At what point should I see a cardiologist?
You have shortness of breath, palpitations or dizziness. A cardiologist can determine if a heart condition is the cause. These symptoms may be a sign of abnormal heart rhythm or coronary artery disease.
A coronary angiogram is a type of X-ray used to examine the coronary arteries supplying blood to your heart muscle. It's considered to be the best method of diagnosing coronary artery disease - conditions that affect the arteries surrounding the heart.
During your first appointment, the cardiology team will take measurements called “vitals.” This may include height, weight, blood pressure, breathing rate, resting heart rate and body temperature. Then your cardiologist will perform a head-to-toe examination of your body with a focus on your heart.
Multiple risk factors such as high blood pressure or cholesterol levels, being diabetic or smoking are all grounds for a referral to a heart doctor. So are things like being obese or overweight, a lack of physical activity and an unhealthy diet.
A test called an echocardiogram is often the best test to diagnose your heart failure. Your doctor can also use this test to find out why you have heart failure, and then monitor your condition going forward every three to six months.
A cardiologist is a healthcare provider who can treat chest pain, high blood pressure and heart failure, as well as problems with your heart valves, blood vessels and other heart and vascular issues. They can order tests like electrocardiograms, echocardiograms and CTs (computed tomography) to find out what's wrong.
Small vessel disease signs and symptoms include: Chest pain, squeezing or discomfort (angina), which may get worse with activity or emotional stress. Discomfort in the left arm, jaw, neck, back or abdomen along with chest pain. Shortness of breath.
Minor symptoms of heart blockage include irregular or skipped heartbeats, shortness of breath and chest tightness. Other symptoms may include pain or numbness in the legs or arms, as well as neck or throat pain.
- Chest pain, chest tightness, chest pressure and chest discomfort (angina)
- Shortness of breath.
- Pain in the neck, jaw, throat, upper belly area or back.
- Pain, numbness, weakness or coldness in the legs or arms if the blood vessels in those body areas are narrowed.
A cardiologist will review a patient's medical history and carry out a physical examination. They may check the person's weight, heart, lungs, blood pressure, and blood vessels, and carry out some tests.
Will cardiologist do stress test on first visit?
The cardiologist may order diagnostic testing, such as blood tests, an X-ray, stress test or electrocardiogram. Further testing ensures you are getting the most accurate, complete diagnosis.
Should you be concerned if your primary doctor gives you a referral to a cardiologist? It may seem like it but it is a pretty common practice. A referral to a heart specialist will include a physical exam, blood work to check sugar levels and cholesterol readings.

A cardiologist will read the results of your echocardiogram within 24 hours of the test. You should expect to get your results from your provider within three days.
A CT coronary angiogram can reveal plaque buildup and identify blockages in the arteries, which can lead to a heart attack. Prior to the test, a contrast dye is injected into the arm to make the arteries more visible.
The stage describes how severe your heart failure is. It's usually given as a class from 1 to 4, with 1 being the least severe and 4 being the most severe: class 1 – you don't have any symptoms during normal physical activity. class 2 – you're comfortable at rest, but normal physical activity triggers symptoms.
Electrocardiogram (ECG or EKG) to assess the heart rate and rhythm. This test can often detect heart disease, heart attack, an enlarged heart, or abnormal heart rhythms that may cause heart failure.
Signs of Early Heart Failure
Congestion is common in the limbs and vital organs, making them appear swollen. Weight gain: The excess fluid from heart failure may cause a sudden weight gain. Fatigue: The lack of blood flow can leave you feeling more tired than usual.
Listening to Your Heart
Your doctor will use a stethoscope to hear your heartbeat. The closing of your heart's valves makes a "lub dub" noise. The doctor can check your heart and valve health and hear your heart's rate and rhythm by listening to those sounds.
What your cholesterol levels and other substances in your blood can tell you about your heart health. Your blood may offer many clues about your heart health. For example, high levels of "bad" cholesterol in your blood can be a sign that you're at increased risk of having a heart attack.
A health care provider might use an electrocardiogram to determine or detect: Irregular heart rhythms (arrhythmias) If blocked or narrowed arteries in the heart (coronary artery disease) are causing chest pain or a heart attack. Whether you have had a previous heart attack.
How do you rule out a heart blockage?
A CT scan of the heart can show calcium deposits and blockages in the heart arteries. Calcium deposits can narrow the arteries. Sometimes dye is given by IV during this test. The dye helps create detailed pictures of the heart arteries.
Official answer. You can check for heart disease at home by measuring your pulse rate and your blood pressure if you have a blood pressure monitor. You can also monitor yourself for symptoms of heart disease, such as: Chest pain, pressure, discomfort, or tightness.
Atherosclerosis, which causes diseases of the arteries, is a very common process. One of the biggest risk factors for atherosclerosis is age, so it is more common among people in their 60s and 70s, although there are many elderly people who don't have significant atherosclerosis.
