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Given this frequency of occurrence, it is worthwhile to be able to identify the symptoms of a heart attack. Here are some things to look for: **Chest discomfort** Chest discomfort does not necessarily mean pain in the chest. As an indicator for potential heart attack, chest discomfort is more likely to feel like a powerful pressure, as though a weight had been placed on the chest. However, burning in the chest or upper abdomen can also indicate a heart attack, especially when the discomfort lasts for more than 5 minutes, disappears and then resurfaces, or presents along with other symptoms such as dizziness, fatigue, lightheadedness, clammy skin, cold sweat, or profuse sweating. Chest discomfort may occur at rest or during activity. **Upper body discomfort** Sometimes pain and discomfort are felt in other areas of the upper body, away from the chest, as a sign of an impending heart attack. This can be centered in one or both arms, shoulders, the back area, neck, jaw or the area of the stomach just above the navel. **Difficulty breathing** There are many things that shortness of breath might indicate, but as a marker for possible impending heart attacks, breathing difficulty would be a new condition in an individual who was not formerly prone to it. When the lungs are not receiving sufficient oxygen, breathing becomes labored, and oxygen supply is reduced when the heart is unable to support proper circulation. Unexplained breathing difficulty should be checked out by a physician. **Fatigue, disorientation and dizziness** When the body’s blood cells do not have enough oxygen, the heart has to work harder, and a person’s energy level is much reduced. Poor circulation affects the blood flow to the brain as well as other parts of the body, so both disorientation and dizziness can result. These symptoms may also be accompanied by cold sweats, and when all of these are in evidence, it can be a life-threatening situation for the affected person. Anyone experiencing these symptoms should seek immediate medical attention. **Nausea and vomiting** Of course, there are many other reasons that a person might feel nauseous and undergo vomiting, but as these two relate to heart attacks, there would be no other explainable reason for them. When they are not symptoms of an obvious illness or any other apparent health issue, and especially when accompanied by one or more of the indicators described above, nausea and vomiting can be danger signs of an impending heart attack. **Cumulative effect** The more of these signs that are exhibited by a person in distress, the more likely it becomes that a heart attack or some other heart-related issue is coming. When two or three, or even more of these symptoms are observed in someone, the probability of a heart attack increases dramatically. 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#### Patient Authorization for Medical/Media Filming, Advertising and Photography I voluntarily consent and give authorization to appear in live broadcasts, films, photographs, videotapes, and audiotapes and to permit the use of such to be published or broadcast, republished or rebroadcast, including dissemination on the Internet. I understand that the purpose(s) for which the information will be used include: Mount Sinai Medical Center staff education, educational or training needs of the medical profession, marketing and/or publicity activities carried out by or on behalf of Mount Sinai Medical Center, and/or any and all other purposes consistent with Mount Sinai’s mission of patient care, education and research. I further authorize the modification or retouching of such films, photographs and/or tapes, and I waive any right to inspect or approve the finished product and/or any copy that may be used in connection with the above. I understand and consent to the observation of my procedure by other health care providers for educational purposes and to my physician (or designee) making photographic, videotape, DVD or other similar photographic format of the procedure which shall remain in the physician’s custody and will not be made a part of my permanent record. I further understand that my participation will not entitle me to remuneration or compensation now or in the future, and this shall be binding upon my heirs, personal representatives and assignees. As such, I assume full responsibility and hereby agree to hold Mount Sinai Medical Center harmless from any and all liability arising in connection with the above. I understand I have the right to request cessation of recording or filming and if consent is withdrawn Mount Sinai will cease and desist distribution and/or use of file, videotape or photographs. I understand that the information to be disclosed hereunder is subject to re-disclosure and that any such re-disclosure may not be subject to federal privacy restrictions. I understand that this authorization will not expire unless revoked by me and that I may revoke this authorization at any time before Mount Sinai Medical Center takes action in reliance on this authorization by notifying the Mount Sinai Medical Center Office of Public Relations, in writing, at 4300 Alton Road, Miami Beach, Florida 33140.