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The symptoms of an AMI are severe – a pressing pain in the centre of the chest that often spreads to the arms and/or jaw. You may feel extremely anxious and nauseous. People often describe a feeling of impending doom.

Your blood pressure falls, you look pale and grey, your pulse is rapid and scarcely perceptible and you are sweating profusely. You may also feel short of breath.

This is an emergency and you must be rapidly diagnosed and treated in hospital. About 20% of untreated patients die within the first two hours of an AMI and another 20% will die in the following four weeks.

Treatment with “clot-busting” medication within the first two to four hours of the heart attack decreases the chances of early death from abnormal heart rhythms, so it is very important to get to a hospital as soon as possible.

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