Heart attack

Posted on 29 February 2008

A heart attack occurs when one of the arteries supplying blood to the heart muscle is suddenly blocked by a blood clot.

Signs of a heart attack include chest pain, sweating, breathing difficulty, dizziness, nausea, pallor. A heart attack is a medical emergency. First aid focuses on helping the person take their heart medication, and having him sit still with knees bent.

What causes a heart attack?

A heart attack occurs when one of the arteries supplying blood to the heart muscle is suddenly blocked by a blood clot. This causes permanent damage to the heart muscle. It may be fatal in some cases.

What are the symptoms and signs of a heart attack?

  • Symptoms and signs of heart attack may include the following:
  • Chest pain or discomfort that is crushing, like a heavy weight; or squeezing, like a tight band around the chest; or an ache in the centre of the chest. The pain may radiate to the neck, jaw, shoulders, arms (especially the left arm), back, abdomen, face or teeth. The pain is persistent (longer than 15 minutes), and does not ease with rest. The pain is sometimes mistaken for indigestion. Note that in some cases, heart attacks are painless.
  • Profuse sweating
  • Difficulty breathing
  • Feeling dizzy or light-headed
  • Nausea
  • Pale, clammy skin
  • The pulse may be fast or irregular.
  • The person may suddenly collapse and lose consciousness.

Get help immediately if a person shows any signs of heart attack. Prompt treatment helps prevent further damage to the heart muscle and death.

First aid for heart attack

  • If a person shows any symptoms or signs of heart attack, find out if there is a history of heart disease, and whether he takes any heart medication. Help him find and take their medication.
  • Encourage the person to sit still, with knees bent to ease strain on the heart.
  • Talk to him calmly and reassuringly, and loosen any tight clothing.
  • Monitor any changes in condition.
  • The person should take one aspirin with water (Unless he is allergic to or unable to take aspirin). Aspirin helps to prevent blood clotting.

Last updated: July 2009




The information provided in this article was correct at the time of publishing. At Mediclinic we endeavour to provide our patients and readers with accurate and reliable information, which is why we continually review and update our content. However, due to the dynamic nature of clinical information and medicine, some information may from time to time become outdated prior to revision.

Published in Cardiology

In the interest of our patients, in accordance with SA law and our commitment to expertise, Mediclinic cannot subscribe to the practice of online diagnosis. Please consult a medical professional for specific medical advice. If you have any major concerns, please see your doctor for an assessment. If you have any cause for concern, your GP will be able to direct you to the appropriate specialists.