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I did smoke heavy but I thought that a heart attack was for old men.  I knew I was too young to have a heart attack.  I first started experiencing the muscle pull feeling about three days before. It was just in the shoulder.  My doctor told me that if I have another heart attack I may not make it through because my heart was damaged, extensively.  I had no choice but to change everything in my life and although I thought I was healthy then, I've got a much broader concept of health now.  If you have your family to support you, you can make it through anything.