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Summary
Each year almost 800,000 Americans have a heart attack. A heart attack happens when blood flow to the heart suddenly becomes blocked. Without the blood coming in, the heart can't get oxygen. If not treated quickly, the heart muscle begins to die. But if you do get quick treatment, you may be able to prevent or limit damage to the heart muscle. That's why it's important to know the symptoms of a heart attack and call 911 if you or someone else is having them. You should call, even if you are not sure that it is a heart attack.
The most common symptoms in men and women are:
- Chest discomfort. It is often in center or left side of the chest. It usually lasts more than a few minutes. It may go away and come back. It can feel like pressure, squeezing, fullness, or pain. It also can feel like heartburn or indigestion.
- Shortness of breath. Sometimes this is your only symptom. You may get it before or during the chest discomfort. It can happen when you are resting or doing a little bit of physical activity.
- Discomfort in the upper body. You may feel pain or discomfort in one or both arms, the back, shoulders, neck, jaw, or upper part of the stomach.
You may also have other symptoms, such as nausea, vomiting, dizziness, and lightheadedness. You may break out in a cold sweat. Sometimes women will have different symptoms then men. For example, they are more likely to feel tired for no reason.
The most common cause of heart attacks is coronary artery disease (CAD). With CAD, there is a buildup of cholesterol and other material, called plaque, on their inner walls or the arteries. This is atherosclerosis. It can build up for years. Eventually an area of plaque can rupture (break open). A blood clot can form around the plaque and block the artery.
A less common cause of heart attack is a severe spasm (tightening) of a coronary artery. The spasm cuts off blood flow through the artery.
At the hospital, health care providers make a diagnosis based on your symptoms, blood tests, and different heart health tests. Treatments may include medicines and medical procedures such as coronary angioplasty. After a heart attack, cardiac rehabilitation and lifestyle changes can help you recover.
NIH: National Heart, Lung, and Blood Institute
Symptoms
- Heart Attack, Stroke, and Cardiac Arrest Symptoms (American Heart Association)
Diagnosis and Tests
- Creatine Kinase (National Library of Medicine) Also in Spanish
- Heart Health Tests: MedlinePlus Health Topic (National Library of Medicine) Also in Spanish
- hs-CRP Test (C-Reactive Protein High-Sensitivity)
- Lactate Dehydrogenase (LDH) Isoenzymes Test (National Library of Medicine) Also in Spanish
- Lactate Dehydrogenase (LDH) Test (National Library of Medicine) Also in Spanish
- Troponin Test (National Library of Medicine) Also in Spanish
- Warning Signs of a Heart Attack (American Heart Association)
Prevention and Risk Factors
- Aspirin for Reducing Your Risk of Heart Attack and Stroke: Know the Facts (Food and Drug Administration)
- Can Vitamins Help Prevent a Heart Attack? (Mayo Foundation for Medical Education and Research) Also in Spanish
- How to Prevent Heart Disease: MedlinePlus Health Topic (National Library of Medicine) Also in Spanish
- Lifestyle Changes for Heart Attack Prevention (American Heart Association)
Treatments and Therapies
- Angioplasty: MedlinePlus Health Topic (National Library of Medicine) Also in Spanish
- Blood Thinners: MedlinePlus Health Topic (National Library of Medicine) Also in Spanish
Living With
- Cardiac Rehabilitation: MedlinePlus Health Topic (National Library of Medicine) Also in Spanish
- Heart Attack Recovery FAQs (American Heart Association)
- How Will I Recover from My Heart Attack? (American Heart Association) - PDF
- When You Visit Your Doctor: After a Heart Attack (Harvard Medical School)
Related Issues
- Depression after Heart Attack (American Heart Association)
- Dressler Syndrome (Mayo Foundation for Medical Education and Research) Also in Spanish
- Drug-Eluting Stents: Do They Increase Heart Attack Risk? (Mayo Foundation for Medical Education and Research) Also in Spanish
- Heart Attack and Sudden Cardiac Arrest Differences (American Heart Association) Also in Spanish
Specifics
- Acute Coronary Syndrome (American Heart Association)
- Silent Heart Attack: What Are the Risks? (Mayo Foundation for Medical Education and Research) Also in Spanish
- What Is Cardiogenic Shock? (National Heart, Lung, and Blood Institute) Also in Spanish
Test Your Knowledge
- Are You At Risk For a Heart Attack? (Medical Encyclopedia) Also in Spanish
Statistics and Research
- Heart Disease and Stroke Statistics (American Heart Association)
Clinical Trials
- ClinicalTrials.gov: Myocardial Infarction (National Institutes of Health)
Journal Articles References and abstracts from MEDLINE/PubMed (National Library of Medicine)
Reference Desk
- Heart Anatomy (Texas Heart Institute) Also in Spanish
- Heart Information Center (Texas Heart Institute) Also in Spanish
- How the Heart Works (National Heart, Lung, and Blood Institute) Also in Spanish
Women
- Calcium Supplements: A Risk Factor for Heart Attack? (Mayo Foundation for Medical Education and Research) Also in Spanish
- Heart Attack and Women (Department of Health and Human Services, Office on Women's Health) Also in Spanish
- Heart Attack Symptoms in Women (American Heart Association)
- Make the Call, Don't Miss a Beat: Heart Attack Information for Women (Department of Health and Human Services, Office on Women's Health)
Older Adults
- Coronary Artery Disease (Heart Attack) (American Geriatrics Society)
Patient Handouts
- Being active after your heart attack (Medical Encyclopedia) Also in Spanish
- Cardiac catheterization - discharge (Medical Encyclopedia) Also in Spanish
- Heart attack (Medical Encyclopedia) Also in Spanish
- Heart attack - discharge (Medical Encyclopedia) Also in Spanish
- Learn What a Heart Attack Feels Like (National Heart, Lung, and Blood Institute) - PDF
- Troponin test (Medical Encyclopedia) Also in Spanish