Blog • Health awareness

World Heart Day: heart attack or cardiac arrest? Know what to do

A heart attack and a cardiac arrest are both emergencies, but they need different responses. This World Heart Day, make sure your whole team knows the difference.

A delegate practising chest compressions on a CPR manikin during first aid training

World Heart Day is on Tuesday 29 September 2026. It is led by the World Heart Federation, and this year’s campaign, “Don’t Miss a Beat”, highlights how the warning signs of heart disease can go unnoticed or be dismissed.

In care, you may be the first person to spot that something is wrong. Knowing the signs, and what to do, can save a life.

Heart attack or cardiac arrest?

People often use the two terms as if they mean the same thing, but they don’t. As a rule of thumb, someone having a heart attack is usually awake and may have chest pain. Someone in cardiac arrest is unconscious and not breathing normally. Each needs a different response.

Signs of a heart attack

According to the NHS, symptoms can include:

  • chest pain, which may feel like crushing or squeezing, and may spread to the arm, neck and jaw
  • feeling short of breath
  • feeling or being sick
  • feeling like indigestion
  • sweating, or skin changing colour

The NHS says to call 999 straight away if someone has chest pain that feels tight or spreads to the arms, neck or jaw, is struggling to breathe, or their skin turns pale, blue or grey. It also advises taking aspirin (300mg) if available, unless the person is allergic to it. In care, follow your medication and first aid policies, help the person sit comfortably and stay with them until help arrives.

Signs of a cardiac arrest

The British Heart Foundation explains that someone in cardiac arrest will be unconscious, unresponsive and not breathing, or not breathing normally. They may make gasping noises, which are not normal breathing.

  1. Call 999 straight away.
  2. Start CPR immediately, with hard, fast chest compressions.
  3. Get a defibrillator. Ask someone to fetch it while you do CPR.

The British Heart Foundation points out that you don’t need training to use a defibrillator, because the machine talks you through the steps. Training still makes a big difference to how confident your team feels on the day.

A member of staff opening a wall-mounted defibrillator cabinet in an office lobby
A defibrillator is no use in a cupboard nobody can find. Check yours is where people think it is.

Be ready before it happens

  • know where your nearest defibrillator is, and check it regularly
  • make sure every shift has someone trained in first aid and CPR
  • check each person’s care plan, including any decisions about resuscitation
  • practise, so everyone knows their role in an emergency

How training helps

Hands-on practice builds the confidence to act quickly. Courses that help include:

Sources: World Heart Federation, Don’t Miss a Beat 2026; NHS, Heart attack symptoms; British Heart Foundation, Cardiac arrest. Correct as of 22 September 2026.

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