Since 1963, Congress has required the President to declare February as American Health Month to help raise public awareness of heart disease. Cardiovascular diseases, including heart attack and stroke, are our nation’s No. 1 killer. The American Heart Association states that some heart attacks are sudden and intense (the “movie heart attack”), but more start slowly with mild pain and discomfort. People don’t know what is wrong and wait too long before getting help. Here are signs that can mean a heart attack is happening: Chest discomfort. It can feel like uncomfortable pressure, squeezing, fullness or pain. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or goes away and comes back. Discomfort in other areas of the upper body. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach. Shortness of breath with or without chest pain. Other signs may include breaking out in a cold sweat, nausea, or lightheadedness. As with men, women’s most common symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/vomiting, and back or jaw pain. Learn the signs, but remember this: Even if you’re not sure it’s a heart attack have it checked out (tell a doctor about your symptoms). Minutes matter! Stroke is the 3rd leading cause of death. Risk factors for stroke include: High blood pressure Atrial Fibrillation (A-fib) High cholesterol Smoking Diabetes Poor circulation Not being active Obesity Family history of stroke Stroke warning signs include: Sudden numbness or weakness of the face, arm or leg, especially on one side of the body Sudden confusion, trouble speaking or understanding Sudden trouble seeing in one or both eyes Sudden trouble walking, dizziness, loss of balance or coordination Sudden, severe headache with no known cause Remember ACT F.A.S.T. Face-Uneven smile/Facial droop Arm-Arm numbness/Arm weakness Speech-Slurred speech/Difficulty speaking or understanding Time-Call 9-1-1 immediately Heart attack and stoke are life-and-death emergencies--every second counts. For more information contact the American Heart Association at www.americanheart.org or 1-800-AHAUSA1 (1-800-242-8721); American Stroke Association (ASA) at 1-888-4STROKE (1-888-478-7653) or www.strokeassociation.org ; and National Stroke Association (NSA) at 1-800-STROKES or www.stroke.org Long Beach Island Health Department