Your first appointment sets the tone for everything that follows, so it helps to know what to expect before you walk in.

Bring a list of any medications you’re currently taking, including doses, plus any recent test results, letters from your GP, or old ECGs if you have them. If you’ve been keeping a note of symptoms – when they happen, how long they last, what you were doing at the time – bring that too. It’s often the small details that help most.

The appointment itself usually runs for 45 minutes. That’s enough time to go through your history properly, examine you, and, in most cases, arrange or carry out an initial ECG on the same visit. We’ll talk about what brought you in, your family history, and your general health, then discuss what (if anything) needs to happen next.

There’s no need to prepare a speech or worry about asking the wrong question. Bring whatever is on your mind, written down if that helps you remember it in the room. Many patients bring a partner or family member, and that’s welcomed – a second pair of ears is often useful when there’s a lot to take in.

If we do need further tests, such as an echocardiogram or a stress test, I’ll explain exactly why, what it involves, and when you’ll get the results. You’ll leave with a clear plan, not just a list of things that happened to you.

If anything about the appointment is unclear beforehand, the secretary is happy to answer practical questions ahead of time – parking, timing, what to wear for an ECG, and so on.