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Heart attack is primarily caused when arteries that send oxygen and blood to the heart are blocked. If more than one artery is involved, the situation can be fatal. The most common symptoms of heart attack are severe chest pain, breathing difficulties, jaw or neck pain, profuse sweating, nausea, vomiting, and giddiness. If these symptoms are present, the patient must be immediately rushed to the nearby hospital. ECG and other tests are done to find out whether the heart attack is moderate or severe. Relevant medications have to be given to the patient to restore the blood flow as soon as possible. Angioplasty may be required to open the blocked arteries and restore blood flow to the heart muscles. Dr. Gunadhar Padhi, consultant critical care medicine specialist, Mumbai, Maharashtra, discusses first aid to manage a heart attack.