1. Heart Disease (Coronary Artery Disease) Slideshow Pictures
2. Medical Illustrations of the Heart Image Collection
3. Take the Heart Disease Quiz!

Medical Author:

John P. Cunha, DO, FACOEP

John P. Cunha, DO, FACOEP

John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.

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Medical Editor:

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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Heart Attack

If you suspect that you or someone you are with may be having a heart attack, call 911 for emergency services or go to the nearest hospital emergency department.

• While waiting for the ambulance, have the patient chew two baby aspirin or at least half of a regular aspirin - at least 160 mg. There is no evidence that taking more than this helps more, and the patient could have unwanted side effects if they take too much.
• It is important to chew the aspirin before swallowing it because chewing decreases the time the medicine takes to have an effect.
• Chewing an aspirin in the early stages of a heart attack may reduce the risk of death and it may also reduce the severity of the attack.

Angina

If the patient has had angina and has nitroglycerin tablets available, have the patient place one under the tongue. This may aid in increasing blood flow to blocked or narrowed arteries.

• If the chest pain continues in the next five minutes, take another tablet under the tongue.
• If, after three nitroglycerin tablets, the patient does not have relief of the chest pain, immediately call 911 or go to the nearest emergency department.

Esophagus

If the pain is from acid reflux (GERD), it may be relieved with antacids. Even if the patient's pain goes away after taking an antacid, do not assume they are not having a heart attack. The patient should still be evaluated in a hospital emergency department.

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