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Heart attack signs and symptoms in men and women: Chest pain or discomfort; Shortness of breath; Pain or discomfort in the jaw, neck, back, arm, or shoulder; Feeling nauseous, light-headed, or unusually tired.

If you notice the symptoms of a heart attack in yourself or someone else, call 9-1-1 immediately. The sooner you get to an emergency room, the sooner you can get treatment to reduce the amount of damage to the heart muscle. At the hospital, health care professionals can run tests to find out if a heart attack is happening and decide the best treatment.

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In some cases, a heart attack requires cardiopulmonary resuscitation (CPR) or an electrical shock (defibrillation) to the heart to get the heart pumping again. Bystanders trained to use CPR or a defibrillator may be able to help until emergency medical personnel arrive.

Several health conditions, your lifestyle, and your age and family history can increase your risk for heart disease and heart attack. These are called risk factors. About half of all Americans have at least one of the three key risk factors for heart disease: high blood pressure, high blood cholesterol, and smoking.2

A heart attack occurs when the flow of blood to the heart is severely reduced or blocked. The blockage is usually due to a buildup of fat, cholesterol and other substances in the heart (coronary) arteries. The fatty, cholesterol-containing deposits are called plaques. The process of plaque buildup is called atherosclerosis.

Some heart attacks strike suddenly. But many people have warning signs and symptoms hours, days or weeks in advance. Chest pain or pressure (angina) that keeps happening and doesn't go away with rest may be an early warning sign. Angina is caused by a temporary decrease in blood flow to the heart.

If someone is unconscious and you think they're having a heart attack, first call 911 or your local emergency number. Then check if the person is breathing and has a pulse. If the person isn't breathing or you don't find a pulse, only then should you begin cardiopulmonary resuscitation (CPR).

Coronary artery disease causes most heart attacks. In coronary artery disease, one or more of the heart (coronary) arteries are blocked. This is usually due to cholesterol-containing deposits called plaques. Plaques can narrow the arteries, reducing blood flow to the heart.

A heart attack may be caused by a complete or partial blockage of a heart (coronary) artery. One way to classify heart attacks is whether an electrocardiogram (ECG or EKG) shows some specific changes (ST elevation) that require emergency invasive treatment. Your health care provider may use electrocardiogram (ECG) results to describe these types of heart attacks.

It's also a good idea to learn CPR properly so you can help someone who's having a heart attack. Consider taking an accredited first-aid training course, including CPR and how to use an automated external defibrillator (AED).

Most heart attacks are caused by coronary artery disease. Your age, lifestyle habits, and other medical conditions can raise your risk of a heart attack. Symptoms of a heart attack include chest and upper body pain, shortness of breath, dizziness, sweatiness, and nausea. Women often experience different symptoms of a heart attack.

If you think you or someone else may be having a heart attack, call 9-1-1 right away. Acting fast can save your life. The longer the heart goes without enough oxygen, the more damage is done to the heart muscle.

Russia says it has targeted Ukrainian military sites in the capital Kyiv and Kharkiv in a new wave of drone and missile attacks in days, in retaliation for a deadly attack a day earlier on the city of Belgorod.

On January 6, 2021, the United States Capitol Building in Washington, D.C. was attacked by a mob[34][35][36] of supporters of then-U.S. president Donald Trump, two months after his defeat in the 2020 presidential election. They sought to keep Trump in power by preventing a joint session of Congress from counting the Electoral College votes to formalize the victory of President-elect Joe Biden. The attack was ultimately unsuccessful in preventing the election results from being certified. According to the House select committee that investigated the incident, the attack was the culmination of a seven-part plan by Trump to overturn the election.[37][38]

Within 36 hours of the event, five people had died: one was shot by Capitol Police, another died of a drug overdose, and three died of natural causes, including a police officer[b][27][39] Many people were injured, including 174 police officers. Four officers who responded to the attack died by suicide within seven months.[28] As of July 7, 2022,[update] monetary damages caused by attackers exceed $2.7 million.[40]

