Heart-Safe: What to Do in the First 5–10 Minutes of a Suspected Heart Attack

Heart-Safe

By Dr. Gunjan Kapoor, Consultant Cardiologist

Heart attacks are no longer a problem limited to older adults. Cases are rising across all age groups — and in those first few minutes, the right actions can save a life.
Here’s a clear, practical guide based on medical evidence and first-aid best practices (explained fully in my latest YouTube video).


Recognize the Warning Signs

Act immediately if you notice any of the following:

  • Chest pressure, heaviness, or squeezing

  • Pain radiating to the arm, jaw, neck, or back

  • Breathlessness, sweating, nausea, or dizziness

  • Sudden weakness or collapse

If you even suspect a heart attack, do not wait.


Call Emergency Services Immediately

Call your local ambulance without delay.
While waiting, keep the person calm and seated in a semi-reclined position to reduce strain on the heart.


Give Aspirin (If Safe)

A proven and effective first-aid step:

  • Give 300 mg plain, chewable aspirin

  • Make sure they can chew and swallow

  • Avoid if they are allergic, have bleeding disorders, active ulcers, or are on certain blood thinners

Chewing the aspirin speeds up absorption and helps slow clot growth.


Use Nitroglycerin (Only If Prescribed)

Nitroglycerin should be used only if:

  • It is their own prescribed medication

  • Their blood pressure is not very low

  • They have not taken sildenafil (Viagra) recently

Never give someone else’s nitrate medication.


Monitor Closely — Be CPR Ready

Stay with the person throughout.
If they become unconscious, stop breathing, or have no pulse, begin CPR if you are trained.
Use an AED if available — it will guide you step-by-step with voice instructions.


Avoid Giving Other Heart Medicines

Do not give Clopidogrel, Atorvastatin, or any other cardiac medications at home.
These require proper medical supervision.


Why These Steps Matter

Most heart damage happens within the first hour.
Early action — aspirin, quick ambulance response, and CPR when required — can dramatically improve survival and reduce long-term complications.


Be Prepared. Not Paralyzed.

✔ Learn these steps
✔ Keep chewable aspirin handy (after consulting your doctor)
✔ Learn basic CPR
✔ Share this knowledge with family and colleagues

A few minutes of awareness can save decades of someone’s life.

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