocardial scarring also puts the person at risk for potentially life-threatening abnormal heart rhythms (arrhythmias), and may result in the formation of a ventricular aneurysm that can rupture with catastrophic consequences. Question: What is impaired blood flow called? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Injured heart tissue conducts electrical impulses more slowly than normal heart tissue. The difference in conduction velocity between injured and uninjured tissue can trigger re-entry or a feedback loop that is believed to be the cause of many lethal arrhythmias. The most serious of these arrhythmias is ventricular fibrillation (V-Fib/VF), an extremely fast and chaotic heart rhythm that is the leading cause of sudden cardiac death. Another life-threatening arrhythmia is ventricular tachycardia (V-tach/VT), which can cause sudden cardiac death. However, VT usually results in rapid heart rates that prevent the heart from pumping blood effectively. Cardiac output and blood pressure may fall to dangerous levels, which can lead to further coronary ischemia and extension of the infarct. Question: Normal heart tissue is slower than what? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Injured heart tissue conducts electrical impulses more slowly than normal heart tissue. The difference in conduction velocity between injured and uninjured tissue can trigger re-entry or a feedback loop that is believed to be the cause of many lethal arrhythmias. The most serious of these arrhythmias is ventricular fibrillation (V-Fib/VF), an extremely fast and chaotic heart rhythm that is the leading cause of sudden cardiac death. Another life-threatening arrhythmia is ventricular tachycardia (V-tach/VT), which can cause sudden cardiac death. However, VT usually results in rapid heart rates that prevent the heart from pumping blood effectively. Cardiac output and blood pressure may fall to dangerous levels, which can lead to further coronary ischemia and extension of the infarct. Question: What is the name of the arrhythmia that is slower than normal? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Injured heart tissue conducts electrical impulses more slowly than normal heart tissue. The difference in conduction velocity between injured and uninjured tissue can trigger re-entry or a feedback loop that is believed to be the cause of many lethal arrhythmias. The most serious of these arrhythmias is ventricular fibrillation (V-Fib/VF), an extremely fast and chaotic heart rhythm that is the leading cause of sudden cardiac death. Another life-threatening arrhythmia is ventricular tachycardia (V-tach/VT), which can cause sudden cardiac death. However, VT usually results in rapid heart rates that prevent the heart from pumping blood effectively. Cardiac output and blood pressure may fall to dangerous levels, which can lead to further coronary ischemia and extension of the infarct. Question: V-tach is the leading cause of what? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Injured heart tissue conducts electrical impulses more slowly than normal heart tissue. The difference in conduction velocity between injured and uninjured tissue can trigger re-entry or a feedback loop that is believed to be the cause of many lethal arrhythmias. The most serious of these arrhythmias is ventricular fibrillation (V-Fib/VF), an extremely fast and chaotic heart rhythm that is the leading cause of sudden cardiac death. Another life-threatening arrhythmia is ventricular tachycardia (V-tach/VT), which can cause sudden cardiac death. However, VT usually results in rapid heart rates that prevent the heart from pumping blood effectively. Cardiac output and blood pressure may fall to dangerous levels, which can lead to further coronary ischemia and extension of the infarct. Question: Electrical impulses trigger what? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Injured heart tissue conducts electrical impulses more slowly than normal heart tissue. The difference in conduction velocity between injured and uninjured tissue can trigger re-entry or a feedback loop that is believed to be the cause of many lethal arrhythmias. The most serious of these arrhythmias is ventricular fibrillation (V-Fib/VF), an extremely fast and chaotic heart rhythm that is the leading cause of sudden cardiac death. Another life-threatening arrhythmia is ventricular tachycardia (V-tach/VT), which can cause sudden cardiac death. However, VT usually results in rapid heart rates that prevent the heart from pumping blood effectively. Cardiac output and blood pressure may fall to dangerous levels, which can lead to further coronary ischemia and extension of the infarct. Question: A rising blood pressure can cause additional what? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Myocardial infarction in the setting of plaque results from underlying atherosclerosis. Inflammation is known to be an important step in the process of atherosclerotic plaque formation. C-reactive protein (CRP) is a sensitive but nonspecific marker for inflammation. Elevated CRP blood levels, especially measured with high-sensitivity assays, can predict the risk of MI, as well as stroke and development of diabetes. Moreover, some drugs for MI might also reduce CRP levels. The use of high-sensitivity CRP assays as a means of screening the general population is advised against, but it may be used optionally at the physician's discretion in those who already present with other risk factors or known coronary artery disease. Whether CRP plays a direct role in atherosclerosis remains uncertain. Question: The setting of plaque is called what? