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Warning-sign checks

Heart disease: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency help now for:

    • New or severe chest pressure, tightness, heaviness, or pain
    • Chest discomfort with sweating, nausea, breathlessness, or faintness
    • Discomfort spreading to an arm, back, neck, jaw, or upper abdomen
    • Severe difficulty breathing, especially at rest
    • Collapse, unresponsiveness, or absent or abnormal breathing
    • Sudden weakness, facial droop, speech difficulty, or loss of vision

    Call your local emergency number.

    And for anyone, someone who:

    • has chest pain, tightness or pressure lasting more than a few minutes
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Get urgent medical advice for chest symptoms that are new, happen with less activity than usual, last longer, or are becoming more frequent.

    Also seek urgent advice for fainting during exercise, a sustained rapid heartbeat with dizziness, or rapidly worsening breathlessness or swelling.

    And for anyone, someone who:

    • is getting rapidly more short of breath, or has gained several pounds in a few days with swelling
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment for recurring palpitations, gradually reduced exercise tolerance, mild ankle swelling, or breathlessness that is not sudden.

    These symptoms have many possible causes, but they should not be ignored.

    Report a clear change from your usual pattern rather than waiting for the next planned review.

The article also says

Do not drive yourself if you may be having a heart attack or stroke.

If you already have a heart condition, follow the action plan provided by your care team.

Every sign above is quoted from the sofidex article on Heart disease. If you are not sure, err upward — it is always reasonable to be checked.