🕷️ Crawler Inspector

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Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 50 (from laksa032)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa050.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.verywellhealth.com/six-signs-of-a-heart-attack-a-month-before-8584975\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.verywellhealth.com/six-signs-of-a-heart-attack-a-month-before-8584975\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.verywellhealth.com\/six-signs-of-a-heart-attack-a-month-before-8584975","crawl_time":1776314786,"first_indexed_time":1710222579,"http_code":200,"src_unparsed":"com,verywellhealth!www,\/six-signs-of-a-heart-attack-a-month-before-8584975 s443","src_root_hash":"5681562863987870850","history_drop_reason":null,"meta_title":"12 Early Signs That You Might Have a Heart Attack","meta_descriptions":["Spot early signs of heart attack and its risk, from chest pain to fatigue. Understand what symptoms may signal a looming heart issue."],"attrs_boilerpipe_text":"Key Takeaways\nChest pain is the most common warning sign of a heart attack, even before it happens. \nShortness of breath and chest heaviness may indicate a heart attack is coming. \nIf you feel these signs, call 911 right away and consider taking aspirin. \nBefore a heart attack, symptoms like fatigue, chest discomfort, or an irregular heart rate may appear even weeks earlier. Recognizing these prodromal signs can help you seek timely medical help and potentially prevent severe outcomes.\ndragana991 \/ Getty Images\nIf you or someone nearby shows signs of a heart attack:\nCall 911 right away and request an ambulance.\nIf the individual is awake, alert, and not allergic to aspirin, help them take either two to four, low-dose, 81-milligram (mg) aspirin tablets or one 325-mg aspirin tablet.\nIf they have been prescribed nitroglycerin, they can take it, too. Help them loosen tight or restrictive clothing and stay with them until emergency medical services arrive.\nBe prepared to give CPR or use an AED (if available) if the person becomes unresponsive.\nLet the paramedics know any medications and doses you helped the person take when they arrive.\n1. Chest Pain\nA 2023 cross-sectional study of 242 people who had a heart attack found that 100 experienced prodromal symptoms—minor symptoms before the onset of severe symptoms.\nIn this study,\nchest pain\nwas the most common symptom, with 68% of people experiencing it preceding their heart attack.\n2. Chest Heaviness\nIn the same 2023 study, 44% of people with prodromal symptoms reported episodes of chest heaviness, tightness, or pressure, often linked to exertion. These are common signs that may lead to a heart attack.\n3. Heart Palpitations\nThe same study found that 42% of participants with early heart attack symptoms experienced\nheart palpitations\n.\nThese occur when your heart beats too fast or too hard, and it may feel like it's skipping a beat.\n4. Shortness of Breath\nShortness of breath\n(dyspnea) is often indicative of cardiovascular (heart) disease. You may struggle to catch your breath, whether walking or doing something physical, and sometimes even at rest. It can feel as if your lungs can't get enough air.\n5. Chest Burning\nA burning sensation in your chest is another potential sign of an impending heart attack. Chest burning due to heart disease can\nfeel like heartburn\n(and vice versa).\nNote the timing of your symptoms (e.g., after consuming a spicy meal that typically triggers heartburn) and any additional symptoms. If you experience regular chest pain or discomfort, seek medical attention.\n6. Fatigue\nYou may feel extra tired from time to time, but feeling extremely fatigued may signify a more serious issue. If you experience persistent fatigue and cannot identify the underlying cause, consult a healthcare provider.\nHeart Attack Symptoms: Females vs. Males\nAlthough females and males typically (though not always) experience chest pain as a heart attack symptom, females are more likely to\nhave other symptoms\nthat you may associate with a heart attack. These symptoms include:\nShortness of breath\nNausea and vomiting\nBack or jaw pain\nIndigestion\nExtreme fatigue\nIt's also more common for females to dismiss these symptoms and attribute them to a less serious problem instead of seeking help. Yet that can delay lifesaving care.\n7. Dizziness or Lightheadedness\nYou may feel dizzy or lightheaded at times, even when you didn't experience these symptoms previously.\nThe dizziness may occur due to reduced blood flow to the brain associated with the heart not pumping as effectively.\nLet a healthcare provider know if you're experiencing dizziness along with other pre-heart attack symptoms.\n8. Nausea\nStomach discomfort, nausea, and vomiting are all possible symptoms of heart disease and a heart attack.\nKeep an eye on this, especially if you're unable to identify another cause for the nausea.\n9. Anxiety\nAmong patients with pre-heart attack symptoms, 23% experienced anxiety, according to one study.\nPeople with\ncardiovascular disease\noften have co-occurring anxiety, which can contribute to disease progression.\n10. Sleep Disturbances\nThere can be many causes for not getting a good night's rest, including extra stress or consuming caffeine too close to bedtime. However, sleep problems that occur without an apparent cause could be a heart attack warning sign.\nIndividuals with heart disease may experience\northopnea\n, which is shortness of breath when lying down. It can impact their ability to sleep.\n11. Swelling\nSometimes, swelling in your legs, ankles, or feet could indicate heart disease. When blood does not flow around the body as it should, it can back up in the veins and cause swelling. The legs and ankles are a common place for this to happen.\n12. Pain In Other Body Parts\nSurprisingly, pain from a heart attack may not be isolated to your chest. It can also occur in your arms, back, jaw, or neck.\nThis pain may happen during a heart attack, but also in the weeks leading up to a heart attack.\nWhy Symptoms Precede a Heart Attack\nHeart attack symptoms may occur before a heart attack as the body responds to reduced blood flow to the heart. Fatty cholesterol deposits, calcium, and inflammatory cells can accumulate in the walls of a coronary artery, the artery that carries blood to the heart, forming plaques.\nIf a plaque ruptures, it can cause a blood clot to form within the coronary artery, which can block blood flow and oxygen to the heart, resulting in a heart attack.\nWhile you can't reverse coronary artery disease once it is there, work with your healthcare provider to improve blood flow to the heart.\nCauses of heart attack symptoms include, but are not limited to, the following:\nReduced blood flow to the heart can make the heart work harder to pump blood.\nAn\nabnormal heart rhythm\ncan cause symptoms such as dizziness.\nBlood not pumping as it should throughout the body can lead to symptoms like swollen legs or ankles.\nWhat Happens Right Before a Heart Attack\nEach person's symptoms right before a heart attack may differ. However, several symptoms are common for most people. You'll notice that these symptoms mirror the ones that occur in the weeks or months before a heart attack. These symptoms include:\nChest pain or discomfort, usually in the center or the left side of the chest. The pain may last more than a couple of minutes, or it may come and go.\nFeeling light-headed or as if you're going to\nfaint\nBreaking into a sweat\nBack, neck, or jaw pain\nArm or shoulder discomfort\nShortness of breath\nSeek emergency medical care if you suspect a heart attack.\nA Word From Verywell\nHeart attacks don't usually occur out of the blue; they are typically preceded by symptoms that are all too easy to rationalize away. An impending heart attack can be prevented with medical care. So, if you experience any of these symptoms, don't ignore them. Contact your healthcare provider right away.\n9 Sources\nVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our\neditorial process\nto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.\nSohail H, Ram J, Hulio AA, et al.\nProdromal symptoms in patients presenting with myocardial infarction\n.\nCureus\n. 2023;15(8):e43732. doi:10.7759\/cureus.43732.\nAmerican Red Cross.\nHeart attack: symptoms, causes, how to help.\nAmerican Heart Association.\nHeart failure signs and symptoms\n.\nAmerican Heart Association.