Call 911 Now (you may need an ambulance) If

• Passed out (fainted)
• Very weak (can't stand)
• Visible sweat on face or sweat is dripping down face
• Severe difficulty breathing (e.g., struggling for each breath, unable to speak)
• Lips or face are blue
• Severe chest pain
• Chest pain lasting longer than 5 minutes and any of the following:
  • Pain is crushing, pressure-like, or heavy
  • History of heart disease (e.g., angina, heart attack, bypass surgery, angioplasty)
  • Over 50 years old
  • Over 30 years old and you have at least one cardiac risk factor (i.e. high blood pressure, diabetes, high cholesterol, obesity, smoker or strong family history of heart disease)
  • Took nitroglycerin and chest pain was not relieved