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New drugs can stop or limit the damage of a heart attack, but 
only if the patient gets help immediately, experts say. Once 
the flow of blood to a portion of the heart is blocked for 
several hours, the damage is irreversible.

Knowing the symptoms of a heart attack, which can be wide-ranging 
and confusing, is extremely important. So is knowing risk 
factors, such as obesity, diabetes, high blood pressure and family 
history.

Typical symptoms of a heart attack include a crushing pain in the 
chest, sweating, difficulty breathing, weakness and pain in the 
arms, particularly the left. Symptoms one could attribute to 
something else can cause devastating delays in seeking treatment. 
These include feelings of indigestion, back shoulder and neck pain 
and nausea. Early signs of trouble may appear during physical 
activity and disappear with rest. Any numbness of tingling of the 
fingers or toes, dizziness, shortness of breath or difficulty in 
breathing should not be ignored.

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Clinical studies, laboratory investigations and a number of surveys 
show certain personal characteristics and life-styles pointing to 
increased danger of heart attack. These danger signs are called 
"risk factors." These well established risk factors are high blood 
pressure, high blood cholesterol, cigarette smoking and diabetes 
mellitus.

Attempts at modifying risk factors most certainly have contributed 
to the declining death rate from heart attacks in the United States. 

During the 1960's, U.S. death rates from heart attacks were still 
rising, but today's figures show that heart attacks have fallen 
dramatically. And, overall, heart-related problems have declined 
about 25 percent in the last decade. This decrease undoubtedly is 
due to better medical care of heart attack victims, but it is likely 
that a sizable percentage is related to modification of risk factors.

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Medical technology is advancing at an increasingly rapid rate. More 
drugs and medical technology are available than ever before and the 
entire population is now more aware of the seriousness of heart 
attacks. There has been an increased interest in learning CPR and 
many community organizations now offer this valuable training. 

Of particular concern by doctors and researchers is the role that 
the American diet plays in the health of one's heart. Obesity 
predisposes individuals to coronary heart disease. Some of the 
reasons for this are known, but others are not. The major causes 
of obesity in Americans are excessive intake of calories and 
inadequate exercise. When caloric intake is excessive, some of 
the excess frequently is saturated fat, which further raises the 
blood cholesterol. Thus, obesity contributes to higher coronary 
risk in a variety of ways.

Many of the major risk factors for a heart attack are silent and 
much of the responsibility for their detection lies with each of 
us as individuals. Regular checkups are particularly necessary 
if there is a family history of heart attacks of heart disease, 
high blood pressure, high cholesterol levels or diabetes. others 
are not.