\nHeartburn or heart attack?\nAmerican Heart Association.\nWarning signs of a heart attack\n.\nAmerican Heart Association.\nHeart attack symptoms: men vs. women.\nMedlinePlus.\nWarning signs and symptoms of heart disease.\nCelano CM, Daunis DJ, Lokko HN, Campbell KA, Huffman JC.\nAnxiety disorders and cardiovascular disease\n.\nCurr Psychiatry Rep\n. 2016(11):101. doi:10.1007\/s11920-016-0739-5.\nCenters for Disease Control and Prevention.\nHeart attack symptoms, risk, and recovery\n.\nBy\nVanessa Caceres\nCaceres is a Florida-based health journalist with 15 years of experience. She holds a bachelor's degree in journalism and psychology and a master's degree in linguistics.\nWas this page helpful?\nThanks for your feedback!\nWhat is your feedback?","attrs_markdown":"[Skip to content](https:\/\/www.verywellhealth.com\/six-signs-of-a-heart-attack-a-month-before-8584975#skip-to-content)\n\nMenu\n\n- [Health A-Z](https:\/\/www.verywellhealth.com\/health-a-z-4014770)\n  - [Colorectal Cancer](https:\/\/www.verywellhealth.com\/colon-cancer-4014742)\n  - [Arthritis](https:\/\/www.verywellhealth.com\/arthritis-overview-4582013)\n  - [Type 2 Diabetes](https:\/\/www.verywellhealth.com\/type-2-diabetes-overview-4581874)\n  - [Digestive Health](https:\/\/www.verywellhealth.com\/digestive-health-4141198)\n  - [Multiple Sclerosis](https:\/\/www.verywellhealth.com\/multiple-sclerosis-overview-4581925)\n  - [Skin Health](https:\/\/www.verywellhealth.com\/skin-health-4014649)\n  - [View All](https:\/\/www.verywellhealth.com\/health-a-z-4014770)\n- [Prevention & Treatment](https:\/\/www.verywellhealth.com\/prevention-and-treatment-4158390)\n  - 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[Public Health](https:\/\/www.verywellhealth.com\/public-health-4158386)\n  - [Patient Rights](https:\/\/www.verywellhealth.com\/patient-rights-4014673)\n  - [Disability](https:\/\/www.verywellhealth.com\/disability-4014735)\n  - [Caregivers & Loved Ones](https:\/\/www.verywellhealth.com\/for-caregivers-and-loved-ones-4014749)\n  - [End of Life Concerns](https:\/\/www.verywellhealth.com\/end-of-life-overview-4581973)\n  - [View All](https:\/\/www.verywellhealth.com\/health-care-4014769)\n- [News](https:\/\/www.verywellhealth.com\/news-4846412)\n  - [Health News](https:\/\/www.verywellhealth.com\/health-news-4844929)\n  - [Studies & Guidelines](https:\/\/www.verywellhealth.com\/studies-and-guidelines-11869035)\n  - [View All](https:\/\/www.verywellhealth.com\/news-4846412)\n\n[More in Heart Disease](https:\/\/www.verywellhealth.com\/heart-disease-4014709)\n\n- [Heart Attack](https:\/\/www.verywellhealth.com\/heart-attack-overview-4581964)\n- [Causes & Risk Factors](https:\/\/www.verywellhealth.com\/heart-disease-causes-4158437)\n- [Diagnosis](https:\/\/www.verywellhealth.com\/heart-disease-diagnosis-4158436)\n- [Treatment](https:\/\/www.verywellhealth.com\/heart-disease-treatment-4158435)\n- [Living With](https:\/\/www.verywellhealth.com\/heart-disease-living-with-4158434)\n- [Prevention](https:\/\/www.verywellhealth.com\/heart-disease-prevention-4158433)\n- [Coronary Artery Disease](https:\/\/www.verywellhealth.com\/coronary-artery-disease-5092913)\n- [Atrial Fibrillation](https:\/\/www.verywellhealth.com\/atrial-fibrillation-overview-4582007)\n- [Heart Valve Disease](https:\/\/www.verywellhealth.com\/heart-valve-disease-overview-4581962)\n- [Palpitations & Arrhythmias](https:\/\/www.verywellhealth.com\/palpitations-and-arrhythmias-4013243)\n- [Chest Pain & Angina](https:\/\/www.verywellhealth.com\/chest-pain-and-angina-4013554)\n\n[View More](https:\/\/www.verywellhealth.com\/heart-disease-4014709)\n\nTools & Resources\n\n- [Thyroid Test Analyzer](https:\/\/www.verywellhealth.com\/thyroid-test-analyzer-8647820)\n- [Doctor Discussion Guides](https:\/\/www.verywellhealth.com\/doctor-discussion-guides-4179090)\n- [Hemoglobin A1c Test Analyzer](https:\/\/www.verywellhealth.com\/a1c-test-analyzer-8647852)\n- [Lipid Test Analyzer](https:\/\/www.verywellhealth.com\/lipid-test-analyzer-8647856)\n- [Complete Blood Count (CBC) Analyzer](https:\/\/www.verywellhealth.com\/complete-blood-count-cbc-analyzer-8647862)\n\n- [About Us](https:\/\/www.verywellhealth.com\/about-us-5180305)\n- [Editorial Process](https:\/\/www.verywellhealth.com\/verywell-editorial-process-4777042)\n- [Medical Review Board](https:\/\/www.verywellhealth.com\/meet-our-medical-expert-board-11762003)\n\nVerywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.\n\nⒸ 2026 People Inc. — All rights reserved\n\n# 12 Early Signs That You Might Have a Heart Attack\nBy [Vanessa Caceres](https:\/\/www.verywellhealth.com\/vanessa-caceres-5077583)\n\nUpdated on December 15, 2025\n\nMedically reviewed by  [Richard N. Fogoros, MD](https:\/\/www.verywellhealth.com\/richard-n-fogoros-md-1745211)\n\nTable of Contents\n\nView All\n\nTable of Contents\n\n- [Symptoms](https:\/\/www.verywellhealth.com\/six-signs-of-a-heart-attack-a-month-before-8584975#toc-1-chest-pain)\n- [Why Symptoms Precede a Heart Attack](https:\/\/www.verywellhealth.com\/six-signs-of-a-heart-attack-a-month-before-8584975#toc-why-symptoms-precede-a-heart-attack)\n- [Right Before a Heart Attack](https:\/\/www.verywellhealth.com\/six-signs-of-a-heart-attack-a-month-before-8584975#toc-what-happens-right-before-a-heart-attack)\n\nClose\n\n### Key Takeaways\n- Chest pain is the most common warning sign of a heart attack, even before it happens.\n- Shortness of breath and chest heaviness may indicate a heart attack is coming.\n- If you feel these signs, call 911 right away and consider taking aspirin.\n\nBefore a heart attack, symptoms like fatigue, chest discomfort, or an irregular heart rate may appear even weeks earlier. Recognizing these prodromal signs can help you seek timely medical help and potentially prevent severe outcomes.\n\n![Senior woman sitting on a sofa with her hand over her chest, appearing to have chest pain. ]()\n\n![Senior woman sitting on a sofa with her hand over her chest, appearing to have chest pain. ](https:\/\/www.verywellhealth.com\/thmb\/hoMIwLnOqPXPp4tlCuy0wVeIn7Y=\/1500x0\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-997796862-e6eceaa5a4c441bb9b63bb4b2b2d4db8.jpg)\n\ndragana991 \/ Getty Images\n\nIf you or someone nearby shows signs of a heart attack:\n\n1. Call 911 right away and request an ambulance.\n2. If the individual is awake, alert, and not allergic to aspirin, help them take either two to four, low-dose, 81-milligram (mg) aspirin tablets or one 325-mg aspirin tablet.\n3. If they have been prescribed nitroglycerin, they can take it, too. Help them loosen tight or restrictive clothing and stay with them until emergency medical services arrive.\n4. Be prepared to give CPR or use an AED (if available) if the person becomes unresponsive.\n5. Let the paramedics know any medications and doses you helped the person take when they arrive.\n## 1\\. Chest Pain\nA 2023 cross-sectional study of 242 people who had a heart attack found that 100 experienced prodromal symptoms—minor symptoms before the onset of severe symptoms.\n\nIn this study, [chest pain](https:\/\/www.verywellhealth.com\/chest-pain-8420446) was the most common symptom, with 68% of people experiencing it preceding their heart attack.\n\n## 2\\. Chest Heaviness\nIn the same 2023 study, 44% of people with prodromal symptoms reported episodes of chest heaviness, tightness, or pressure, often linked to exertion. These are common signs that may lead to a heart attack.\n\n## 3\\. Heart Palpitations\nThe same study found that 42% of participants with early heart attack symptoms experienced [heart palpitations](https:\/\/www.verywellhealth.com\/heart-palpitations-1745232). These occur when your heart beats too fast or too hard, and it may feel like it's skipping a beat.\n\n## 4\\. Shortness of Breath\n[Shortness of breath](https:\/\/www.verywellhealth.com\/shortness-of-breath-5222701) (dyspnea) is often indicative of cardiovascular (heart) disease. You may struggle to catch your breath, whether walking or doing something physical, and sometimes even at rest. It can feel as if your lungs can't get enough air.\n\n## 5\\. Chest Burning\nA burning sensation in your chest is another potential sign of an impending heart attack. Chest burning due to heart disease can [feel like heartburn](https:\/\/www.verywellhealth.com\/heartburn-vs-heart-attack-8662085) (and vice versa).\n\nNote the timing of your symptoms (e.g., after consuming a spicy meal that typically triggers heartburn) and any additional symptoms. If you experience regular chest pain or discomfort, seek medical attention.