Chest Discomfort
It's the most common sign of heart danger. If you have a blocked artery or are having a heart attack, you may feel pain, tightness, or pressure in your chest.
Atherosclerosis is inflammation and a buildup of plaque in the inner lining of an artery causing it to narrow or become blocked. It is the most common cause of heart disease.
If shortness of breath happens when you're clearly not exerting yourself, when you're doing something you normally could do without feeling winded, or comes on suddenly, those are warning signs that a heart issue could potentially be to blame.
...
Other symptoms of angina include:
- Dizziness.
- Fatigue.
- Nausea.
- Shortness of breath.
- Sweating.
- Shortness of breath.
- Feeling dizzy or lightheaded.
- Weight gain of three or more pounds in one day.
- Weight gain of five pounds in one week.
- Unusual swelling in the legs, feet, hands, or abdomen.
- A persistent cough or chest congestion (the cough may be dry or hacking)
Chest pain, chest tightness, chest pressure and chest discomfort (angina) Shortness of breath. Pain in the neck, jaw, throat, upper belly area or back. Pain, numbness, weakness or coldness in the legs or arms if the blood vessels in those body areas are narrowed.
“I strongly warn people against going directly to a cardiologist and undergoing routine cardiac testing unless you are experiencing symptoms such as chest pain,” he says. “Otherwise, you could end up undergoing a lot of unnecessary testing that may lead to unnecessary procedures.”
How can a doctor tell if your heart is healthy?
- Blood tests. ...
- Electrocardiogram (ECG) ...
- Exercise stress test. ...
- Echocardiogram (ultrasound) ...
- Nuclear cardiac stress test. ...
- Coronary angiogram. ...
- Magnetic resonance imaging (MRI) ...
- Coronary computed tomography angiogram (CCTA)
The closing of your heart's valves makes a "lub dub" noise. The doctor can check your heart and valve health and hear your heart's rate and rhythm by listening to those sounds.
- Shortness of breath with activity or when lying down.
- Fatigue and weakness.
- Swelling in the legs, ankles and feet.
- Rapid or irregular heartbeat.
- Reduced ability to exercise.
- Persistent cough or wheezing with white or pink blood-tinged mucus.
- Swelling of the belly area (abdomen)
Anxiety, Sweating, and Nausea
But they could also be early signs for heart trouble. If these heart symptoms are followed by shortness of breath, extreme fatigue, pain, a feeling of fullness, or aching in your chest (that might radiate to the back, shoulders, arm, neck, or throat), get to an emergency room immediately.
- Chest pain (angina). You may feel pressure or tightness in your chest. ...
- Shortness of breath. You may feel like you can't catch your breath.
- Fatigue. If the heart can't pump enough blood to meet your body's needs, you may feel unusually tired.
- Heart attack.
There are drawbacks to working as a cardiologist, however. These include a significant investment in time and money for education and training. In addition, cardiologists have a high-stress job, with long hours at work and on call. The risk of malpractice is high.
Do I need to be referred by my GP first? You can refer yourself for an Electrocardiogram using our quick self-referral form. Any other cardiac tests require you to be referred by your doctor.
A health care provider might use an electrocardiogram to determine or detect: Irregular heart rhythms (arrhythmias) If blocked or narrowed arteries in the heart (coronary artery disease) are causing chest pain or a heart attack.
Your doctor can listen to your lungs for signs of fluid buildup (lung congestion) and your heart for whooshing sounds (murmurs) that may suggest heart failure. The doctor may examine the veins in your neck and check for fluid buildup in your abdomen and legs.
