If immediate first-aid is not given to a heart attack patient, there may be permanent damage or a cardiac arrest. Heart attack is one of the leading causes of death the world over. Most of these deaths take place, because proper first-aid or medical attention is not given between the time the person has the attack and the time the person reaches a hospital. That is why it is important for everyone to know how and what to do, as soon as a person is suspected to have had a heart attack. Remember the following: Every moment is precious in case of heart attack, so act fast. Do not leave the person alone and don't try to manage at home. Do not give anything orally. Even if he feels little better, lift him to reach the nearest hospital as early as possible.There is no household remedy for heart attack. Keep him in lying down posture, loosen his clothing and rush him to the nearest hospital. Make him chew one full tablet of apirin and swallow. Give him one Sorbitrate tablet under the tongue. If there is profuse sweating, ie, drop in blood pressure, then don't give it. You can give glucose powder in spoonful dosages on or under the tongue frequently. Don't give sweet drinks. If short of breath, then recline the patient partially and make him cough intermittently. If the person is unconscious and unresponsive, CPR (cardio pulmonary resuscitation) should be performed. Give chest thrust and mouth-to-mouth respiration. Do not depend on the first-aid to benefit. Reach the nearest facility, which has ICU or advanced treatment facilities for heart. Do not go to outpatient clinic of a doctor. Reach the emergency section or casualty. Do not sit on consent issues. Give blanket consent for fast treatment facilitation in crisis situation. Let the experts act. Remember, it's do-or-die situation in crisis. Consent to clot buster or blood thinner medication or direct angiography and primary angioplasty (most ideal). Primary angioplasty gives ideal results immediately after heart attack in first 90 minutes. Do not fall prey to non-scientific modes of treatment.