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Background: Over the past two centuries, due to the industrial and technological revolutions associated with economic and social transformations it has resulted in drastic change in the non communicable diseases responsible for illness and death. Cardiovascular disease is one of the leading causes of death worldwide. Lifestyle changes like physical inactivity, altered dietary habits (eg. junk foods rich in cholesterol) etc can cause heart attack. Aim: To assess the awareness regarding early signs of heart attack and its management among Executives Methods: A descriptive Survey method was used for this study. Research design was non experimental survey method. Sample size was 100 employees from the selected offices in the post of Executives. Five offices were selected by random sampling technique and employees were selected by purposive sampling technique. Content validity was obtained by Expert with field of Medical and Surgical Nursing opinion. Data collection was carried out from 22/2/16 to 18/03/16. Tool reliability was calculated by Split half method and Correlation coefficient was calculated, Chronbach's alpha was 0.83. Data was collected by administering self structured knowledge questionnaire. After assessing the responses to questions, wherever the knowledge gap was identified the respondents were given incidental Health information. Data was compiled and Analysis was done by using inferential statistics Result: The data analysis revealed that awareness regarding early signs of heart attack and it management was good among only 19% of the respondent were good, 34% of respondent were average, while 47% of the respondent were poor in knowledge and knowledge of practices. Conclusion: Finding of the study revealed that there is lack of knowledge and knowledge of practice regarding early signs of heart attack and its management among the executives. Hence the knowledge needs to be imparted to the Executives class of people keeping in view their sedentary style of working and daily life style, predisposing them to health risk.