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Which of the following indicates that a passenger is suffering from a severe heart condition?

  1. Feeling relaxed and calm

  2. Cold, clammy skin

  3. Active movements of limbs

  4. Heightened energy levels

The correct answer is: Cold, clammy skin

Cold, clammy skin can be a significant indicator of a severe heart condition. This symptom often arises due to poor circulation or shock, which can result from a heart problem. When the heart is not pumping effectively, it can lead to reduced blood flow, causing the skin to feel cold and sweaty, even in a person who might appear otherwise fine. This physiological reaction is a response to stress on the cardiovascular system and can point towards conditions such as heart attack or heart failure. In a medical context, the other options typically do not signify heart distress. Feeling relaxed and calm, active movements of limbs, and heightened energy levels are generally associated with stable health rather than a severe condition. Thus, recognizing cold, clammy skin is crucial for identifying potential heart-related issues in passengers.