“…The first sign is chest pain, which was the most common reported (76.4%), which is close to that found in Nigeria (67%) and Beijing (64%) but higher than that reported in Kuwait (50%), Pakistan (36%), and Nepal. People's awareness of chest pain and their relationship to CVD was acceptable, but it requires more education about the symptoms associated with CVD [7,8,9,10,11] . Saudi society awareness about Shortness of breath was recognized by (73.7%) of the study population, which is consistent with that reported in Nigeria (62%), but higher than that in Canada (39%), Pakistan (24%), Kuwait (48%), and Nepal (13%) [7,9,10,11,11] .…”