Symptoms of a heart attack include chest pain, difficulty breathing and:

• A. Headache
• B. Nausea
• C. Back pain
• D. Pain in the left arm

Answer: (D)

When the heart is under distress during a heart attack, the pain often starts in the chest and can be paired with trouble breathing. A common accompanying symptom is pain or discomfort that radiates to the left arm because those nerves share pathways with the heart. This pattern of referred pain to the left arm is a well-recognized sign that fits with chest pain and shortness of breath. While headaches, back pain, or nausea can occur in various contexts, the left-arm pain best matches the typical heart-attack symptom pattern alongside chest pain and breathing difficulty. If such symptoms appear together, it’s essential to seek emergency help immediately.