What can be initial symptoms of heart attack?

Different: Typically chest pain.

Variable: Symptoms: chest and neck and left arm pain can all occur elephant sitting on your chest shortness of breath fatigue anxiety fear some are asymptomatic signs: cold clammy low pulse rate, or fast irregular sudden death, .

Chest Pain -See Doc?: When to see a doctor? How do you know when you need medical help for chest pain? It's not always easy to tell. Helpful simple quiz: http://edition.cnn.com/HEALTH/help.at.home/chest.pain/content.html