\n\n## 6\\. Fatigue\nYou may feel extra tired from time to time, but feeling extremely fatigued may signify a more serious issue. If you experience persistent fatigue and cannot identify the underlying cause, consult a healthcare provider.\n\n### Heart Attack Symptoms: Females vs. Males\nAlthough females and males typically (though not always) experience chest pain as a heart attack symptom, females are more likely to [have other symptoms](https:\/\/www.verywellhealth.com\/heart-attack-signs-in-women-8367365) that you may associate with a heart attack. These symptoms include:\n\n- Shortness of breath\n- Nausea and vomiting\n- Back or jaw pain\n- Indigestion\n- Extreme fatigue\n\nIt's also more common for females to dismiss these symptoms and attribute them to a less serious problem instead of seeking help. Yet that can delay lifesaving care.\n## 7\\. Dizziness or Lightheadedness\nYou may feel dizzy or lightheaded at times, even when you didn't experience these symptoms previously. The dizziness may occur due to reduced blood flow to the brain associated with the heart not pumping as effectively.\n\nLet a healthcare provider know if you're experiencing dizziness along with other pre-heart attack symptoms.\n\n## 8\\. Nausea\nStomach discomfort, nausea, and vomiting are all possible symptoms of heart disease and a heart attack. Keep an eye on this, especially if you're unable to identify another cause for the nausea.\n\n## 9\\. Anxiety\nAmong patients with pre-heart attack symptoms, 23% experienced anxiety, according to one study. People with [cardiovascular disease](https:\/\/www.verywellhealth.com\/cardiovascular-disease-prevention-5215727) often have co-occurring anxiety, which can contribute to disease progression.\n\n## 10\\. Sleep Disturbances\nThere can be many causes for not getting a good night's rest, including extra stress or consuming caffeine too close to bedtime. However, sleep problems that occur without an apparent cause could be a heart attack warning sign.\n\nIndividuals with heart disease may experience [orthopnea](https:\/\/www.verywellhealth.com\/shortness-of-breath-when-lying-down-8776020), which is shortness of breath when lying down. It can impact their ability to sleep.\n\n## 11\\. Swelling\nSometimes, swelling in your legs, ankles, or feet could indicate heart disease. When blood does not flow around the body as it should, it can back up in the veins and cause swelling. The legs and ankles are a common place for this to happen.\n\n## 12\\. Pain In Other Body Parts\nSurprisingly, pain from a heart attack may not be isolated to your chest. It can also occur in your arms, back, jaw, or neck. This pain may happen during a heart attack, but also in the weeks leading up to a heart attack.\n\n## Why Symptoms Precede a Heart Attack\nHeart attack symptoms may occur before a heart attack as the body responds to reduced blood flow to the heart. Fatty cholesterol deposits, calcium, and inflammatory cells can accumulate in the walls of a coronary artery, the artery that carries blood to the heart, forming plaques.\n\nIf a plaque ruptures, it can cause a blood clot to form within the coronary artery, which can block blood flow and oxygen to the heart, resulting in a heart attack. While you can't reverse coronary artery disease once it is there, work with your healthcare provider to improve blood flow to the heart.\n\nCauses of heart attack symptoms include, but are not limited to, the following:\n\n- Reduced blood flow to the heart can make the heart work harder to pump blood.\n- An [abnormal heart rhythm](https:\/\/www.verywellhealth.com\/cardiac-arrhythmias-signs-and-symptoms-4160572) can cause symptoms such as dizziness.\n- Blood not pumping as it should throughout the body can lead to symptoms like swollen legs or ankles.\n## What Happens Right Before a Heart Attack\nEach person's symptoms right before a heart attack may differ. However, several symptoms are common for most people. You'll notice that these symptoms mirror the ones that occur in the weeks or months before a heart attack. These symptoms include:\n\n- Chest pain or discomfort, usually in the center or the left side of the chest. The pain may last more than a couple of minutes, or it may come and go.\n- Feeling light-headed or as if you're going to [faint](https:\/\/www.verywellhealth.com\/causes-of-fainting-1298399)\n- Breaking into a sweat\n- Back, neck, or jaw pain\n- Arm or shoulder discomfort\n- Shortness of breath\n\nSeek emergency medical care if you suspect a heart attack.\n\n### A Word From Verywell\nHeart attacks don't usually occur out of the blue; they are typically preceded by symptoms that are all too easy to rationalize away. An impending heart attack can be prevented with medical care. So, if you experience any of these symptoms, don't ignore them. Contact your healthcare provider right away.\n\n—  [RICHARD N. FOGOROS, MD, MEDICAL EXPERT BOARD](https:\/\/www.verywellhealth.com\/richard-n-fogoros-md-1745211)\n\n![Richard N. Fogoros, MD]()\n\n![Richard N. Fogoros, MD](https:\/\/www.verywellhealth.com\/thmb\/-TEpMtEBFyO7AwHcT7_wgROEt-s=\/112x112\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/RichardN.FogorosMD-7b13b3811f4949b5a303d8bebaa1d6c9.png)\n\nRead more:\n\n- [Health A-Z](https:\/\/www.verywellhealth.com\/health-a-z-4014770)\n- [Heart Health](https:\/\/www.verywellhealth.com\/heart-health-4158438)\n- [Heart Disease](https:\/\/www.verywellhealth.com\/heart-disease-4014709)\n- [Heart Attack](https:\/\/www.verywellhealth.com\/heart-attack-overview-4581964)\n\n9 Sources\n\nVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our [editorial process](https:\/\/www.verywellhealth.com\/verywell-editorial-process-4777042) to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.\n\n1. Sohail H, Ram J, Hulio AA, et al. [Prodromal symptoms in patients presenting with myocardial infarction](https:\/\/doi.org\/10.7759%2Fcureus.43732). *Cureus*. 2023;15(8):e43732. doi:10.7759\/cureus.43732.\n2. American Red Cross. [Heart attack: symptoms, causes, how to help.](https:\/\/www.redcross.org\/take-a-class\/resources\/learn-first-aid\/heart-attack)\n3. American Heart Association. [Heart failure signs and symptoms](https:\/\/www.heart.org\/en\/health-topics\/heart-failure\/warning-signs-of-heart-failure).\n4. American Heart Association. [Heartburn or heart attack?](https:\/\/www.heart.org\/en\/health-topics\/heart-attack\/angina-chest-pain\/heartburn-or-heart-attack)\n5. American Heart Association. [Warning signs of a heart attack](https:\/\/www.heart.org\/en\/health-topics\/heart-attack\/warning-signs-of-a-heart-attack%20).\n6. American Heart Association. [Heart attack symptoms: men vs. women.](https:\/\/www2.heart.org\/site\/DocServer\/Heart_Attack_Warning_Signs_-_Howard_S_Wright.pdf?docID=7095)\n7. MedlinePlus. [Warning signs and symptoms of heart disease.](https:\/\/medlineplus.gov\/ency\/patientinstructions\/000775.htm)\n8. Celano CM, Daunis DJ, Lokko HN, Campbell KA, Huffman JC. [Anxiety disorders and cardiovascular disease](https:\/\/doi.org\/10.1007%2Fs11920-016-0739-5). *Curr Psychiatry Rep*. 2016(11):101. doi:10.1007\/s11920-016-0739-5.\n9. Centers for Disease Control and Prevention. [Heart attack symptoms, risk, and recovery](https:\/\/www.cdc.gov\/heart-disease\/about\/heart-attack.html).\n\n![Vanessa]()\n\n![Vanessa](https:\/\/www.verywellhealth.com\/thmb\/mEf33jACV85IdpJkbZtIn0Hkxno=\/144x144\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/VanessaCaceres-3-b8bcca1bf63c497ca33fda60be99a8c1.jpg)\n\nBy [Vanessa Caceres](https:\/\/www.verywellhealth.com\/vanessa-caceres-5077583)   \n Caceres is a Florida-based health journalist with 15 years of experience. She holds a bachelor's degree in journalism and psychology and a master's degree in linguistics.\n\n[See Our Editorial Process](https:\/\/www.verywellhealth.com\/verywell-editorial-process-4777042)\n\n[Meet Our Medical Expert Board](https:\/\/www.verywellhealth.com\/meet-our-medical-expert-board-11762003)\n\nShare Feedback\n\nWas this page helpful?\n\nThanks for your feedback\\!\n\nWhat is your feedback?