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Working with elderly people is not an easy job. Sometimes , you thought they are alright and then suddenly, you noticed they are pale and cannot breath. As a caregiver, its my responsibility to look after them and be aware on what's going on with their health.. So, if I think someone is having a heart attack the first thing I have to do .. Look out for symptoms such as severe chest pain, breathlessness, nausea, giddiness, sense of panic and doom, cold skin, and blue lips. If it is possible, sit them in a supported position with their knees bent.. Then call for an ambulance and say you suspect a heart attack. Then, give the medicine they may have for an existing heart problem.