When to See a Cardiologist

Your heart tirelessly pumps life-giving blood throughout your body, but recognizing when it needs extra attention isn’t always obvious. Cardiology supports proactive heart health for everyone, not just those with severe conditions.

Cardiologists specialize in diagnosing, treating, and preventing heart conditions, from managing high blood pressure and cholesterol to addressing more serious concerns like coronary artery disease or heart failure. Even if your primary care doctor monitors your heart health, a cardiologist brings advanced expertise that can make a significant difference in detection, treatment and long-term management.

In this guide, we’ll explore the key signs and symptoms that indicate when it may be time to see a cardiologist, what to expect during a visit and how early intervention can support your heart health for years to come.

If you experience symptoms such as chest pain, irregular heartbeat, shortness of breath or extreme fatigue, it’s time to consult a cardiologist. Cardiologists specialize in diagnosing and managing these conditions, helping to lower your risk and improve heart health through early intervention. 

Shawn Flynn, MD, with CHI Saint Joseph Medical Group – Cardiology, described the types of cardiologists a patient may see when they complain of heart issues. 

“There are three main types of cardiologists: a general cardiologist, an interventional cardiologist and an electrophysiologist,” said Flynn. “An interventional cardiologist is a general cardiologist with special training in placing stents to open clogged arteries of the body or expertise in deploying artificial valves within the heart. An electrophysiologist focuses on rhythms of the heart. When a patient has a cardiac issue they will initially be seen by a general cardiologist or an interventional cardiologist who will direct their care and refer to a subspecialist if necessary.”

Certain symptoms, like severe chest pain, difficulty breathing or fainting, require immediate emergency care to prevent potential heart damage.

“Patients must be aware of changes in their health and performance, even if it is atypical as many patients have symptoms that are not typical for heart disease,” said Flynn. “Patients with suboptimal control of their cholesterol or blood pressure, or those who have a significant family history of heart disease, should be evaluated. Family history of heart disease plays a significant role in heart health as many of these diseases will have a genetic component.”

Taking action promptly can make a significant difference in your overall health and well-being. Here are some common symptoms that suggest it may be time to consult a cardiologist.

Chest pain that feels like pressure, tightness, or discomfort could signal angina or coronary artery disease. A cardiologist can help diagnose and manage these issues early.

Pain specifically during exercise that eases with rest may indicate angina or another cardiovascular issue. A cardiologist can assess and advise on preventive care.

Frequent shortness of breath, especially with everyday tasks, could be a sign of heart failure or other cardiac concerns and shouldn’t be ignored.

If your heart races, flutters, or beats irregularly, it could signal arrhythmias or other rhythm disorders, which a cardiologist can evaluate.

Persistent swelling in your lower limbs, especially with shortness of breath or fatigue, may be due to heart failure, as fluid can build up when the heart struggles to pump blood effectively.

Dizziness or fainting may be linked to arrhythmias or low blood pressure. A cardiologist can help uncover the cause and offer solutions to prevent future incidents.

Aside from symptoms, certain risk factors make seeing a cardiologist more important–even if you currently feel well. Let’s take a look at some of these:

Heart disease often runs in families. If you have a close family member (parent, sibling, or grandparent) who developed heart disease, especially at an early age, you might be at a higher genetic risk. A cardiologist can help assess your risks and guide you in preventive measures.

Known as the “silent killer,” hypertension can damage blood vessels and lead to heart disease if left unmanaged. Since high blood pressure often has no symptoms, regular checkups with your primary care physician or cardiologist are essential to monitor and manage this condition.

Elevated cholesterol levels increase the risk of plaque buildup in the arteries, which can restrict blood flow and lead to conditions like coronary artery disease. If your cholesterol is high, a cardiologist can help devise a plan to reduce it, incorporating lifestyle changes, medication, or a combination of both.

Diabetes is closely linked with cardiovascular disease, as it can damage blood vessels and increase the risk of high blood pressure. Managing diabetes effectively is crucial to lowering your heart disease risk, and a cardiologist can work with you to create a plan that integrates heart-healthy practices into your diabetes care.

Smoking contributes to plaque buildup in arteries, raises blood pressure, and increases the risk of heart attack and stroke. If you’re a current or former smoker, you may benefit from a consultation to understand how your past habits could affect your future heart health.

Excess weight, particularly around the midsection, puts strain on your heart and contributes to other risk factors like high blood pressure and diabetes. A cardiologist can help with guidance on lifestyle adjustments and recommend an exercise routine tailored to your needs.

PAD is a circulatory condition that reduces blood flow to the limbs, often due to narrowed arteries. If you have PAD, you may also be at higher risk for heart disease. A cardiologist can evaluate your risk profile and create a plan to support both your heart and vascular health.

Whether it’s your first visit or a follow-up, it helps to know what to expect. Here’s a breakdown of common steps:

1. Medical History and Risk Assessment

The cardiologist will review your medical history, family history, lifestyle habits, and symptoms. Expect questions about your diet, exercise, stress levels, and any relevant health conditions like diabetes or high blood pressure.

2. Physical Examination and Basic Tests

Your cardiologist will perform a physical exam and may order basic tests, such as blood work, to check cholesterol levels, blood sugar, and other health markers.

3. Advanced Testing

Depending on your symptoms and risk factors, you may need further tests, such as:

• Electrocardiogram (EKG): This test records your heart’s electrical activity to detect irregular rhythms or heart damage.
• Echocardiogram: An ultrasound of the heart that shows its structure, size, and pumping strength.
• Stress Test: A test that evaluates how your heart functions under physical stress, often through monitored exercise.
• Cardiac Catheterization or Angiogram: Invasive tests that provide detailed images of your heart’s blood vessels.

4. Personalized Care Plan

Once your cardiologist has a complete picture of your heart health, they’ll work with you on a personalized plan. This may include lifestyle changes, medications, follow-up tests, or even procedures if needed.

If any of these risk factors or symptoms resonate with you, it’s worth scheduling a cardiologist appointment. Taking charge of your heart health is a proactive, empowering choice. CHI Saint Joseph Health is here to help, with a dedicated team of cardiologists ready to support you every step of the way.

Early detection and timely intervention are key to a healthier, happier life. Whether you’re managing a known condition or simply prioritizing prevention, our cardiology specialists are here to provide compassionate, expert care.