What to Do While Waiting for Your Cardiology Appointment
While waiting for your cardiology appointment on the 30th, you should monitor your symptoms closely, call 9-1-1 immediately if you experience chest discomfort/pain that is unimproved or worsening after 5 minutes, and take one dose of nitroglycerin (if previously prescribed) for chest pain symptoms. 1
Symptom Monitoring and When to Seek Emergency Care
- If you experience chest discomfort or other symptoms suggestive of a heart attack (shortness of breath, sweating, nausea, dizziness), do not wait for your scheduled appointment - call 9-1-1 immediately 1
- For chest discomfort/pain lasting longer than 15-20 minutes, seek emergency care immediately 1
- If you have previously been prescribed nitroglycerin, take only one dose for chest discomfort; if symptoms are not improved or worsen after 5 minutes, call 9-1-1 1
- If symptoms improve with one dose of nitroglycerin, you may take up to three doses (one every 5 minutes), but still call 9-1-1 if symptoms don't completely resolve 1
Medication Management
- Continue taking all your prescribed cardiac medications as directed 1
- If you haven't been prescribed aspirin previously, do not self-medicate without medical advice 1
- If you have been advised to take aspirin for suspected cardiac symptoms, use non-enteric coated aspirin (162-325 mg) as it has more rapid absorption 1
Activity Recommendations
- Limit physical exertion that triggers symptoms 1
- Rest if you experience symptoms such as shortness of breath, chest discomfort, or unusual fatigue 1
- Avoid activities that have previously triggered cardiac symptoms 1
- Consider keeping a symptom journal to share with your cardiologist at your appointment, noting when symptoms occur and what triggers them 1
Preparation for Your Appointment
- Make a list of all your current medications (including over-the-counter drugs and supplements) to bring to your appointment 1
- Write down your specific symptoms, when they started, what makes them better or worse, and how they affect your daily activities 1
- Gather any previous cardiac test results or medical records to bring with you 1
- Prepare questions you have for your cardiologist about your symptoms and concerns 1
Warning Signs Requiring Immediate Medical Attention
- Chest discomfort/pain at rest lasting more than 20 minutes 1
- Hemodynamic instability (dizziness, lightheadedness, feeling faint) 1
- Recent syncope (fainting) or presyncope (near-fainting) 1
- Shortness of breath with minimal exertion or at rest 1
- New or worsening symptoms in patients with known heart disease 1
Important Considerations
- Do not drive yourself to the hospital if experiencing cardiac symptoms - call 9-1-1 1
- Emergency medical services can begin evaluation and treatment immediately, which significantly improves outcomes 1
- Many heart attacks present without classic chest pain, particularly in women, elderly patients, and those with diabetes 2
- If you have anxiety about your cardiac symptoms, consider using relaxation techniques while waiting for your appointment, but do not dismiss concerning symptoms as "just anxiety" 1