\n\nHelpful\n\nReport an Error\n\nOther\n\nRelated Articles\n\n[![Senior businessman with heart attack helped by wife and doctor]() ![Senior businessman with heart attack helped by wife and doctor](https:\/\/www.verywellhealth.com\/thmb\/s5RogSfi0FhE9GOjK5Gu9s3qfYI=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/175485574-56a470463df78cf7728269b3.jpg) How Many People Survive a Heart Attack?](https:\/\/www.verywellhealth.com\/how-to-survive-a-heart-attack-1745323)\n\n[![fatigued older man]() ![fatigued older 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patient.](https:\/\/www.verywellhealth.com\/thmb\/aewkLfQ2kuL2oGFESJiKAVx1iZk=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-593309604-58d678b33df78c51629b2af3.jpg) What High CRP Levels Reveal About Your Health](https:\/\/www.verywellhealth.com\/what-to-do-when-your-crp-is-high-1745794)\n\n[![Two women sitting at a table enjoying a glass of wine - stock photo]() ![Two women sitting at a table enjoying a glass of wine - stock photo](https:\/\/www.verywellhealth.com\/thmb\/5-nUgBhqSzB7LKHdIY3upcMz8sI=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-951636694-5451797e6dc0485ab165e5387295bd18.jpg) Can I Drink Alcohol While Taking Lipitor and Other Statins?](https:\/\/www.verywellhealth.com\/can-i-drink-wine-if-i-take-lipitor-1124044)\n\n- [Health A-Z](https:\/\/www.verywellhealth.com\/health-a-z-4014770)\n- [Prevention & Treatment](https:\/\/www.verywellhealth.com\/prevention-and-treatment-4158390)\n- [Health Care](https:\/\/www.verywellhealth.com\/health-care-4014769)\n- [News](https:\/\/www.verywellhealth.com\/news-4846412)\n\n- [Meet Our Review Board](https:\/\/www.verywellhealth.com\/meet-our-medical-expert-board-11762003)\n- [About Us](https:\/\/www.verywellhealth.com\/about-us-5180305)\n- [Editorial Process](https:\/\/www.verywellhealth.com\/verywell-editorial-process-4777042)\n- [Privacy Policy](https:\/\/www.people.inc\/brands-privacy)\n- [In the News](https:\/\/www.verywellhealth.com\/in-the-news-4778971)\n- [Advertise](https:\/\/www.people.inc\/advertising)\n- [Terms of Service](https:\/\/www.people.inc\/brands-termsofservice)\n- [Careers](https:\/\/www.people.inc\/careers)\n- [Contact](https:\/\/www.verywellhealth.com\/about-us-5180305#toc-contact-us)\n\nFollow Us\n\nVerywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.\n\nⒸ 2026 People Inc. — All rights reserved\n\nVerywell Health is part of the [People Inc.](https:\/\/www.people.inc\/) publishing family.","attrs_readable_markdown":"### Key Takeaways\n- Chest pain is the most common warning sign of a heart attack, even before it happens.\n- Shortness of breath and chest heaviness may indicate a heart attack is coming.\n- If you feel these signs, call 911 right away and consider taking aspirin.\n\nBefore a heart attack, symptoms like fatigue, chest discomfort, or an irregular heart rate may appear even weeks earlier. Recognizing these prodromal signs can help you seek timely medical help and potentially prevent severe outcomes.\n\ndragana991 \/ Getty Images\n\nIf you or someone nearby shows signs of a heart attack:\n\n1. Call 911 right away and request an ambulance.\n2. If the individual is awake, alert, and not allergic to aspirin, help them take either two to four, low-dose, 81-milligram (mg) aspirin tablets or one 325-mg aspirin tablet.\n3. If they have been prescribed nitroglycerin, they can take it, too. Help them loosen tight or restrictive clothing and stay with them until emergency medical services arrive.\n4. Be prepared to give CPR or use an AED (if available) if the person becomes unresponsive.\n5. Let the paramedics know any medications and doses you helped the person take when they arrive.\n## 1\\. Chest Pain\nA 2023 cross-sectional study of 242 people who had a heart attack found that 100 experienced prodromal symptoms—minor symptoms before the onset of severe symptoms.\n\nIn this study, [chest pain](https:\/\/www.verywellhealth.com\/chest-pain-8420446) was the most common symptom, with 68% of people experiencing it preceding their heart attack.\n\n## 2\\. Chest Heaviness\nIn the same 2023 study, 44% of people with prodromal symptoms reported episodes of chest heaviness, tightness, or pressure, often linked to exertion. These are common signs that may lead to a heart attack.\n\n## 3\\. Heart Palpitations\nThe same study found that 42% of participants with early heart attack symptoms experienced [heart palpitations](https:\/\/www.verywellhealth.com\/heart-palpitations-1745232). These occur when your heart beats too fast or too hard, and it may feel like it's skipping a beat.\n\n## 4\\. Shortness of Breath\n[Shortness of breath](https:\/\/www.verywellhealth.com\/shortness-of-breath-5222701) (dyspnea) is often indicative of cardiovascular (heart) disease. You may struggle to catch your breath, whether walking or doing something physical, and sometimes even at rest. It can feel as if your lungs can't get enough air.\n\n## 5\\. Chest Burning\nA burning sensation in your chest is another potential sign of an impending heart attack. Chest burning due to heart disease can [feel like heartburn](https:\/\/www.verywellhealth.com\/heartburn-vs-heart-attack-8662085) (and vice versa).\n\nNote the timing of your symptoms (e.g., after consuming a spicy meal that typically triggers heartburn) and any additional symptoms. If you experience regular chest pain or discomfort, seek medical attention.\n\n## 6\\. Fatigue\nYou may feel extra tired from time to time, but feeling extremely fatigued may signify a more serious issue. If you experience persistent fatigue and cannot identify the underlying cause, consult a healthcare provider.\n\n### Heart Attack Symptoms: Females vs. Males\nAlthough females and males typically (though not always) experience chest pain as a heart attack symptom, females are more likely to [have other symptoms](https:\/\/www.verywellhealth.com\/heart-attack-signs-in-women-8367365) that you may associate with a heart attack. These symptoms include:\n\n- Shortness of breath\n- Nausea and vomiting\n- Back or jaw pain\n- Indigestion\n- Extreme fatigue\n\nIt's also more common for females to dismiss these symptoms and attribute them to a less serious problem instead of seeking help. Yet that can delay lifesaving care.\n## 7\\. Dizziness or Lightheadedness\nYou may feel dizzy or lightheaded at times, even when you didn't experience these symptoms previously. The dizziness may occur due to reduced blood flow to the brain associated with the heart not pumping as effectively.\n\nLet a healthcare provider know if you're experiencing dizziness along with other pre-heart attack symptoms.\n\n## 8\\. Nausea\nStomach discomfort, nausea, and vomiting are all possible symptoms of heart disease and a heart attack. Keep an eye on this, especially if you're unable to identify another cause for the nausea.\n\n## 9\\. Anxiety\nAmong patients with pre-heart attack symptoms, 23% experienced anxiety, according to one study. People with [cardiovascular disease](https:\/\/www.verywellhealth.com\/cardiovascular-disease-prevention-5215727) often have co-occurring anxiety, which can contribute to disease progression.\n\n## 10\\. Sleep Disturbances\nThere can be many causes for not getting a good night's rest, including extra stress or consuming caffeine too close to bedtime. However, sleep problems that occur without an apparent cause could be a heart attack warning sign.\n\nIndividuals with heart disease may experience [orthopnea](https:\/\/www.verywellhealth.com\/shortness-of-breath-when-lying-down-8776020), which is shortness of breath when lying down. It can impact their ability to sleep.\n\n## 11\\. Swelling\nSometimes, swelling in your legs, ankles, or feet could indicate heart disease. When blood does not flow around the body as it should, it can back up in the veins and cause swelling. The legs and ankles are a common place for this to happen.\n\n## 12\\. Pain In Other Body Parts\nSurprisingly, pain from a heart attack may not be isolated to your chest. It can also occur in your arms, back, jaw, or neck. This pain may happen during a heart attack, but also in the weeks leading up to a heart attack.\n\n## Why Symptoms Precede a Heart Attack\nHeart attack symptoms may occur before a heart attack as the body responds to reduced blood flow to the heart. Fatty cholesterol deposits, calcium, and inflammatory cells can accumulate in the walls of a coronary artery, the artery that carries blood to the heart, forming plaques.\n\nIf a plaque ruptures, it can cause a blood clot to form within the coronary artery, which can block blood flow and oxygen to the heart, resulting in a heart attack. While you can't reverse coronary artery disease once it is there, work with your healthcare provider to improve blood flow to the heart.