Chest pain
Finding out whether the pain is from the heart, the stomach or the muscles — rather than assuming either way.
Dr. Meera Iyer · MD (Medicine), DM (Cardiology)
Heart care that begins with the right diagnosis
Consultant cardiologist treating chest pain, high blood pressure, heart failure and rhythm problems, and following up patients after angioplasty or bypass surgery.
सीने में दर्द, बीपी, धड़कन और दिल की बीमारी का इलाज — OPD मंगलवार से रविवार।
Chest pain right now? Do not wait for an appointment.
Severe chest pain, pain spreading to the arm or jaw, sudden breathlessness, cold sweating or fainting needs emergency care immediately. Go to the nearest hospital with a casualty department, or call 108.
सीने में तेज़ दर्द, पसीना, साँस फूलना या बेहोशी — तुरंत नज़दीकी अस्पताल जाएँ या 108 पर कॉल करें।
What is treated here
Described in plain language, so you know whether you need a cardiologist or your physician first.
High blood pressure
Blood pressure that stays high despite medicines, or is found in someone young, needs a closer look.
Heart failure
Breathlessness on walking, swelling of the feet and reduced pumping on ECHO — managed with medicines and regular review.
Palpitations and rhythm
A racing or irregular heartbeat, including atrial fibrillation, with Holter monitoring where needed.
After angioplasty or bypass
Regular follow-up, medicine review and guidance on returning to work, exercise and travel.
Cholesterol and prevention
For people with diabetes, a smoking history or heart disease in the family — what your risk actually is, and what helps.
Tests available
Advised only when the result will change the treatment. Each one is explained before it is booked.
- ECG
- Done at the clinic during the same visit; takes a few minutes.
- Echocardiography (ECHO)
- An ultrasound of the heart that shows the pumping and the valves. Booked slot, about 20 minutes.
- Treadmill test (TMT)
- Walking on a treadmill while the ECG is watched. Come fasting, in loose clothes and walking shoes.
- Holter monitoring
- A small recorder worn for 24 hours to catch an irregular heartbeat that comes and goes.
- Blood tests
- Cholesterol, sugar, kidney and thyroid, as relevant to your treatment.
- Angiography
- Done at the attached hospital when advised, after the plan is discussed with you and your family.
What happens at your visit
A first cardiology consultation usually takes about 30 minutes, including an ECG.
Bring every old record
Previous ECGs, ECHO and TMT reports, angiography films or CD, discharge summary, and all current medicine strips.
Registration and vitals
Blood pressure, pulse and weight are taken at the desk before the consultation.
Consultation and ECG
Your symptoms and history are gone through in detail, and an ECG is done in the same visit if needed.
Further tests, if advised
ECHO, TMT or Holter is booked with a clear reason and an explanation of what it involves.
Plan and review date
Medicines, lifestyle changes and, where relevant, whether a procedure is needed — with time for your questions.
Request an appointment
The clinic will call you back to confirm a slot. This form is not for emergencies — for severe chest pain or breathlessness, go to the nearest hospital or call 108.
Request received
The clinic will call you to confirm the slot and tell you what to bring. If symptoms get worse in the meantime, go to the nearest hospital straight away.
Questions patients ask
Is every chest pain a heart problem?
No. Acidity, muscle strain and anxiety cause chest pain too. The point of the visit is to tell them apart properly rather than guess.
Do I need a referral from my physician?
Not necessary. If you already have one, bring it along with the reports that came with it.
Once started, are heart medicines lifelong?
Some are, some are not. Doses are reviewed at each visit and stopped when they are no longer needed.
Where is angiography done?
At the attached hospital. The reason, the cost and the alternatives are discussed with you and your family before it is scheduled.
Can I take a second opinion?
Yes, and it is encouraged before any procedure. All your reports and films are handed back to you for that.