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Ask the Expert

Signs & Symptoms of a Heart Attack

Dr. Robert Cleary
Cardiology

What is a heart attack?
More than 1 million Americans have heart attacks each year. A heart attack causes permanent damage to the heart muscle.

The coronary arteries provide the heart muscle with a constant supply of oxygen-rich blood. Within a short time of a coronary artery becoming blocked by plaque or a blood clot, death of heart muscle cells occurs, causing permanent damage. This is called a myocardial infarction, or heart attack.

Is chest pain the only symptom of a heart attack?
Chest pain or discomfort is the most common sign of a heart attack. Most heart attacks involve uncomfortable pressure, fullness or pressure in the center of the chest that lasts more than a few minutes, or goes away and comes back.

Although chest pain is the most common sign of a heart attack, other symptoms of a heart attack include:

  • Pain in either or both arms, back, neck, jaw or stomach
  • Shortness of breath
  • Cold sweat
  • Paleness
  • Nausea
  • Dizziness
  • Lightheadedness

What should be done when someone may be having a heart attack?
Time is of the essence if you think you are having a heart attack. If you or someone you’re with has chest discomfort, especially with one or more of the other symptoms, you should:

  • Stop whatever you’re doing.
  • Sit or lie down.
  • Take an aspirin if you are not allergic.

It is important not to wait longer than 5 minutes before calling 9-1-1.

Have a question for Ask the Expert?
Send your question via e-mail to Dr. Martin at asktheexpert@clarianarnett.com.
Your question may appear in a future column.

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