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These are classic symptoms of a mycardial infarction (heart attack). The very first thing to do is to call 911 (or your equivalent emergency number), and summon help. Describe to the dispatcher where the patient is, and what is happening. Most emergency numbers are answered by trained personnel who can guide you through basic first-aid over the phone. The dispatcher may keep you on the line to monitor the patient while medics respond. Make the patient as comfortable as possibe, loosen his tie, unbutton the collar of his shirt, things like that. Do not offer water or other liquids, but sit with the person until help arrives. Concerned citizens can do a lot by learning CPR and basic first aid, check with your local hospital or Emergency Medical Services provider for information on where to take courses.

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