Heart attacks: warning signs, symptoms, and what to expect

Written by:

Dr Andrew Deaner

Cardiologist

Published: 27/04/2017
Edited by: Conor Dunworth


What are the warning signs of a heart attack?

Heart attack warning signs are actually nothing like what you’re used to seeing in films. You might expect severe pain, but actually many patients simply experience chest heaviness or discomfort, or pain in the arm, jaw, or back. Other signs include tightness in the throat, an uncomfortable feeling in the chest, and you may feel an ache in your left arm. You might feel cold, but notice that you are sweating considerably. Something is definitely wrong, and you should call 999 immediately.

 

What are the causes of a heart attack?

A heart attack occurs when the blood supply to the heart, through a coronary artery, is interrupted. Coronary arteries may become clogged by a build-up of cholesterol, which form deposits and can burst, causing a blood clot. This clot can block blood supply, which in turn triggers a heart attack.

 

Who is at risk from a heart attack?

Usually heart attacks affect older men, but women can experience heart attacks too; even at the age of 30 or 40. The risk of heart attack increases at age 45 for men, and usually after the menopause for women, so around the age of 55. Those who have a family history of heart attack are also more likely to be affected. There are factors you can’t control, but there are also risk factors we do have control over.
You are more at risk from heart attack if you:

Smoke Have a high fat diet Are overweight Do not exercise or are physically inactive

 

What is the treatment for a heart attack?

After calling 999, the ambulance will arrive and the paramedics will quickly assess you. They will give you oxygen, aspirin, and insert an intravenous line into your arm to deliver drugs.
Once in hospital an immediate procedure called a coronary angioplasty is usually carried out. This removes the blockage through a suction tube placed into your artery. The blood clot is sucked out, restoring blood flow and providing immediate relief. The procedure can take as little as half an hour.

 

What is the recovery period for a heart attack?

Nowadays, a hospital stay after a heart attack lasts just a couple of days, providing there is no significant damage to your heart muscle. If the case is more complex, you will be kept in hospital for longer as you may need further procedures.
After a heart attack, you will feel tired and will have to monitor your activity, but you will be advised on what to be careful of - for example, when you can return to work or start driving again.

 

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