You can take steps to prevent a heart attack

Like all the muscles in your body, your heart muscle needs oxygen to do its job. Blood brings oxygen to your heart, and when oxygen-rich blood is blocked or slowed, you can have a heart attack.

During a heart attack, a blockage or clot deprives part of the heart muscle of blood. The faster you get care, the less injury your heart experiences. Quick, comprehensive treatment can help your recovery and your return to daily life after having a heart attack.

Symptoms of a heart attack

Angina, or chest pain, is the most common warning sign of a heart attack, but there are many other symptoms, including:

  • Breaking out in a cold sweat
  • Chest discomfort (pressure, squeezing or fullness that comes and goes or lasts for a few minutes or longer)
  • Feeling faint, weak or unusually tired
  • Feeling lightheaded or dizzy
  • Nausea or vomiting
  • Pain or discomfort in the arms, back, jaw, neck, shoulders or stomach
  • Shortness of breath
daughter hugging mother who is at risk for a heart attack over the shoulders smiling at the camera

What causes a heart attack?

Heart attacks mostly occur when plaque made up of fat, cholesterol and other substances builds up inside the walls of your coronary arteries. This plaque buildup causes the arteries to narrow, and the plaque can break off, forming blood clots. Narrowed arteries and blood clots can prevent blood from reaching your heart, causing a heart attack.

The slow buildup of plaque, called atherosclerosis, can cause coronary artery disease, and coronary artery disease is the most common cause of heart attacks in adults. Unfortunately, you can’t feel plaque building up in your arteries, and a heart attack can be the first sign you have coronary artery disease.

Heart attacks can also occur when one of the coronary arteries contracts or spasms suddenly, as this interrupts blood flow. In other rare cases, the coronary artery can tear unexpectedly, which is called spontaneous coronary artery dissection.

close up of CT cardiovascular imaging showing patient's risk of heart attack

Heart attack risk factors

Many factors increase your risk of having a heart attack, some of which you can control and some you can’t.

A healthy lifestyle and regular visits with your primary care provider can help reduce these risk factors:

  • Being overweight or obese
  • Eating an unhealthy diet high in salt, saturated fat and sugar
  • Having prediabetes or Type 2 diabetes 
  • High blood pressure
  • High cholesterol
  • Not getting enough physical activity
  • Smoking or vaping

Women who had preeclampsia (a type of high blood pressure) during pregnancy also face a higher risk of heart attacks later in life.

The good news is that you can protect your heart regardless of your medical history, age, sex, or family history. If you have any of the risk factors above, talk to your provider about steps to improve your heart health.

Diagnosing a heart attack

It’s crucial to dial 911 for medical assistance and to reach the emergency room promptly if you suspect a heart attack. Emergency medical personnel can offer initial treatments in the ambulance and will alert the hospital’s medical team that you’re on the way.

Healthcare providers can diagnose heart attacks using a physical exam, which includes checking the person’s pulse, measuring blood oxygen levels and blood pressure, and listening to heart and lung sounds. Additionally, different imaging and diagnostic tests are used:

Treatments for a heart attack

Emergency treatment for a heart attack focuses on clearing the blockage causing your heart attack and restoring blood flow to your heart.

Find a location near you

Our cardiologists are dedicated to helping you recover from a heart attack as quickly and thoroughly as possible. You have access to high-quality emergency and follow-up heart care at locations across North and Central Texas, so you can get back in action and protect your heart for the long term.

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Frequently asked questions