\n\nCauses of heart attack symptoms include, but are not limited to, the following:\n\n- Reduced blood flow to the heart can make the heart work harder to pump blood.\n- An [abnormal heart rhythm](https:\/\/www.verywellhealth.com\/cardiac-arrhythmias-signs-and-symptoms-4160572) can cause symptoms such as dizziness.\n- Blood not pumping as it should throughout the body can lead to symptoms like swollen legs or ankles.\n## What Happens Right Before a Heart Attack\nEach person's symptoms right before a heart attack may differ. However, several symptoms are common for most people. You'll notice that these symptoms mirror the ones that occur in the weeks or months before a heart attack. These symptoms include:\n\n- Chest pain or discomfort, usually in the center or the left side of the chest. The pain may last more than a couple of minutes, or it may come and go.\n- Feeling light-headed or as if you're going to [faint](https:\/\/www.verywellhealth.com\/causes-of-fainting-1298399)\n- Breaking into a sweat\n- Back, neck, or jaw pain\n- Arm or shoulder discomfort\n- Shortness of breath\n\nSeek emergency medical care if you suspect a heart attack.\n\n### A Word From Verywell\nHeart attacks don't usually occur out of the blue; they are typically preceded by symptoms that are all too easy to rationalize away. An impending heart attack can be prevented with medical care. So, if you experience any of these symptoms, don't ignore them. Contact your healthcare provider right away.\n\n![Richard N. Fogoros, MD](https:\/\/www.verywellhealth.com\/thmb\/-TEpMtEBFyO7AwHcT7_wgROEt-s=\/112x112\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/RichardN.FogorosMD-7b13b3811f4949b5a303d8bebaa1d6c9.png)\n\n9 Sources\n\nVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our [editorial process](https:\/\/www.verywellhealth.com\/verywell-editorial-process-4777042) to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.\n\n1. Sohail H, Ram J, Hulio AA, et al. [Prodromal symptoms in patients presenting with myocardial infarction](https:\/\/doi.org\/10.7759%2Fcureus.43732). *Cureus*. 2023;15(8):e43732. doi:10.7759\/cureus.43732.\n2. American Red Cross. [Heart attack: symptoms, causes, how to help.](https:\/\/www.redcross.org\/take-a-class\/resources\/learn-first-aid\/heart-attack)\n3. American Heart Association. [Heart failure signs and symptoms](https:\/\/www.heart.org\/en\/health-topics\/heart-failure\/warning-signs-of-heart-failure).\n4. American Heart Association. [Heartburn or heart attack?](https:\/\/www.heart.org\/en\/health-topics\/heart-attack\/angina-chest-pain\/heartburn-or-heart-attack)\n5. American Heart Association. [Warning signs of a heart attack](https:\/\/www.heart.org\/en\/health-topics\/heart-attack\/warning-signs-of-a-heart-attack).\n6. American Heart Association. [Heart attack symptoms: men vs. women.](https:\/\/www2.heart.org\/site\/DocServer\/Heart_Attack_Warning_Signs_-_Howard_S_Wright.pdf?docID=7095)\n7. MedlinePlus. [Warning signs and symptoms of heart disease.](https:\/\/medlineplus.gov\/ency\/patientinstructions\/000775.htm)\n8. Celano CM, Daunis DJ, Lokko HN, Campbell KA, Huffman JC. [Anxiety disorders and cardiovascular disease](https:\/\/doi.org\/10.1007%2Fs11920-016-0739-5). *Curr Psychiatry Rep*. 2016(11):101. doi:10.1007\/s11920-016-0739-5.\n9. Centers for Disease Control and Prevention. [Heart attack symptoms, risk, and recovery](https:\/\/www.cdc.gov\/heart-disease\/about\/heart-attack.html).\n\n![Vanessa](https:\/\/www.verywellhealth.com\/thmb\/mEf33jACV85IdpJkbZtIn0Hkxno=\/144x144\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/VanessaCaceres-3-b8bcca1bf63c497ca33fda60be99a8c1.jpg)\n\nBy [Vanessa Caceres](https:\/\/www.verywellhealth.com\/vanessa-caceres-5077583)   \n Caceres is a Florida-based health journalist with 15 years of experience. She holds a bachelor's degree in journalism and psychology and a master's degree in linguistics.\n\nWas this page helpful?\n\nThanks for your feedback\\!\n\nWhat is your feedback?","meta_canonical":null}

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Boilerpipe Text	Key Takeaways Chest pain is the most common warning sign of a heart attack, even before it happens. Shortness of breath and chest heaviness may indicate a heart attack is coming. If you feel these signs, call 911 right away and consider taking aspirin. Before a heart attack, symptoms like fatigue, chest discomfort, or an irregular heart rate may appear even weeks earlier. Recognizing these prodromal signs can help you seek timely medical help and potentially prevent severe outcomes. dragana991 / Getty Images If you or someone nearby shows signs of a heart attack: Call 911 right away and request an ambulance. If the individual is awake, alert, and not allergic to aspirin, help them take either two to four, low-dose, 81-milligram (mg) aspirin tablets or one 325-mg aspirin tablet. If they have been prescribed nitroglycerin, they can take it, too. Help them loosen tight or restrictive clothing and stay with them until emergency medical services arrive. Be prepared to give CPR or use an AED (if available) if the person becomes unresponsive. Let the paramedics know any medications and doses you helped the person take when they arrive. 1. Chest Pain A 2023 cross-sectional study of 242 people who had a heart attack found that 100 experienced prodromal symptoms—minor symptoms before the onset of severe symptoms. In this study, chest pain was the most common symptom, with 68% of people experiencing it preceding their heart attack. 2. Chest Heaviness In the same 2023 study, 44% of people with prodromal symptoms reported episodes of chest heaviness, tightness, or pressure, often linked to exertion. These are common signs that may lead to a heart attack. 3. Heart Palpitations The same study found that 42% of participants with early heart attack symptoms experienced heart palpitations . These occur when your heart beats too fast or too hard, and it may feel like it's skipping a beat. 4. Shortness of Breath Shortness of breath (dyspnea) is often indicative of cardiovascular (heart) disease. You may struggle to catch your breath, whether walking or doing something physical, and sometimes even at rest. It can feel as if your lungs can't get enough air. 5. Chest Burning A burning sensation in your chest is another potential sign of an impending heart attack. Chest burning due to heart disease can feel like heartburn (and vice versa). Note the timing of your symptoms (e.g., after consuming a spicy meal that typically triggers heartburn) and any additional symptoms. If you experience regular chest pain or discomfort, seek medical attention. 6. Fatigue You may feel extra tired from time to time, but feeling extremely fatigued may signify a more serious issue. If you experience persistent fatigue and cannot identify the underlying cause, consult a healthcare provider. Heart Attack Symptoms: Females vs. Males Although females and males typically (though not always) experience chest pain as a heart attack symptom, females are more likely to have other symptoms that you may associate with a heart attack. These symptoms include: Shortness of breath Nausea and vomiting Back or jaw pain Indigestion Extreme fatigue It's also more common for females to dismiss these symptoms and attribute them to a less serious problem instead of seeking help. Yet that can delay lifesaving care. 7. Dizziness or Lightheadedness You may feel dizzy or lightheaded at times, even when you didn't experience these symptoms previously. The dizziness may occur due to reduced blood flow to the brain associated with the heart not pumping as effectively. Let a healthcare provider know if you're experiencing dizziness along with other pre-heart attack symptoms. 8. Nausea Stomach discomfort, nausea, and vomiting are all possible symptoms of heart disease and a heart attack. Keep an eye on this, especially if you're unable to identify another cause for the nausea. 9. Anxiety Among patients with pre-heart attack symptoms, 23% experienced anxiety, according to one study. People with cardiovascular disease often have co-occurring anxiety, which can contribute to disease progression. 10. Sleep Disturbances There can be many causes for not getting a good night's rest, including extra stress or consuming caffeine too close to bedtime. However, sleep problems that occur without an apparent cause could be a heart attack warning sign. Individuals with heart disease may experience orthopnea , which is shortness of breath when lying down. It can impact their ability to sleep. 