What would be the signs of a heart attack in a 48 year old female that smokes 2 packs a day and has 5 beers a day for 4 days and two twelve 2 days?

Chest pain. Can vary from mild to crushing chest pain, shortness if breath, neck jaw pain, abdominal pain, or cold sweats.
Agree with previous. Women also sometimes have atypical symptoms which may include nausea, sweating, nausea, dizziness, shortness of breath without chest pain. Consider smoking cessation, and drinking only in moderation (1 drink/day). See your doctor.