References
- https://www.echelon.health/reasons-to-see-a-cardiologist/
- https://www.webmd.com/heart-disease/features/never-ignore-symptoms
- https://www.medicalnewstoday.com/articles/248935
- https://www.pcrm.org/news/blog/warning-signs-clogged-arteries
- https://www.ucsfhealth.org/conditions/heart-failure/symptoms
- https://www.mayoclinic.org/diseases-conditions/chest-pain/symptoms-causes/syc-20370838
- https://en.wikipedia.org/wiki/Balamurali_Ambati
- https://www.health.com/condition/heart-disease/9-subtle-signs-you-could-have-a-heart-problem
- https://www.mayoclinic.org/diseases-conditions/angina/symptoms-causes/syc-20369373
- https://collegecliffs.com/youngest-doctors-colleges-universities-attended/
- https://www.medicalnewstoday.com/articles/322094
- https://www.premiercardiology.com/blog/is-it-anxiety-or-a-heart-problem
- https://www.nhs.uk/conditions/heart-failure/diagnosis/
- https://utswmed.org/medblog/blocked-artery/
- https://www.christushealth.org/connect/your-health/cardiovascular-health/cardiologist-visit
- https://www.everydayhealth.com/specialists/heart-health/does-chest-pain-mean-heart-attack/
- https://www.agappe.com/swiss_en/blog-details/life-story-the-world-s-shortest-doctor-is-in-the-making.html
- https://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/diagnosis-treatment/drc-20350619
- https://tampacardio.com/top-reasons-patients-are-referred-to-cardiologists/
- https://www.radiologyinfo.org/en/info/screening-cardiac
- https://www.mayoclinic.org/diseases-conditions/heart-failure/symptoms-causes/syc-20373142
- https://www.mayoclinic.org/diseases-conditions/heartburn/in-depth/heartburn-gerd/art-20046483
- https://www.self.com/story/shortness-of-breath-heart-health
- https://www.mayoclinic.org/tests-procedures/ekg/about/pac-20384983
- https://www.londonheartcentre.co.uk/faqs/
- https://www.medicalnewstoday.com/articles/what-does-a-mini-heart-attack-feel-like
- https://www.modernheartandvascular.com/early-warning-signs-of-heart-failure/
- http://www.ccvmg.com/prepare-for-your-visit.html
- https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/heart-disease/art-20049357
- https://www.zippia.com/cardiologist-jobs/demographics/
- https://www.medicalnewstoday.com/articles/heart-failure-in-20s
- https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronary-heart-disease
- https://www.massgeneralbrigham.org/en/about/newsroom/articles/first-cardiologist-appointment-what-to-expect
- https://www.bjfm.co.uk/blog/what-are-the-red-flags-for-chest-pain
- https://www.mayoclinic.org/tests-procedures/stress-test/about/pac-20385234
- https://www.mayoclinic.org/diseases-conditions/heart-failure/diagnosis-treatment/drc-20373148
- https://www.webmd.com/heart-disease/guide/heart-disease-diagnosis
- https://www.nhsinform.scot/illnesses-and-conditions/heart-and-blood-vessels/common-tests/tests-for-diagnosing-heart-conditions
- https://work.chron.com/disadvantages-being-cardiologist-25186.html
- https://www.nwpc.com/heart-health-in-your-twenties/
- https://www.cminj.com/blog/whats-behind-the-rise-in-heart-attacks-among-young-people
- https://www.inspiraadvantage.com/blog/how-old-is-too-old-for-medical-school
- https://my.clevelandclinic.org/health/articles/21983-cardiologist
- https://www.orlandohealth.com/content-hub/10-things-to-ask-cardiologist-at-first-visit
- https://www.mayoclinic.org/diseases-conditions/coronary-artery-disease/symptoms-causes/syc-20350613
- https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/blocked-arteries
- https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/heart-disease/art-20046167
- https://www.haymsalomonhome.com/heart-blockage-warning-signs/
- https://www.drugs.com/medical-answers/you-check-heart-disease-home-3563126/
- https://www.beaumont.org/health-wellness/blogs/the-4-primary-reasons-doctors-refer-patients-to-heart-specialists
- https://nyulangone.org/conditions/coronary-artery-disease/diagnosis
- https://www.mountsinai.org/health-library/discharge-instructions/heart-failure-tests
- https://www.nm.org/healthbeat/healthy-tips/ten-signs-its-time-to-see-a-cardiologist
- https://www.cmchealthcare.org/cardiology/cardiopulmonary-rehabilitation/ekg-testing/
- https://www.cardio.com/blog/when-why-women-need-heart-health-screenings
- https://www.cdc.gov/heartdisease/heart_attack.htm
- https://www.southtexashealthsystemheart.com/services/congestive-heart-failure/warning-signs
- https://www.pennmedicine.org/updates/blogs/heart-and-vascular-blog/2020/august/12-reasons-to-see-a-cardiologist
- https://www.cardio.com/blog/when-to-start-seeing-a-cardiologist
- https://www.heart.org/en/health-topics/heart-attack/warning-signs-of-a-heart-attack/heart-attack-symptoms-in-women
- https://theheartclinic.london/about-us/answerpack/about-us/about-us-faq/when-should-gps-refer-to-a-cardiologist/
- https://www.cdc.gov/heartdisease/any_age.htm
- https://www.verywellhealth.com/weak-heart-5184835
- https://health.clevelandclinic.org/should-i-start-seeing-a-cardiologist-at-a-certain-age/
- https://www.mayoclinic.org/diseases-conditions/heart-disease/symptoms-causes/syc-20353118
- https://healthcare.utah.edu/cardiovascular/imaging/echocardiography.php
- https://www.uab.edu/news/youcanuse/item/8129-why-heart-attacks-can-happen-to-anyone
- https://www.mayoclinic.org/diseases-conditions/small-vessel-disease/symptoms-causes/syc-20352117
- https://www.healthywa.wa.gov.au/Articles/A_E/Common-medical-tests-to-diagnose-heart-conditions
- https://heartcare.sydney/how-to-prevent-a-heart-attack/
- https://www.webmd.com/heart-disease/heart-failure/understanding-heart-failure-treatment
- https://www.webmd.com/heart-disease/features/atherosclerosis-your-arteries-age-by-age
- https://www.mayoclinic.org/diseases-conditions/heart-attack/symptoms-causes/syc-20373106