A heart attack occurs when the heart muscle does not receive enough blood flow and requires emergency intervention. Recognizing the early signs of a heart attack and knowing the correct first aid practices can be life-saving.

Heart Attack Symptoms

  • Chest Pain: Usually starts in the center of the chest, presenting as a sensation of pressure or tightness. This pain may radiate to the arms, neck, jaw, or back area.
  • Shortness of Breath: Individuals having a heart attack may suddenly find it difficult to breathe, especially during movement or at rest.
  • Cold Sweats: Sudden cold sweating may occur, especially alongside chest pain. Nausea and Vomiting: In some cases, nausea or vomiting may be a harbinger of a heart attack.
  • Dizziness or Fainting: Reduced blood flow may result in dizziness or fainting.

 

First Aid in Heart Attack

  • Call Emergency Services: Inform emergency services (112) as soon as heart attack symptoms are observed. 
  • Comfort the Person: Have the person sit in a comfortable position and loosen tight clothing. Help reduce stress and anxiety.
  • Provide Aspirin: If the person is not allergic to aspirin, administering an aspirin to chew or swallow with water is recommended. Aspirin can slow down blood clotting and increase blood flow to the heart.
  • CPR (Cardiopulmonary Resuscitation): If the person is unconscious and has no pulse, perform CPR. If you are trained in CPR, intervene immediately.


Recognizing the symptoms of a heart attack and having first aid knowledge is important for a quick and accurate response. As professional medical intervention is essential in heart attack cases, notify emergency services (112) as soon as you detect heart attack symptoms. Time is of the essence.

Heart Attack Symptoms over 40 Years of Age

The risk of a heart attack increases with age, and 40 represents a critical threshold where this risk becomes clinically apparent. In men, the incidence of cardiovascular diseases rapidly escalates after this age. In women, the risk similarly increases due to hormonal imbalances post-menopause.

The Symptoms of Heart Attack at Age 40 Include:

  • Chest Pain and Pressure Sensation: Among individuals in the 40 age group, pressure and tightness felt in the middle of the chest are classic symptoms. However, some may perceive this pain as back or stomach pain.
  • Heart Palpitations and Irregular Heartbeats: Sudden onset palpitations or irregular heartbeats (arrhythmias) may signal a heart attack.
  • Shortness of Breath: Notable symptoms include shortness of breath during physical exercise or waking from sleep at night.
  • Severe Fatigue: Symptoms such as intolerance to daily activities and easy fatigue during any activity are common.
  • Digestive System Complaints: Nausea, indigestion, or heartburn are often mistaken for stomach issues rather than a heart attack.
  • Sweating and Feeling Cold: Sudden cold sweating while sitting still can also indicate a heart attack.


Individuals in this age group, especially those with a family history of heart disease, should undergo regular cardiac screenings, blood pressure, cholesterol, and blood sugar measurements for critical importance.

Silent Heart Attack Symptoms: Danger That Comes Unnoticed

A silent heart attack means having a heart attack without realizing it. There may not be classic symptoms such as severe pain. Often, individuals with diabetes may not feel chest pain due to numbness in nerve endings. In this case, a person may only experience more subtle symptoms like fatigue, nausea, or back pain during a heart attack. However, the damage to the heart muscle is permanent and is often detected during routine ECG or heart echo checks.

Silent heart attack symptoms can include:

  • Unexplained fatigue and weariness
  • Back pain or sweating that wakes you from sleep
  • Mild dizziness and light-headedness
  • Temporary chest discomfort or indigestion


Silent heart attacks can lead to a higher risk of experiencing another heart attack, so detection and management are important.

False Heart Attack Symptoms: Situations That Can Be Confused with Reality

False heart attack symptoms can make an individual feel as if they are experiencing a real heart attack; however, these symptoms often stem from other health issues such as anxiety, panic attacks, musculoskeletal disorders, or digestive problems. These symptoms can mimic a heart attack but usually do not pose a life-threatening risk.

Distinguishing differences:

  • In a false heart attack, the pain typically worsens with deep breathing, while in a heart attack, it remains constant.
  • In false heart attacks, changing positions may alleviate pain; however, in a heart attack, it is not position-dependent.
  • In a false heart attack, the person is conscious and experiences panic, while changes in consciousness may be observed in a heart attack.