More than 1,200 persons have been charged with federal crimes arising from the attack. As of August 2023[update], 632 defendants had pleaded guilty, while another 110 defendants had been convicted at trial;[32][c] a total of 586 defendants have been sentenced as of July 2023.[83] A significant number of participants in the attack were linked to far-right extremist groups or conspiratorial movements, including the Oath Keepers, Proud Boys, and Three Percenters.[84][85] Numerous plotters were convicted of seditious conspiracy, including Oath Keepers and Proud Boys members; [86] the longest sentence to date was given to Proud Boy Enrique Tarrio, who was sentenced to 22 years' imprisonment.[87]

On December 19, Oath Keepers leader Kelly Meggs placed a call to Proud Boys leader Enrique Tarrio.[120] On December 20, the Proud Boys leadership handpicked existing members to form a new chapter called the "Ministry of Self Defense" in charge of "national rally planning".[121][122][123] That day, one leader posted a message saying, "I am assuming most of the protest will be at the capital [sic] building given what's going on inside."[124] The Proud Boys leadership began encouraging members to attend the January 6 event. Leaders used a crowdfunding website to raise money and purchase paramilitary equipment such as concealed tactical vests and radio equipment in preparation for the attack. Chapter leadership spent the days prior to, and the morning of, January 6 planning the attack.[122] On December 29, leaders announced plans to be "incognito" on January 6, not wearing traditional black and yellow garb.[122][125] On December 30, the leadership received a document titled "1776 Returns", which called for the occupation of "crucial buildings" on January 6 and argued for supporters to "Storm the Winter Palace" in an apparent reference to an attack on the Capitol.[126] On January 3 and 4, Proud Boys leadership explicitly discussed "storming" the Capitol.[122]

The night of January 5, Proud Boys leaders divvied members into teams, passed out radios, and programmed the radios to specific channels in preparation. Orders were issued to assemble at 10 am at the Washington Monument. Leadership warned members to avoid police and not to drink in public.[128] On January 6, about 100 plainclothes members assembled at the Washington Monument and were led to the Capitol to participate in the attack.[122]

The weeks preceding January 6 were filled with predictions of upcoming violence by Trump's supporters. The attack was later said to be "planned in plain sight", with extensive postings on social media calling for and even planning for violence on January 6. In response to widespread predictions of possible violence, D.C. food and lodging establishments with a history of being patronized by the Proud Boys announced temporary closures in an attempt to protect public safety and the mayor advised residents to stay away from areas near the Mall that might see violence. Members of Congress interfaced with law enforcement to ensure preparations were being made for any upcoming violence.

Commentators had long feared that Trump might provoke violence after an electoral loss.[e][129] For several weeks before January 6, there were over one million mentions of storming the Capitol on social media, including calls for violence against Congress, Pence, and police.[130][131][101] Many of the posters planned for violence before the event; some discussed how to avoid police on the streets, which tools to bring to help pry open doors, and how to smuggle weapons into the city.[131] They discussed their perceived need to attack the police.[130][132][133]

On December 28, 2020, a map was posted showing entrances and exits to the Capitol and the tunnels that connect it to nearby House and Senate office buildings. Perimeters were drawn in red, orange, and yellow designed to reflect their relative importance while black X's represented forces that are "ready for action" if Congress tries to certify the 2020 presidential election.[134] On January 1, the operator of an obscure website about tunnels under Capitol noticed a huge spike in traffic to the site, prompting him to notify the FBI of a likely upcoming attack on the building.[137]

From December 29 to January 5, the FBI and its field offices warned of armed protests at every state capitol and reported plans by Trump supporters that included violence.[138] On December 30, 2020, one popular comment was posted, saying, "I'm thinking it will be literal war on that day. Where we'll storm offices and physically remove and even kill all the D.C. traitors and reclaim the country."[129] That comment was highlighted in a January 2 article by The Daily Beast which reported protesters were discussing bringing guns to the District, breaking into federal buildings, and attacking law enforcement.[129][139] In the days leading up to the attack, several organizations, including ones that monitor online extremism, had been issuing warnings about the event.[140]

Three days before the Capitol attack, the Capitol Police intelligence unit circulated a 12-page internal memo warning that Trump supporters see the day of the Electoral College vote count "as the last opportunity to overturn the results of the presidential election" and could use violence against "Congress itself" on that date.[143] 2351a5e196