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Myocardial infarction in the setting of plaque results from underlying atherosclerosis. Inflammation is known to be an important step in the process of atherosclerotic plaque formation. C-reactive protein (CRP) is a sensitive but nonspecific marker for inflammation. Elevated CRP blood levels, especially measured with high-sensitivity assays, can predict the risk of MI, as well as stroke and development of diabetes. Moreover, some drugs for MI might also reduce CRP levels. The use of high-sensitivity CRP assays as a means of screening the general population is advised against, but it may be used optionally at the physician's discretion in those who already present with other risk factors or known coronary artery disease. Whether CRP plays a direct role in atherosclerosis remains uncertain. Question: CRP is known to play a direct role in what? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Myocardial infarction in the setting of plaque results from underlying atherosclerosis. Inflammation is known to be an important step in the process of atherosclerotic plaque formation. C-reactive protein (CRP) is a sensitive but nonspecific marker for inflammation. Elevated CRP blood levels, especially measured with high-sensitivity assays, can predict the risk of MI, as well as stroke and development of diabetes. Moreover, some drugs for MI might also reduce CRP levels. The use of high-sensitivity CRP assays as a means of screening the general population is advised against, but it may be used optionally at the physician's discretion in those who already present with other risk factors or known coronary artery disease. Whether CRP plays a direct role in atherosclerosis remains uncertain. Question: What specific marker indicates inflammation? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Myocardial infarction in the setting of plaque results from underlying atherosclerosis. Inflammation is known to be an important step in the process of atherosclerotic plaque formation. C-reactive protein (CRP) is a sensitive but nonspecific marker for inflammation. Elevated CRP blood levels, especially measured with high-sensitivity assays, can predict the risk of MI, as well as stroke and development of diabetes. Moreover, some drugs for MI might also reduce CRP levels. The use of high-sensitivity CRP assays as a means of screening the general population is advised against, but it may be used optionally at the physician's discretion in those who already present with other risk factors or known coronary artery disease. Whether CRP plays a direct role in atherosclerosis remains uncertain. Question: Drugs for MI tend to raise what? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: Myocardial infarction in the setting of plaque results from underlying atherosclerosis. Inflammation is known to be an important step in the process of atherosclerotic plaque formation. C-reactive protein (CRP) is a sensitive but nonspecific marker for inflammation. Elevated CRP blood levels, especially measured with high-sensitivity assays, can predict the risk of MI, as well as stroke and development of diabetes. Moreover, some drugs for MI might also reduce CRP levels. The use of high-sensitivity CRP assays as a means of screening the general population is advised against, but it may be used optionally at the physician's discretion in those who already present with other risk factors or known coronary artery disease. Whether CRP plays a direct role in atherosclerosis remains uncertain. Question: What type of screening is generally recommended? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: For a person to qualify as having a STEMI, in addition to reported angina, the ECG must show new ST elevation in two or more adjacent ECG leads. This must be greater than 2 mm (0.2 mV) for males and greater than 1.5 mm (0.15 mV) in females if in leads V2 and V3 or greater than 1 mm (0.1 mV) if it is in other ECG leads. A left bundle branch block that is believed to be new used to be considered the same as ST elevation; however, this is no longer the case. In early STEMIs there may just be peaked T waves with ST elevation developing later. Question: How many anginas must a person report to have a STEMI? Answer: [/INST] Not in background. </s>
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<s>[INST] Answer each question using information in the preceding background paragraph. If there is not enough information provided, answer with 'Not in background. Background: For a person to qualify as having a STEMI, in addition to reported angina, the ECG must show new ST elevation in two or more adjacent ECG leads. This must be greater than 2 mm (0.2 mV) for males and greater than 1.5 mm (0.15 mV) in females if in leads V2 and V3 or greater than 1 mm (0.1 mV) if it is in other ECG leads. A left bundle branch block that is believed to be new used to be considered the same as ST elevation; however, this is no longer the case. In early STEMIs there may just be peaked T waves with ST elevation developing later. Question: ST elevation can develop into what? Answer: [/INST] Not in background. </s>
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