When to consult a cardiologist
Which symptoms warrant a cardiology consultation, what a first appointment involves, and what to bring.
A cardiologist treats the heart and blood vessels. Most people are referred by a physician after a symptom or an abnormal test, but a referral is not required and many cardiology practices see patients directly.
Reasons to book
- Chest discomfort, pressure or tightness that comes on with exertion and settles with rest.
- Palpitations, a racing or irregular heartbeat, especially with dizziness.
- Breathlessness that is new, worsening, or wakes you at night.
- Blood pressure that stays high despite treatment.
- Fainting or near-fainting without an obvious cause.
- A family history of heart disease before 55 in men or 65 in women, and you want a risk assessment.
- Follow-up after a heart attack, angioplasty, bypass or valve procedure.
What a first consultation involves
Expect a detailed history — your symptoms, when they happen, medicines, family history — followed by a physical examination and usually an ECG. Depending on what is found, the doctor may arrange an echocardiogram, a stress test, a Holter monitor or blood tests before deciding anything. It is normal for a first visit to end with tests rather than a diagnosis.
What to bring
- Every current medicine, including supplements, with doses.
- Previous ECGs, echo reports or hospital discharge summaries.
- A note of your blood pressure readings if you have been recording them.
- The questions you want answered, written down.
Subspecialities
Interventional cardiologists perform angiography and stenting. Electrophysiologists treat rhythm problems and manage pacemakers. Heart failure specialists run structured follow-up for weakened hearts. Preventive cardiologists focus on risk factors before disease develops. Your referring doctor can point you to the right one; if you are choosing directly, the subspeciality is shown on each profile.
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