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Dr.Abhishek Shukla, Geriatrician, explained that when a person experiences chest pain, it is very common to confuse it with gas or acidity. Because of this confusion, the patient often ignores the symptoms or delays seeking proper medical care, thereby wasting the most critical initial time known as the golden hours. Many patients first visit a local doctor or small clinic, which may or may not be equipped with facilities like ECG or cardiac blood tests to immediately diagnose a heart attack. From there, the patient is usually referred to a district-level hospital, where tests such as ECG and Troponin-T are done to confirm the diagnosis. After this, the patient is further referred to a bigger center with facilities for angiography and advanced cardiac care. This entire process takes a long time, and by the time the patient reaches a tertiary care hospital, the initial 6 golden hours are often already lost. Dr. Shukla emphasized that if the patient had reached a well-equipped center on time, the blocked artery could have been opened early, saving the heart muscle from permanent damage. Once heart muscle dies, it cannot be revived. Even if the artery is opened later, the damage is already done, leading to lifelong compromised heart function. He strongly advised patients to always inform doctors about the exact time when chest pain started and explained that heart artery narrowing occurs gradually due to cholesterol plaque buildup over years.