It is a frightening reality check that no prior symptoms are recorded in about half of sudden heart disease deaths.
There are, however, warning signs for angina. The severity of the signs and symptoms vary between individuals, the main presenting symptom being chest pain. If you are concerned about the following information, consult your GP or hospital.
Angina
Signs of angina are brought on by any form of exertion - factors that increase heart rate such as exercise, cold weather, and physical or emotional stress.
The chest pain of angina can range from a slight discomfort, often confused with indigestion, to a severe central crushing pain which spreads to the neck or left shoulder. If the pain lasts for more than 15 minutes, and the person becomes pale, sweaty and clammy, an ambulance should be called.
| There are other warning signs of angina which you need to be aware of: - shortness of breath (your doctor or the hospital will probably ask how far you can walk before becoming breathless)
- weakness
- a feeling of anxiety
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Angina itself is an indicator that you may be at risk of having a heart attack.
Heart attack
Heart attacks can occur without warning, with up to a quarter having no forewarning symptoms, or very mild indications that often go ignored.
The prominent sign of having a heart attack is the dull, 'heavy' type of pain which is usually felt in the centre of the chest. It is almost an indigestion-like symptom - but, unlike angina, the pain does not ease on resting and may occur at rest.
| Presenting signs of a heart attack: - breathlessness
- nausea
- sweating
- looking grey
- developing a blueness around the lips
- sudden faintness or giddiness can occur
- irregular, rapid or weak pulse
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An ambulance must be called for immediately if a person is suffering from these symptoms.

20/05/2009