Guidance for the moment you suspect a heart attack
Heart disease remains the world’s leading cause of death, underscoring how crucial it is to act fast when a heart attack strikes. Dr. Christabel Akinola shared a real-case example in which a man who acted immediately—and followed trusted medical guidance—survived. The key takeaway: immediate, decisive action saves lives. If you’re alone and think you’re having a heart attack, here is what to do, in order of importance.
Call emergency services immediately
The most important step is to contact emergency services without delay. Tell the dispatcher you may be having a heart attack and provide your exact location, any allergies, and current medications. If possible, put the call on speaker so you can follow guidance while keeping your hands free. Do not attempt to drive yourself to a hospital unless there is no alternative. An ambulance can begin life-saving treatment en route and ensure you reach the most appropriate center for care.
Take aspirin if you’re able
If you are conscious, not allergic to aspirin, and there is no condition that makes bleeding dangerous, chew an ordinary 162–325 mg aspirin. Chewing speeds absorption and can help reduce early damage. Large clinical trials show that taking aspirin early after symptom onset is associated with lower short-term cardiovascular death. If you’re unsure, consult with a medical professional when you can, but do not delay emergency care while deciding.
Breathing and “cough CPR”—what’s accurate
You may see advice about deep breathing or forceful coughing as a substitute for professional care. Major resuscitation bodies do not endorse “cough CPR” for unsupervised individuals with a suspected heart attack. While certain very specific, monitored arrhythmia situations may involve brief, controlled coughing, it is not a proven, safe stand-in for urgent emergency response. Do not rely on coughing or breathing techniques as a replacement for calling for help and getting to professional care.
Leg elevation and other supportive steps
Leg elevation—lying down with knees bent and feet supported—can help with how you feel by improving venous return and reducing faintness while you await help. It is a comfort measure rather than a treatment for the blocked artery causing a heart attack. Use it if it makes you more comfortable, but prioritize getting professional care and following dispatcher instructions.
Stay calm and prepared
Acute stress triggers adrenaline, raising heart rate and blood pressure and potentially increasing the heart’s oxygen demand. Slow, measured breathing, sitting or lying down, loosening tight clothing, and speaking with the dispatcher or a nearby person can help reduce anxiety and keep you steady while help is on the way.
Practical preparedness for those who live alone
Preparation can make a life-or-death difference. If you live alone, consider practical steps: keep your front door accessible or unlocked for responders, have your phone within reach at all times, and maintain a simple list of medications and allergies. Knowing what you take and when you took it can accelerate care when seconds matter.
Bottom line
In a suspected heart attack, professional medical care is the critical component of survival. Call emergency services immediately, take aspirin if appropriate, and follow the dispatcher’s guidance. While supportive measures can help you feel steadier, they do not replace urgent access to medical treatment.
