Heart Attack

1. Have them stop activity and rest in a comfortable position.
2. If they are awake, can understand simple commands, and can chew or swallow and are allowed to have aspirin, assist them to take two to four low-dose (81-mg) aspirin tablets (162 to 324 mg) or one regular-strength (325-mg) aspirin tablet.
3. If they have prescribed medication such as nitroglycerin, offer to assist with taking it.
4. Loosen tight or uncomfortable clothing.
5. Continue checking them as appropriate to determine if additional care is needed.
6. Keep person from getting cold or overheated.
7. Give care for shock, if necessary.
8. Stay with them until EMS arrives.
9. Reassure person you will help and that EMS has been called (if appropriate).
10. Watch for changes in condition, including breathing and responsiveness until EMS arrives, and give care as appropriate and trained.
11. Be prepared to give CPR or compression-only CPR based on level of training and use an AED when available if they become unresponsive and are not breathing (cardiac arrest).

What are some tips to help save the life of a person with a heart attack?

• Call 9-1-1 immediately if you think someone is having a heart attack.
• Get or instruct someone to get an AED if there is one available.
• Never drive a person to the hospital yourself.
• Don’t delay seeking care by disregarding signs and symptoms.
• Don’t worry about causing a “false alarm” by calling 9-1-1.
• Remember: Most people that succumb to fatal heart attacks die within the first 2 hours of signs and symptoms. Early care saves lives.

What is the difference between a heart attack and cardiac arrest?

A heart attack and cardiac arrest are not the same thing. A heart attack is a blockage of the blood vessels that supply oxygen to the heart muscle. The person may be awake, and if left untreated the heart attack may progress to cardiac arrest. Cardiac arrest is when the heart stops beating or beats too ineffectively to circulate blood to the brain and other vital organs.

I’ve heard that women may have different symptoms of a heart attack than men. Is this true?

Although men often have “classic” signs and symptoms of a heart attack, such as chest pain radiating down one arm, women may have more subtle signs and symptoms or experience a heart attack differently than men do.

For example, the “classic” signs and symptoms in women may be milder or accompanied by more general signs and symptoms such as back pain, shortness of breath, nausea or vomiting, extreme fatigue, and dizziness or light-headedness. Because these signs and symptoms are general and nonspecific, women may experience them for hours, days or even weeks leading up to the heart attack but dismiss them as nothing out of the ordinary.