Post by : Saif Rahman

Heart attacks can strike without warning and prompt, measured action in the first minutes often decides survival. India’s leading heart specialists stress that simple, well-timed steps by bystanders frequently prevent deaths that occur before hospital arrival. Remaining composed and following basic procedures can make a decisive difference.

1. Spot the Early Signs

Recognising a heart attack early is critical. Dr. Ashok Seth, a senior cardiologist, warns that many early symptoms are mistaken for indigestion, fatigue or stress.
Common signs to watch for include:

Persistent chest discomfort or a heavy feeling lasting several minutes

Pain radiating to the arms, neck, jaw or back

Difficulty breathing or shortness of breath

Excessive sweating, lightheadedness or nausea

Dr. Seth urges immediate attention if there is pressure or burning in the chest. “If chest pain persists beyond five minutes, assume it may be a heart attack until proven otherwise,” he advises. Early recognition enables lifesaving intervention.

2. Call Emergency Services Right Away

After identifying symptoms, summon emergency medical help without delay. Do not drive yourself to hospital or wait to see if symptoms subside. In India, dial 108 or the relevant local emergency number.
If an ambulance is unavailable, arrange for a trusted person to take the patient to the nearest hospital with cardiac facilities.

While awaiting professional assistance:

Have the person sit and try to remain calm.

Loosen restrictive clothing.

Avoid any exertion or walking.

If the patient is conscious and not allergic, have them chew one adult aspirin (300 mg) to help limit clotting.

Every minute matters, Dr. Seth notes: “Our objective is to reach treatment within the golden hour, because delays increase heart muscle damage.”

3. Keep the Person Breathing and Conscious

The priority is to keep the patient responsive and breathing. If they lose consciousness:

Assess whether they are breathing.

Begin CPR immediately if there is no pulse or normal breathing.
CPR basics include:

Place both hands on the centre of the chest and deliver firm, rapid compressions — roughly 100 compressions per minute.

Continue chest compressions until emergency teams take over or the patient regains breathing.

Dr. Seth highlights that even rudimentary CPR can substantially increase survival odds. “Perfect form is less important than doing something — prompt action can double a person’s chance to survive,” he says.

Prevention and a Final Word from the Specialist

Cardiologists emphasise prevention as the most effective strategy: balanced diet, regular exercise, stress management and routine medical checks remain essential.
“Rising heart disease in younger adults often relates to lifestyle factors and delayed diagnosis,” Dr. Seth warns. “Greater public awareness and quick responses could save many lives annually.”