If you think you are experiencing the symptoms and signs of a heart attack (see Section IV) you should get to the hospital emergency room as quickly as possible. Denial or wishful thinking that the pain will disappear in the next hour is about the worst thing you can do. Do not try to reach a physician for advice. Call the ambulance first, then ask someone to make a call to your doctor or cardiologist. If you cannot reach the doctor, leave a message; do not wait for a reply. If you are fortunate to live in an area where a mobile heart ambulance exists, then please use this service. If this is not available, use 911 or ambulance service. If no ambulances are available, have someone drive you immediately to an emergency room. Do not drive yourself to the hospital if you have pain lasting longer than 15 minutes, particularly if you have unusual profuse sweating, shortness of breath, dizziness, or feel weak.
While waiting for the ambulance, which should arrive within minutes of your call, try to keep calm. Fear and panic cause further damage to the heart because they provoke the secretion of adrenaline, which increases the work of the heart and may increase the size of the heart attack or induce abnormal heart rhythms. While waiting, do the following:

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