Early Warning Signs of a Heart Attack

Subtle symptoms that can appear hours or days before a heart attack, and what to do.


Heart attacks don’t always start with sudden, crushing chest pain.
In many cases, subtle symptoms appear hours or even days before.

Common early warning signs

  1. Chest discomfort — pressure, squeezing, fullness, or pain that comes and goes.
  2. Pain in other areas — discomfort in the arms, back, neck, jaw, or stomach.
  3. Shortness of breath — with or without chest discomfort.
  4. Unusual fatigue — especially in women, this can precede other symptoms.
  5. Nausea, lightheadedness, or cold sweats.

What to do

  • Call emergency services immediately — don’t wait to see if symptoms go away.
  • Chew aspirin (unless allergic or advised not to) while waiting for help.
  • Stay calm and still — moving around can worsen heart strain.

Early recognition saves lives — act fast if you or someone else may be having a heart attack.