Posted by By Ashima Sharda Mahindra July 23, 2026 on Aug 4th 2026

The First 10 Minutes After a Heart Attack Can Save Your Life: Cardiologist Reveals Exactly What to Do

The First 10 Minutes After a Heart Attack Can Save Your Life: Cardiologist Reveals Exactly What to Do

Every minute matters during a heart attack. Cardiologists explain the warning signs, life-saving first aid steps, dangerous myths, and when to call emergency services.

The first 10 minutes after a heart attack can determine whether a person survives with minimal heart damage or develops life-threatening complications. Cardiologists often use the phrase "Time is muscle" because every minute that blood flow to the heart is blocked, more heart muscle dies.

According to Dr. Mitesh Kumar, Senior Consultant, Cardiology, Fortis Hospital, recognising the warning signs quickly and taking the right steps before reaching the hospital can significantly improve survival and recovery. “The sooner treatment begins, the better the chances of saving the heart, preventing complications, and improving survival. While hospital treatment is essential, what you do before reaching the hospital can make a life-saving difference,” he said.

Why are the first 10 minutes so critical?

A heart attack occurs when blood flow through one of the coronary arteries is suddenly blocked, preventing oxygen from reaching the heart muscle. The longer the blockage remains untreated, the greater the damage.

"Time is muscle," explains Dr. Kumar. "The earlier blood flow is restored, the greater the chances of saving heart muscle, preventing complications, and improving long-term survival." Modern treatments such as emergency angioplasty can reopen blocked arteries, but their success depends heavily on how quickly the patient reaches a hospital.

Heart attack symptoms are not always obvious

Many people mistakenly believe that a heart attack always causes crushing chest pain. In reality, symptoms can vary significantly. A few common warning signs include:

  • Pressure, heaviness, tightness, or squeezing in the centre of the chest
  • Pain spreading to one or both arms
  • Pain in the shoulders, neck, jaw, or back
  • Breathlessness
  • Cold sweats
  • Nausea or vomiting
  • Dizziness or light-headedness
  • A sudden feeling that "something isn't right"

Symptoms in women, older adults and people with diabetes

These groups may experience less typical symptoms such as:

  • Unusual fatigue
  • Difficulty in breathing
  • Indigestion-like discomfort
  • Back pain
  • Jaw pain
  • Mild chest discomfort instead of severe pain
Because these symptoms can be subtle, they are often mistaken for acidity, indigestion, or exhaustion - leading to dangerous delays.

What should you do immediately?

“If you suspect a heart attack, don't wait to see if the symptoms disappear,” said Dr. Kumar, recommending the following steps:

Call emergency medical services immediately

Do not delay by hoping the discomfort will pass.

Help the person sit comfortably

A semi-reclined position reduces strain on the heart and helps ease breathing.

Keep them calm

Anxiety increases the heart's workload.

Loosen tight clothing

This can make breathing easier.

Use prescribed nitroglycerin only if advised

People who already have angina should take nitroglycerin exactly as prescribed by their doctor.

Chew an aspirin - only if appropriate

If the person is conscious, has no aspirin allergy and no history of significant bleeding, chewing one standard aspirin may help reduce clot formation. However, aspirin should never delay calling an ambulance or getting to the hospital.

Heart attack vs cardiac arrest: Know the difference

Many people confuse a heart attack with a cardiac arrest, but they are medical emergencies requiring different responses.

Heart attack

In a heart attack, the muscles in your heart would lose blood supply; however, the person would usually remain conscious and can speak or respond.

Cardiac arrest

However, in a cardiac arrest, the heart would suddenly stop pumping effectively, and the person would collapse, become unresponsive, and can even stop breathing normally.

If someone goes into cardiac arrest, call emergency medical services immediately. Begin CPR if you are trained and use an Automated External Defibrillator (AED) as soon as one is available. Early CPR and defibrillation dramatically improve survival.

One of the biggest mistakes people make is driving themselves - or asking a family member to drive them - to the hospital. A person's condition can suddenly worsen during the journey. “This can be dangerous because the person's condition can worsen suddenly during the journey. An ambulance is the safest option, as trained medical personnel can start treatment immediately, monitor the heart rhythm, and alert the hospital in advance so that the cardiac team is ready on arrival,” said Dr. Kumar.

Heart attack myths that can cost lives

Dr. Kumar warns against several dangerous misconceptions. A few things that do not treat a heart attack include drinking water, coffee, lemon juice, home remedies, walking to "ease the pain", waiting to see if symptoms improve, or forcing yourself to cough. These actions waste valuable time while heart muscle continues to die.

However, the good news is that heart attacks are highly treatable when treated quickly. Emergency procedures such as primary angioplasty can restore blood flow, minimise heart damage and greatly improve recovery. "The decisions made during the first few minutes can protect the heart, reduce long-term complications and, in many cases, save a life," says Dr. Kumar. A heart attack is a medical emergency where every minute matters. Recognising the symptoms early, calling an ambulance immediately, avoiding dangerous home remedies and reaching a hospital equipped for emergency cardiac care can dramatically improve survival.