I have been near three people when they had a heart attack. At the office we had a fenced parking lot for the staff. Right on the other side of the fence line was a small house with a patio with chairs etc. this was about 50 feet from the back door of the office. An elderly man routinely had coffee in one of the chairs each morning. One morning I saw him walk out of the house and turn to sit in the chair. He dropped like a sack of potatoes. I was CPR trained. I spoke to the medical personnel who came to his aid and told them what i saw. I was told that he was dead when he hit the ground.
I also took my wife and father to the hospital as they were having heart attacks. Classic symptoms of chest discomfort, weakness, arm pain, etc.
Everyone is different, learn the signs, listen to doctors.