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First aid advice
Heart attack
Angina is pain in the chest, which can happen with increased exertion or excitement. Find out what to look for and what to do.
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- Heart attack
# Heart attack
A heart attack happens when the supply of blood to part of the heart is suddenly blocked, usually by a blood clot. Find out what to do and how to perform first aid.
### Emergency advice
**If someone is having a heart attack:**
1. Call 999 or 112.
2. Sit them down with head and shoulders supported, knees bent.
3. Give 300mg of aspirin to chew. Do not give aspirin to the casualty if they are under 16 or if they are allergic to it.
4. Monitor level of response.
## What is a heart attack?
A heart attack happens when the supply of blood to part of the heart is suddenly blocked, usually by a blood clot. You can make a full recovery following a heart attack, but this may depend on how much of the heart is affected.
## Signs and symptoms
Someone having a heart attack may:
- have crushing pain in the centre of their chest, that may spread to their jaw, and down one or both arms
- be breathless or gasping for breath
- be sweating profusely
- experience pain similar to indigestion
- collapse without warning
- complain of dizziness
- have pale skin and their lips may have a blue tinge
- have a rapid, weak, or irregular pulse
- have a feeling of impending doom.
## What to do
1. 
Call 999 or 112 for emergency help straight away and tell them you think someone is having a heart attack.
2. 
Help move the casualty into a comfortable position. The best position is on the floor, with their knees bent and their head and shoulders supported.
- You could place cushions behind them or under their knees.
3. 
Give them one aspirin tablet (300mg) and ask them to chew it slowly.
- Do not give aspirin to the casualty if they are under 16 or if they are allergic to it.
4. 
Ask the casualty to take their own angina medication, if they have some.
5. 
Keep monitoring the casualty’s level of response until emergency help arrives.
- If they become unresponsive at any point, prepare to start [CPR](https://www.sja.org.uk/first-aid-advice/cpr/ "How to do CPR").
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### Authorship
Clinically reviewed by Dr Lynn Thomas, OStJ, BSc, MB.BS, MA, FRCP
Page last reviewed: 28 April 2025
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***
## Related first aid advice
### Angina attack
Angina is pain in the chest, which can happen with increased exertion or excitement. Find out what to look for and what to do.
[Angina attack](https://www.sja.org.uk/first-aid-advice/angina/)
### CPR
If an adult is unresponsive and not breathing normally, you need to call 999 or 112 for emergency help and start CPR straight away. Learn what to do.
[CPR](https://www.sja.org.uk/first-aid-advice/cpr/)
### Primary survey
Use the primary survey to quickly assess the situation and check the casualty for injuries or conditions that could be immediately life threatening. Find out what to do.
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| Readable Markdown | - [Home](https://www.sja.org.uk/ "Home")
- [First aid advice](https://www.sja.org.uk/first-aid-advice/ "First aid advice")
- Heart attack
Angina is pain in the chest, which can happen with increased exertion or excitement. Find out what to look for and what to do.
If an adult is unresponsive and not breathing normally, you need to call 999 or 112 for emergency help and start CPR straight away. Learn what to do.
Use the primary survey to quickly assess the situation and check the casualty for injuries or conditions that could be immediately life threatening. Find out what to do.
## Let's stay in touch
Keep up to date with our latest news, first aid advice and inspiring stories
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