Heart attacks (myocardial infarctions) are the leading cause of sudden death and serious disability in the United States. The symptoms of heart attack include chest pain, difficulty breathing, sweating for no reason, and pain that radiates into the shoulder or arm. If these symptoms are not taken seriously by physicians, including emergency room doctors, they can lead to heart attack or serious disability. When an individual has the symptoms of a heart attack, certain tests should be performed such as an EKG, blood should be drawn to check for a heart specific enzyme called Troponin, which can be elevated when someone has a heart attack, and also an enzyme called CK or CPK, when elevated, can indicate tissue or muscle death. If an EKG or blood tests are positive, additional tests should be performed such as a stress test, a myocardial perfusion test, or cardiac catheterization to determine whether a person is suffering a heart attack or angina from clogged arteries. If a heart attack is diagnosed and treated promptly, serious injury to the heart can be avoided and a person can live a normal life. The failure to diagnose heart attack can lead to sudden death and serious injury.

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