11. Swelling Sometimes, swelling in your legs, ankles, or feet could indicate heart disease. When blood does not flow around the body as it should, it can back up in the veins and cause swelling. The legs and ankles are a common place for this to happen. 12. Pain In Other Body Parts Surprisingly, pain from a heart attack may not be isolated to your chest. It can also occur in your arms, back, jaw, or neck. This pain may happen during a heart attack, but also in the weeks leading up to a heart attack. Why Symptoms Precede a Heart Attack Heart attack symptoms may occur before a heart attack as the body responds to reduced blood flow to the heart. Fatty cholesterol deposits, calcium, and inflammatory cells can accumulate in the walls of a coronary artery, the artery that carries blood to the heart, forming plaques. If a plaque ruptures, it can cause a blood clot to form within the coronary artery, which can block blood flow and oxygen to the heart, resulting in a heart attack. While you can't reverse coronary artery disease once it is there, work with your healthcare provider to improve blood flow to the heart. Causes of heart attack symptoms include, but are not limited to, the following: Reduced blood flow to the heart can make the heart work harder to pump blood. An abnormal heart rhythm can cause symptoms such as dizziness. Blood not pumping as it should throughout the body can lead to symptoms like swollen legs or ankles. What Happens Right Before a Heart Attack Each person's symptoms right before a heart attack may differ. However, several symptoms are common for most people. You'll notice that these symptoms mirror the ones that occur in the weeks or months before a heart attack. These symptoms include: Chest pain or discomfort, usually in the center or the left side of the chest. The pain may last more than a couple of minutes, or it may come and go. Feeling light-headed or as if you're going to faint Breaking into a sweat Back, neck, or jaw pain Arm or shoulder discomfort Shortness of breath Seek emergency medical care if you suspect a heart attack. A Word From Verywell Heart attacks don't usually occur out of the blue; they are typically preceded by symptoms that are all too easy to rationalize away. An impending heart attack can be prevented with medical care. So, if you experience any of these symptoms, don't ignore them. Contact your healthcare provider right away. 9 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Sohail H, Ram J, Hulio AA, et al. Prodromal symptoms in patients presenting with myocardial infarction . Cureus . 2023;15(8):e43732. doi:10.7759/cureus.43732. American Red Cross. Heart attack: symptoms, causes, how to help. American Heart Association. Heart failure signs and symptoms . American Heart Association. Heartburn or heart attack? American Heart Association. Warning signs of a heart attack . American Heart Association. Heart attack symptoms: men vs. women. MedlinePlus. Warning signs and symptoms of heart disease. Celano CM, Daunis DJ, Lokko HN, Campbell KA, Huffman JC. Anxiety disorders and cardiovascular disease . Curr Psychiatry Rep . 2016(11):101. doi:10.1007/s11920-016-0739-5. Centers for Disease Control and Prevention. Heart attack symptoms, risk, and recovery . By Vanessa Caceres Caceres is a Florida-based health journalist with 15 years of experience. She holds a bachelor's degree in journalism and psychology and a master's degree in linguistics. Was this page helpful? Thanks for your feedback! What is your feedback?
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Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Ⓒ 2026 People Inc. — All rights reserved # 12 Early Signs That You Might Have a Heart Attack By [Vanessa Caceres](https://www.verywellhealth.com/vanessa-caceres-5077583) Updated on December 15, 2025 Medically reviewed by [Richard N. Fogoros, MD](https://www.verywellhealth.com/richard-n-fogoros-md-1745211) Table of Contents View All Table of Contents - [Symptoms](https://www.verywellhealth.com/six-signs-of-a-heart-attack-a-month-before-8584975#toc-1-chest-pain) - [Why Symptoms Precede a Heart Attack](https://www.verywellhealth.com/six-signs-of-a-heart-attack-a-month-before-8584975#toc-why-symptoms-precede-a-heart-attack) - [Right Before a Heart Attack](https://www.verywellhealth.com/six-signs-of-a-heart-attack-a-month-before-8584975#toc-what-happens-right-before-a-heart-attack) Close ### Key Takeaways - Chest pain is the most common warning sign of a heart attack, even before it happens. - Shortness of breath and chest heaviness may indicate a heart attack is coming. - If you feel these signs, call 911 right away and consider taking aspirin. Before a heart attack, symptoms like fatigue, chest discomfort, or an irregular heart rate may appear even weeks earlier. Recognizing these prodromal signs can help you seek timely medical help and potentially prevent severe outcomes. ![Senior woman sitting on a sofa with her hand over her chest, appearing to have chest pain. ]() ![Senior woman sitting on a sofa with her hand over her chest, appearing to have chest pain. ](https://www.verywellhealth.com/thmb/hoMIwLnOqPXPp4tlCuy0wVeIn7Y=/1500x0/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/GettyImages-997796862-e6eceaa5a4c441bb9b63bb4b2b2d4db8.jpg) dragana991 / Getty Images If you or someone nearby shows signs of a heart attack: 1. Call 911 right away and request an ambulance. 2. If the individual is awake, alert, and not allergic to aspirin, help them take either two to four, low-dose, 81-milligram (mg) aspirin tablets or one 325-mg aspirin tablet. 3. If they have been prescribed nitroglycerin, they can take it, too. Help them loosen tight or restrictive clothing and stay with them until emergency medical services arrive. 4. Be prepared to give CPR or use an AED (if available) if the person becomes unresponsive. 5. Let the paramedics know any medications and doses you helped the person take when they arrive. ## 1\. Chest Pain A 2023 cross-sectional study of 242 people who had a heart attack found that 100 experienced prodromal symptoms—minor symptoms before the onset of severe symptoms. In this study, [chest pain](https://www.verywellhealth.com/chest-pain-8420446) was the most common symptom, with 68% of people experiencing it preceding their heart attack. ## 2\. Chest Heaviness In the same 2023 study, 44% of people with prodromal symptoms reported episodes of chest heaviness, tightness, or pressure, often linked to exertion. These are common signs that may lead to a heart attack. ## 3\. Heart Palpitations The same study found that 42% of participants with early heart attack symptoms experienced [heart palpitations](https://www.verywellhealth.com/heart-palpitations-1745232). These occur when your heart beats too fast or too hard, and it may feel like it's skipping a beat. ## 4\. Shortness of Breath [Shortness of breath](https://www.verywellhealth.com/shortness-of-breath-5222701) (dyspnea) is often indicative of cardiovascular (heart) disease. You may struggle to catch your breath, whether walking or doing something physical, and sometimes even at rest. It can feel as if your lungs can't get enough air. ## 5\. Chest Burning A burning sensation in your chest is another potential sign of an impending heart attack. Chest burning due to heart disease can [feel like heartburn](https://www.verywellhealth.com/heartburn-vs-heart-attack-8662085) (and vice versa). Note the timing of your symptoms (e.g., after consuming a spicy meal that typically triggers heartburn) and any additional symptoms. If you experience regular chest pain or discomfort, seek medical attention. ## 6\. Fatigue You may feel extra tired from time to time, but feeling extremely fatigued may signify a more serious issue. If you experience persistent fatigue and cannot identify the underlying cause, consult a healthcare provider. ### Heart Attack Symptoms: Females vs. Males Although females and males typically (though not always) experience chest pain as a heart attack symptom, females are more likely to [have other symptoms](https://www.verywellhealth.com/heart-attack-signs-in-women-8367365) that you may associate with a heart attack. These symptoms include: - Shortness of breath - Nausea and vomiting - Back or jaw pain - Indigestion - Extreme fatigue It's also more common for females to dismiss these symptoms and attribute them to a less serious problem instead of seeking help. Yet that can delay lifesaving care. ## 7\. Dizziness or Lightheadedness You may feel dizzy or lightheaded at