Symptoms
When to See a Cardiologist
Many people experience symptoms that may be related to the heart. These can include chest pain, palpitations, breathlessness, dizziness or episodes of blackout.
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In many cases the cause is benign. However, some symptoms may require specialist assessment to rule out underlying heart disease.
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As a consultant cardiologist, I regularly assess patients with new or unexplained symptoms and provide rapid access to advanced cardiac investigations where required.
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Common Heart Symptoms
Chest Pain
Chest pain can have many causes, including angina, musculoskeletal pain or acid reflux. A cardiology assessment can help determine whether the heart is involved.
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Palpitations
Palpitations are the sensation of an abnormal or irregular heartbeat. They may feel like fluttering, racing or missed beats. While often harmless, they can occasionally be caused by heart rhythm disturbances.
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→ Learn more about palpitations
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Shortness of Breath
Breathlessness may occur during exertion or at rest and can sometimes indicate an underlying cardiac or respiratory condition.
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→ Learn more about shortness of breath
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Dizziness or Lightheadedness
Episodes of dizziness can occasionally be related to heart rhythm abnormalities or blood pressure changes.
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Blackouts or Fainting
Blackouts (syncope) may occur when blood flow to the brain briefly falls. A cardiology assessment may be needed to exclude arrhythmia or structural heart disease.
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High Blood Pressure
High blood pressure often has no obvious symptoms but significantly increases long-term cardiovascular risk.
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→ Learn more about high blood pressure
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When Should You See a Cardiologist?
You may benefit from a cardiology consultation if you experience:
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• Persistent or unexplained chest discomfort
• Recurrent palpitations or irregular heartbeat
• Episodes of fainting or near-fainting
• Unexplained breathlessness
• A strong family history of heart disease
• Abnormal ECG or other test results
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How Heart Symptoms Are Assessed
Assessment usually begins with a detailed consultation and examination.
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Depending on your symptoms, further investigations may include:
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• Electrocardiogram (ECG)
• Echocardiography (heart ultrasound)
• Heart rhythm monitoring
• CT coronary angiography
• Cardiac MRI
• Blood pressure monitoring
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These tests help identify whether symptoms are related to the heart and guide appropriate treatment if needed.