 

Heart Attack Treatment Methods: A Race Against Time

The earlier the treatment for a heart attack starts, the less damage occurs to the heart muscle. Therefore, heart attack treatment begins in the emergency room and progresses in several stages.

Main Heart Attack Treatment Methods:

  • Clot-dissolving Drugs (Thrombolytics): Used to dissolve clots within the veins during the first hours of a heart attack.
  • Angiography and Stent Applications: If there is a blockage in the coronary vessel, imaging and, if necessary, stenting to open the vessel is done.
  • Coronary Artery Bypass Surgery: If multiple vessels are blocked, alternative pathways are created to nourish the heart.
  • Intensive Care Monitoring: Heart rhythm and functions are monitored to prevent complications.


In the post-treatment process, lifestyle changes, medication use, diet, quitting smoking, and regular exercise are essential. Educating the patient after a heart attack is very important in preventing the next crisis.

What Should First Aid Be During a Heart Attack?

  • Call 112: The first and most crucial step is to call for professional help.
  • Place the Person in a Comfortable Position: A semi-sitting position supports blood flow to the heart.
  • Calm Them: Panic increases the load on the heart. Be calm and supportive while beside the person.
  • Provide Aspirin: Chewing an aspirin, if there is no known allergy, may be beneficial.
  • Cardiopulmonary Resuscitation (CPR): If the person has lost consciousness and no pulse can be felt, CPR should be performed by trained individuals.

Who Is at Greater Risk for a Heart Attack?

Risk factors for a heart attack increase with age, genetic predisposition, high blood pressure, cholesterol, diabetes, smoking, and obesity. The risk is particularly higher in individuals with coronary artery disease. Coronary arteries are the vessels that nourish the heart, and blockages in these vessels directly cause heart attacks.

Recommendations for Maintaining Heart Health

Walking at a moderate pace for at least 150 minutes a week supports heart health and positively contributes to overall health. For example, morning walks not only increase physical activity but can also invigorate you mentally.

You can switch to a Mediterranean diet to improve your eating habits. This dietary style includes healthy fats and protein sources such as olive oil, fish, and vegetables. It also has a high fiber content that supports digestive system health.

Regular health check-ups should not be neglected. Routine tests performed under doctor supervision can detect any issue early, allowing for quick treatment and preventive measures before serious complications arise.

Avoiding stress is an indispensable part of a healthy life. If you find it difficult to cope with stress, you can ensure emotional balance and manage stress more effectively by seeking professional psychological support.

Don't forget about weight control. Staying at a healthy weight can reduce the risk of obesity-related diseases and positively affect overall health. Balanced nutrition and regular exercise can assist in this regard.

Lastly, it is important to regularly measure your blood pressure and cholesterol levels. High blood pressure or cholesterol levels should be detected and treated promptly. Therefore, regular monitoring of these values is crucial.

Frequently Asked Questions

What is the difference between a heart attack and a panic attack?

While chest pain can occur during a panic attack, it usually passes within minutes and doesn’t spread to the left arm. Heart attack pain lasts longer, does not go away with rest, and physical symptoms are more intense. Diagnosis can be clarified with an electrocardiogram (ECG).

Do heart attacks present differently in women?

Yes. Heart attack symptoms in women are often more insidious. Instead of chest pain, fatigue, jaw or back pain, nausea may be more prominent. Therefore, women often recognize a heart attack later.

What is a silent heart attack?

A silent heart attack means a heart attack that has occurred without the person being aware. Symptoms are mild or can be perceived as a flu. However, damage to the heart muscle may be detected in imaging methods such as an ECG or heart MRI.

Can someone who had a heart attack have another one?

Yes, especially if lifestyle changes are not made, the risk of a second heart attack is high. In those who regularly take their medications, quit smoking, adhere to their diet, and exercise, this risk is significantly reduced.

Creation Date : 12.05.2025
Update Date : 30.06.2025
Author : Yeliz YİĞİT
Communication : 444 23 23
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