times, even when you didn't experience these symptoms previously. The dizziness may occur due to reduced blood flow to the brain associated with the heart not pumping as effectively. Let a healthcare provider know if you're experiencing dizziness along with other pre-heart attack symptoms. ## 8\. Nausea Stomach discomfort, nausea, and vomiting are all possible symptoms of heart disease and a heart attack. Keep an eye on this, especially if you're unable to identify another cause for the nausea. ## 9\. Anxiety Among patients with pre-heart attack symptoms, 23% experienced anxiety, according to one study. People with [cardiovascular disease](https://www.verywellhealth.com/cardiovascular-disease-prevention-5215727) often have co-occurring anxiety, which can contribute to disease progression. ## 10\. Sleep Disturbances There can be many causes for not getting a good night's rest, including extra stress or consuming caffeine too close to bedtime. However, sleep problems that occur without an apparent cause could be a heart attack warning sign. Individuals with heart disease may experience [orthopnea](https://www.verywellhealth.com/shortness-of-breath-when-lying-down-8776020), which is shortness of breath when lying down. It can impact their ability to sleep. ## 11\. Swelling Sometimes, swelling in your legs, ankles, or feet could indicate heart disease. When blood does not flow around the body as it should, it can back up in the veins and cause swelling. The legs and ankles are a common place for this to happen. ## 12\. Pain In Other Body Parts Surprisingly, pain from a heart attack may not be isolated to your chest. It can also occur in your arms, back, jaw, or neck. This pain may happen during a heart attack, but also in the weeks leading up to a heart attack. ## Why Symptoms Precede a Heart Attack Heart attack symptoms may occur before a heart attack as the body responds to reduced blood flow to the heart. Fatty cholesterol deposits, calcium, and inflammatory cells can accumulate in the walls of a coronary artery, the artery that carries blood to the heart, forming plaques. If a plaque ruptures, it can cause a blood clot to form within the coronary artery, which can block blood flow and oxygen to the heart, resulting in a heart attack. While you can't reverse coronary artery disease once it is there, work with your healthcare provider to improve blood flow to the heart. Causes of heart attack symptoms include, but are not limited to, the following: - Reduced blood flow to the heart can make the heart work harder to pump blood. - An [abnormal heart rhythm](https://www.verywellhealth.com/cardiac-arrhythmias-signs-and-symptoms-4160572) can cause symptoms such as dizziness. - Blood not pumping as it should throughout the body can lead to symptoms like swollen legs or ankles. ## What Happens Right Before a Heart Attack Each person's symptoms right before a heart attack may differ. However, several symptoms are common for most people. You'll notice that these symptoms mirror the ones that occur in the weeks or months before a heart attack. These symptoms include: - Chest pain or discomfort, usually in the center or the left side of the chest. The pain may last more than a couple of minutes, or it may come and go. - Feeling light-headed or as if you're going to [faint](https://www.verywellhealth.com/causes-of-fainting-1298399) - Breaking into a sweat - Back, neck, or jaw pain - Arm or shoulder discomfort - Shortness of breath Seek emergency medical care if you suspect a heart attack. ### A Word From Verywell Heart attacks don't usually occur out of the blue; they are typically preceded by symptoms that are all too easy to rationalize away. An impending heart attack can be prevented with medical care. So, if you experience any of these symptoms, don't ignore them. Contact your healthcare provider right away. — [RICHARD N. FOGOROS, MD, MEDICAL EXPERT BOARD](https://www.verywellhealth.com/richard-n-fogoros-md-1745211) ![Richard N. Fogoros, MD]() ![Richard N. Fogoros, MD](https://www.verywellhealth.com/thmb/-TEpMtEBFyO7AwHcT7_wgROEt-s=/112x112/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/RichardN.FogorosMD-7b13b3811f4949b5a303d8bebaa1d6c9.png) Read more: - [Health A-Z](https://www.verywellhealth.com/health-a-z-4014770) - [Heart Health](https://www.verywellhealth.com/heart-health-4158438) - [Heart Disease](https://www.verywellhealth.com/heart-disease-4014709) - [Heart Attack](https://www.verywellhealth.com/heart-attack-overview-4581964) 9 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our [editorial process](https://www.verywellhealth.com/verywell-editorial-process-4777042) to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. 1. Sohail H, Ram J, Hulio AA, et al. [Prodromal symptoms in patients presenting with myocardial infarction](https://doi.org/10.7759%2Fcureus.43732). Cureus. 2023;15(8):e43732. doi:10.7759/cureus.43732. 2. American Red Cross. [Heart attack: symptoms, causes, how to help.](https://www.redcross.org/take-a-class/resources/learn-first-aid/heart-attack) 3. American Heart Association. [Heart failure signs and symptoms](https://www.heart.org/en/health-topics/heart-failure/warning-signs-of-heart-failure). 4. American Heart Association. [Heartburn or heart attack?](https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain/heartburn-or-heart-attack) 5. American Heart Association. [Warning signs of a heart attack](https://www.heart.org/en/health-topics/heart-attack/warning-signs-of-a-heart-attack%20). 6. American Heart Association. [Heart attack symptoms: men vs. women.](https://www2.heart.org/site/DocServer/Heart_Attack_Warning_Signs_-_Howard_S_Wright.pdf?docID=7095) 7. MedlinePlus. [Warning signs and symptoms of heart disease.](https://medlineplus.gov/ency/patientinstructions/000775.htm) 8. Celano CM, Daunis DJ, Lokko HN, Campbell KA, Huffman JC. [Anxiety disorders and cardiovascular disease](https://doi.org/10.1007%2Fs11920-016-0739-5). Curr Psychiatry Rep. 2016(11):101. doi:10.1007/s11920-016-0739-5. 9. Centers for Disease Control and Prevention. [Heart attack symptoms, risk, and recovery](https://www.cdc.gov/heart-disease/about/heart-attack.html). ![Vanessa]() ![Vanessa](https://www.verywellhealth.com/thmb/mEf33jACV85IdpJkbZtIn0Hkxno=/144x144/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/VanessaCaceres-3-b8bcca1bf63c497ca33fda60be99a8c1.jpg) By [Vanessa Caceres](https://www.verywellhealth.com/vanessa-caceres-5077583) Caceres is a Florida-based health journalist with 15 years of experience. She holds a bachelor's degree in journalism and psychology and a master's degree in linguistics. [See Our Editorial Process](https://www.verywellhealth.com/verywell-editorial-process-4777042) [Meet Our Medical Expert Board](https://www.verywellhealth.com/meet-our-medical-expert-board-11762003) Share Feedback Was this page helpful? Thanks for your feedback\! What is your feedback? 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Readable Markdown	### Key Takeaways - Chest pain is the most common warning sign of a heart attack, even before it happens. - Shortness of breath and chest heaviness may indicate a heart attack is coming. - If you feel these signs, call 911 right away and consider taking aspirin. Before a heart attack, symptoms like fatigue, chest discomfort, or an irregular heart rate may appear even weeks earlier. Recognizing these prodromal signs can help you seek timely medical help and potentially prevent severe outcomes. dragana991 / Getty Images If you or someone nearby shows signs of a heart attack: 1. Call 911 right away and request an ambulance. 2. If the individual is awake, alert, and not allergic to aspirin, help them take either two to four, low-dose, 81-milligram (mg) aspirin tablets or one 325-mg aspirin tablet. 3. If they have been prescribed nitroglycerin, they can take it, too. Help them loosen tight or restrictive clothing and stay with them until emergency medical services arrive. 4. Be prepared to give CPR or use an AED (if available) if the person becomes unresponsive. 