By Jolomi Igiehon
Guest Health Writer
Recognizing Heart Attack Symptoms and What to Do Before Help Arrives
A heart attack is a life-threatening medical emergency that requires immediate attention. Understanding the signs and symptoms of a heart attack, and knowing how to act before paramedics arrive, could be the difference between life and death. Time is of the essence, and your prompt response can help save a life, whether it’s your own or someone else’s. This guide will provide you with essential information about recognizing heart attack symptoms and the critical steps to take while waiting for emergency medical services to arrive.
What is a Heart Attack?
A heart attack, also known as a myocardial infarction, occurs when blood flow to a part of the heart muscle is blocked. The heart relies on a steady supply of oxygen-rich blood to function effectively. When an artery supplying the heart becomes blocked, the heart muscle begins to suffer damage due to lack of oxygen, which can lead to the death of heart tissue. This blockage is often caused by a buildup of fatty deposits (atherosclerosis) or a blood clot.
Recognizing Heart Attack Symptoms
Heart attack symptoms can vary from person to person, but there are several common signs to look out for. Some symptoms may come on suddenly, while others can develop over a period of hours. Early recognition is crucial for prompt intervention.
1. Chest Pain or Discomfort
The most common and widely recognized symptom of a heart attack is chest pain or discomfort. This pain is often described as:
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A pressure or tightness in the chest
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A sensation of heaviness or squeezing
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A burning or aching feeling in the chest
The pain may radiate to other parts of the body, such as the arms (usually the left arm), neck, jaw, back, or stomach. It may also feel like indigestion or heartburn, which can make it difficult to distinguish from other conditions.
2. Shortness of Breath
Shortness of breath can occur before or during a heart attack. You may feel winded or find it difficult to breathe deeply, even at rest. This is a serious sign that the heart is not pumping blood effectively and requires immediate attention.
3. Cold Sweats
Breaking out in a cold sweat is another common symptom of a heart attack. This may occur even if you are not exerting yourself physically. Sweating can be profuse, often accompanied by dizziness or nausea.
4. Nausea and Vomiting
Many heart attack victims experience nausea or vomiting, especially women. This symptom may occur alongside chest discomfort or independently, making it harder to recognize a heart attack in some cases.
5. Pain in Other Areas of the Body
Although chest pain is the most well-known symptom, heart attack pain can radiate to other areas of the body, such as:
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The left shoulder, arm, or elbow
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The back or neck
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The stomach or jaw
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The right arm (less common but still possible)
This type of referred pain can be a red flag for a heart attack, especially when it comes on suddenly or is accompanied by other symptoms like chest pressure or shortness of breath.
6. Lightheadedness or Fainting
Feeling lightheaded, dizzy, or faint can indicate a heart attack. This is a sign that the heart is struggling to pump enough blood to vital organs. If fainting occurs, it’s critical to seek medical help immediately.
7. Unexplained Fatigue
Some individuals, particularly women, report feeling unusually fatigued or tired in the days leading up to a heart attack. This feeling of extreme exhaustion may not have a clear cause and can be overlooked or attributed to stress or overwork.
What to Do Before Help Arrives
When someone is experiencing heart attack symptoms, immediate action is essential to improve the chances of survival. Here are the critical steps to take before emergency medical help arrives:
1. Call Emergency Services Immediately
The first and most important step is to call 911 (or your local emergency services number) right away. Time is a crucial factor in heart attack outcomes, and paramedics can begin life-saving treatment as soon as they arrive. When calling, be sure to provide clear information, including the victim’s symptoms, location, and any other relevant details.
2. Stay Calm and Keep the Person Calm
Heart attacks can be overwhelming, but staying calm is essential. If you are the one experiencing the symptoms, try to remain as calm as possible. Panic can worsen the situation by raising your heart rate and blood pressure. If you are with someone having a heart attack, reassure them and encourage slow, steady breathing to help keep them calm.
3. Encourage Rest
Have the person sit down and rest. Avoid any physical activity, as this could further strain the heart. If the person is conscious and alert, encourage them to stay as still as possible to reduce the strain on the heart. If they are in pain, lying down may help alleviate some of the discomfort.
4. Administer Aspirin (If Appropriate)
If the person is conscious and not allergic to aspirin, they may benefit from taking a low dose (typically 325 mg) to help prevent further clot formation. Aspirin helps thin the blood and can reduce the damage to the heart muscle. Be sure to chew the aspirin rather than swallow it whole for quicker absorption.
5. Avoid Giving Food or Drink
Do not give the person anything to eat or drink, including water. In the event that they need to undergo surgery or other medical procedures, having an empty stomach is essential. Also, giving food or drink could increase the risk of choking if the person’s condition worsens.
6. Perform CPR (If the Person Stops Breathing)
If the person loses consciousness and stops breathing, begin CPR immediately. CPR (cardiopulmonary resuscitation) helps maintain circulation and oxygenation to vital organs, including the brain and heart. If you are unfamiliar with CPR, follow the instructions provided by the 911 operator until paramedics arrive.
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Chest Compressions: Push hard and fast in the center of the chest, about 2 inches deep, at a rate of 100-120 compressions per minute.
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Rescue Breaths: If you are trained in CPR, provide 2 rescue breaths after every 30 chest compressions. If you are not trained, continue chest compressions without stopping for rescue breaths.
7. Monitor the Person’s Condition
As you wait for help to arrive, continue monitoring the person’s symptoms. If they become unconscious, unresponsive, or stop breathing, immediately start CPR. If they regain consciousness, keep them calm and still until paramedics take over.
When to Seek Help for Your Own Symptoms
If you experience any of the symptoms of a heart attack, it’s essential to act quickly. Do not wait for the pain to subside or assume that it’s nothing serious. Even if the symptoms seem mild or intermittent, it’s better to err on the side of caution and seek immediate medical attention. Early intervention can prevent long-term damage to the heart and improve your chances of survival.
Analysis
Recognizing the signs of a heart attack and knowing how to respond before emergency help arrives is critical in saving lives. Remember to call emergency services immediately, stay calm, encourage rest, and administer aspirin if appropriate. In some cases, CPR may be necessary. Taking swift, decisive action can make all the difference in the outcome of a heart attack.
By understanding the symptoms and learning the proper steps to take, you can be prepared to act when every second counts.

