There’s an ad on TV showing a guy who gets a note telling him when his heart attack will happen. If only it were that predictable! Most of us think we will know if our heart attack is occurring. Guess what? Often we don’t. There are so many excuses we come up with for feeling unusual pain or tightness, feeling out of breath, or feeling nauseated. Women are particularly bad at paying attention to signs and symptoms of heart attack. What can you do? Tune in. Engage. Get the facts.