Start with what you are feeling

Symptoms

A private cardiologist's guide to symptoms including palpitations, chest pain, breathlessness, blackouts and dizziness.

Introduction

Symptoms such as palpitations, chest pain, breathlessness, blackouts and dizziness are common. They should be assessed in the context of your overall health, the pattern of symptoms and any warning signs.

What is our approach?

  • We focus on the question that matters most to you.
  • Urgent symptoms are identified early and acted on appropriately.
  • Tests are selected to answer a specific clinical question.

Symptoms list

  • Palpitations — Awareness of the heartbeat, including a flutter, thump or racing sensation.
  • Chest pain — Chest discomfort that should be assessed in the context of its pattern and associated symptoms.
  • Breathlessness — Shortness of breath at rest or on exertion, which has many potential causes.
  • Blackouts and syncope — A short loss of consciousness or faint that needs a careful explanation.
  • Dizziness — Light-headedness, a faint feeling or unsteadiness that may need assessment.
  • Lethargy and fatigue — Persistent low energy or reduced stamina that can affect daily life.

Patient note

Most symptoms are not a sign of serious heart disease, but a calm, structured assessment can make the next step much clearer.

FAQ

When should I seek urgent help?

Call 999 for severe or persistent chest pain, collapse, severe breathlessness, or symptoms that feel immediately life-threatening.

Do palpitations always mean a heart problem?

No. They are often benign, but a careful history and ECG can help decide whether further assessment is useful.

What should I make a note of before an appointment?

Record when symptoms occur, how long they last, what you were doing, and any associated chest pain, breathlessness, dizziness or fainting. This can make the consultation and any monitoring much more useful.

Will I need tests?

Not always. Tests are chosen when they are likely to answer a specific question raised by your symptoms, examination or previous results.