A term used to address a number of symptoms that occur when the heart does not get enough oxygenated blood.

SIGNS AND SYMPTOMS

• Chest pain or dull discomfort behind chest wall; may or may not extend down arm
• Shortness of breath
• Weakness, nausea, dizziness
• Heavy sweating
• Anxiety, fear of impending doom
• Denial 

FIRST AID

1. Assess, alert & attend to life-threatening problems.
2. Have patron sit down or rest quietly.
3. Loosen any tight clothing.
4. If patron has a known heart condition, and they have nitroglycerin with them, help him/her take medication (typically nitroglycerin that is placed or sprayed under tongue). If chest discomfort/ pain is unimproved or worsens after medication is given, call 9-1-1 immediately.
5. Comfort, calm, reassure until EMS arrives.
6. Have AED present and ready.
7. If patron becomes unresponsive and is not breathing or not breathing normally, check for pulse and start CPR/ utilize AED as appropriate.