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This article discusses the six most common heart attack symptoms in the month before a heart attack, as well as those that happen less frequently. It also addresses what often happens right before a heart attack occurs. Are you experiencing occasional chest pain along with sleep issues and unusual fatigue? Learn about the 6 warning symptoms of heart attack that can appear a month before it happens. 6 Signs of a Heart Attack a Month Before It Happens While the symptoms of a heart attack may appear to come on suddenly, research suggests that more than 40% of patients experience early warning signs – called prodromal symptoms – beforehand. Learn about the prodromal symptoms that may occur in the month before a heart attack, such as chest pain, shortness of breath, and palpitations. Find out how to recognize the differences between male and female heart attack symptoms and what to do if you have them.