 I am Chief Cardiologist at Manipal Hospital Baler Cardiology Department. I am going to talk about how to identify a heart attack. So let us understand what is a heart attack. So this is the model of heart. You can see heart is nothing but a muscle pump. It keeps beating since your birth in your end without any weekend, without any off or without any holiday. Obviously a muscle which is working so hard 24-7 needs huge amount of oxygen, huge amount of nutrition, huge amount of micronutrients and this is supplied through the small arteries. This is called coronary arteries. If there is any blockages in the arteries of such small caliber then it can lead to death of that muscle. And mind well, heart muscle do not have real nutrition power. That is the reason heart attack has to be taken very seriously. So what are the symptoms of heart attack? It was an old notion that heart attack occurs in elderly only. It is not like that. Looking at the recent survey, 25% of the heart attacks in India occur as early as less than 40 years of age and there are few patients with me who are in their 30s who suffered heart attack and had to undergo angioplasty. Anybody who gets any chest discomfort which it can be crushing type, it can be heaviness type, it can be a pressure type sensation in the center of the chest. The pain can be radiated to left or right shoulder, left arm or right arm. It can sometimes get referred to the jaw or rarely to the upper tummy. The symptoms, these classical symptoms are seen in only 50% of the patients and nearly half of the patients may present just as a burning sensation in the chest and it may be mistaken as acidity. So how to differentiate this? It is any chest discomfort, any burning sensation which is not getting relieved with routine antacids, which is not getting relieved with routine treatment and it is associated with profuse sweating, restlessness, uneasiness, specialties, never comfortable. Then you are looking at the heart attack. In elderly people or diabetic people, the heart attack can present just as a fatigue or shortness of breath, undue fatigue, undue shortness of breath while walking few steps. The patient may feel exhausted or he goes out of breath. In some patients there can be gidiness, nausea, vomiting sensation. So these are one of few of the typical presentation. So the bottom line is that any pain in the chest associated with sweating, associated with uneasiness, associated with restlessness, not getting relieved with antacids or routine treatment, lasting for more than 10-15 minutes, you should not wait at home and you should reach to the hospital which is well equipped with intensive care facility, catheterization laboratory and all the cardiac center. So anybody getting chest pain, uneasiness of this type, please rush to the Manipa Hospital Paneer Cardiology Department. Thank you.