5. Let the paramedics know any medications and doses you helped the person take when they arrive. ## 1\. Chest Pain A 2023 cross-sectional study of 242 people who had a heart attack found that 100 experienced prodromal symptoms—minor symptoms before the onset of severe symptoms. In this study, [chest pain](https://www.verywellhealth.com/chest-pain-8420446) was the most common symptom, with 68% of people experiencing it preceding their heart attack. ## 2\. Chest Heaviness In the same 2023 study, 44% of people with prodromal symptoms reported episodes of chest heaviness, tightness, or pressure, often linked to exertion. These are common signs that may lead to a heart attack. ## 3\. Heart Palpitations The same study found that 42% of participants with early heart attack symptoms experienced [heart palpitations](https://www.verywellhealth.com/heart-palpitations-1745232). These occur when your heart beats too fast or too hard, and it may feel like it's skipping a beat. ## 4\. Shortness of Breath [Shortness of breath](https://www.verywellhealth.com/shortness-of-breath-5222701) (dyspnea) is often indicative of cardiovascular (heart) disease. You may struggle to catch your breath, whether walking or doing something physical, and sometimes even at rest. It can feel as if your lungs can't get enough air. ## 5\. Chest Burning A burning sensation in your chest is another potential sign of an impending heart attack. Chest burning due to heart disease can [feel like heartburn](https://www.verywellhealth.com/heartburn-vs-heart-attack-8662085) (and vice versa). Note the timing of your symptoms (e.g., after consuming a spicy meal that typically triggers heartburn) and any additional symptoms. If you experience regular chest pain or discomfort, seek medical attention. ## 6\. Fatigue You may feel extra tired from time to time, but feeling extremely fatigued may signify a more serious issue. If you experience persistent fatigue and cannot identify the underlying cause, consult a healthcare provider. ### Heart Attack Symptoms: Females vs. Males Although females and males typically (though not always) experience chest pain as a heart attack symptom, females are more likely to [have other symptoms](https://www.verywellhealth.com/heart-attack-signs-in-women-8367365) that you may associate with a heart attack. These symptoms include: - Shortness of breath - Nausea and vomiting - Back or jaw pain - Indigestion - Extreme fatigue It's also more common for females to dismiss these symptoms and attribute them to a less serious problem instead of seeking help. Yet that can delay lifesaving care. ## 7\. Dizziness or Lightheadedness You may feel dizzy or lightheaded at times, even when you didn't experience these symptoms previously. The dizziness may occur due to reduced blood flow to the brain associated with the heart not pumping as effectively. Let a healthcare provider know if you're experiencing dizziness along with other pre-heart attack symptoms. ## 8\. Nausea Stomach discomfort, nausea, and vomiting are all possible symptoms of heart disease and a heart attack. Keep an eye on this, especially if you're unable to identify another cause for the nausea. ## 9\. Anxiety Among patients with pre-heart attack symptoms, 23% experienced anxiety, according to one study. People with [cardiovascular disease](https://www.verywellhealth.com/cardiovascular-disease-prevention-5215727) often have co-occurring anxiety, which can contribute to disease progression. ## 10\. Sleep Disturbances There can be many causes for not getting a good night's rest, including extra stress or consuming caffeine too close to bedtime. However, sleep problems that occur without an apparent cause could be a heart attack warning sign. Individuals with heart disease may experience [orthopnea](https://www.verywellhealth.com/shortness-of-breath-when-lying-down-8776020), which is shortness of breath when lying down. It can impact their ability to sleep. ## 11\. Swelling Sometimes, swelling in your legs, ankles, or feet could indicate heart disease. When blood does not flow around the body as it should, it can back up in the veins and cause swelling. The legs and ankles are a common place for this to happen. ## 12\. Pain In Other Body Parts Surprisingly, pain from a heart attack may not be isolated to your chest. It can also occur in your arms, back, jaw, or neck. This pain may happen during a heart attack, but also in the weeks leading up to a heart attack. ## Why Symptoms Precede a Heart Attack Heart attack symptoms may occur before a heart attack as the body responds to reduced blood flow to the heart. Fatty cholesterol deposits, calcium, and inflammatory cells can accumulate in the walls of a coronary artery, the artery that carries blood to the heart, forming plaques. If a plaque ruptures, it can cause a blood clot to form within the coronary artery, which can block blood flow and oxygen to the heart, resulting in a heart attack. While you can't reverse coronary artery disease once it is there, work with your healthcare provider to improve blood flow to the heart. Causes of heart attack symptoms include, but are not limited to, the following: - Reduced blood flow to the heart can make the heart work harder to pump blood. - An [abnormal heart rhythm](https://www.verywellhealth.com/cardiac-arrhythmias-signs-and-symptoms-4160572) can cause symptoms such as dizziness. - Blood not pumping as it should throughout the body can lead to symptoms like swollen legs or ankles. ## What Happens Right Before a Heart Attack Each person's symptoms right before a heart attack may differ. However, several symptoms are common for most people. You'll notice that these symptoms mirror the ones that occur in the weeks or months before a heart attack. These symptoms include: - Chest pain or discomfort, usually in the center or the left side of the chest. The pain may last more than a couple of minutes, or it may come and go. - Feeling light-headed or as if you're going to [faint](https://www.verywellhealth.com/causes-of-fainting-1298399) - Breaking into a sweat - Back, neck, or jaw pain - Arm or shoulder discomfort - Shortness of breath Seek emergency medical care if you suspect a heart attack. ### A Word From Verywell Heart attacks don't usually occur out of the blue; they are typically preceded by symptoms that are all too easy to rationalize away. An impending heart attack can be prevented with medical care. So, if you experience any of these symptoms, don't ignore them. Contact your healthcare provider right away. ![Richard N. Fogoros, MD](https://www.verywellhealth.com/thmb/-TEpMtEBFyO7AwHcT7_wgROEt-s=/112x112/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/RichardN.FogorosMD-7b13b3811f4949b5a303d8bebaa1d6c9.png) 9 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our [editorial process](https://www.verywellhealth.com/verywell-editorial-process-4777042) to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. 1. Sohail H, Ram J, Hulio AA, et al. [Prodromal symptoms in patients presenting with myocardial infarction](https://doi.org/10.7759%2Fcureus.43732). Cureus. 2023;15(8):e43732. doi:10.7759/cureus.43732. 2. American Red Cross. [Heart attack: symptoms, causes, how to help.](https://www.redcross.org/take-a-class/resources/learn-first-aid/heart-attack) 3. American Heart Association. [Heart failure signs and symptoms](https://www.heart.org/en/health-topics/heart-failure/warning-signs-of-heart-failure). 4. American Heart Association. [Heartburn or heart attack?](https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain/heartburn-or-heart-attack) 5. American Heart Association. [Warning signs of a heart attack](https://www.heart.org/en/health-topics/heart-attack/warning-signs-of-a-heart-attack). 6. American Heart Association. [Heart attack symptoms: men vs. women.](https://www2.heart.org/site/DocServer/Heart_Attack_Warning_Signs_-_Howard_S_Wright.pdf?docID=7095) 7. MedlinePlus. [Warning signs and symptoms of heart disease.](https://medlineplus.gov/ency/patientinstructions/000775.htm) 8. Celano CM, Daunis DJ, Lokko HN, Campbell KA, Huffman JC. [Anxiety disorders and cardiovascular disease](https://doi.org/10.1007%2Fs11920-016-0739-5). Curr Psychiatry Rep. 2016(11):101. doi:10.1007/s11920-016-0739-5. 9. Centers for Disease Control and Prevention. [Heart attack symptoms, risk, and recovery](https://www.cdc.gov/heart-disease/about/heart-attack.html). ![Vanessa](https://www.verywellhealth.com/thmb/mEf33jACV85IdpJkbZtIn0Hkxno=/144x144/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/VanessaCaceres-3-b8bcca1bf63c497ca33fda60be99a8c1.jpg) By [Vanessa Caceres](https://www.verywellhealth.com/vanessa-caceres-5077583) Caceres is a Florida-based health journalist with 15 years of experience. She holds a bachelor's degree in journalism and psychology and a master's degree in linguistics. Was this page helpful? Thanks for your feedback\! What is your feedback?
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