Warhol's "How to Tell You're Having a Heart Attack" employs his signature silkscreen printing technique to transform a mundane instructional subject into fine art, with each color variant existing as a limited impression rather than a published edition. The work exemplifies Warhol's characteristic appropriation of vernacular imagery and his exploration of mortality and mass culture through the lens of commercial visual language. Both impressions bear authentication marks from the Andy Warhol Foundation and handwritten notations indicating their archival documentation within the artist's estate records.