Your visit begins with a focused conversation. Your cardiologist asks specifically about your symptoms: when exactly they began, how they feel, what makes them worse and what brings relief. Your medical history, current medication, allergies and family history of heart disease all feed into the first assessment.
Have you had similar episodes before? Are there heart attacks or sudden cardiac deaths in the family? Such information shapes which diagnostics make most sense.
A physical examination focused on the heart and circulation follows: heart rate, heart rhythm, blood pressure in both arms, pulse status and peripheral circulation. Then it goes straight into the instrument-based diagnostics. A resting ECG, to measure the electrical activity of your heart and detect arrhythmias, conduction disorders or signs of ischaemia.
3D echocardiography, to assess cardiac structure, pumping function, heart valves and wall motion in detail. If exertion-related problems are suspected, for example chest pain under effort, an exercise test follows (ergometry on the bicycle). The blood sample checks cardiac biomarkers (such as troponin and BNP), cholesterol, blood sugar and inflammatory values.
At the end of your appointment you sit down with your cardiologist and discuss every single finding. No medical jargon without explanation, but clear language: what is normal, what is abnormal, and what happens next. You go home with a concrete action plan: whether all is clear, whether medication is needed, whether a follow-up makes sense or whether a referral for further treatment is due.