Hey everyone 👋 It’s been a little while since I last posted here — life as a consultant cardiologist in London has been hectic! But I want to get this community back on track because the value of Skool only grows when we all chip in. So here’s something practical you can use straight away ⬇️ Top 5 Red Flags in Chest Pain (never miss these): 1️⃣ Crushing, central pain radiating to the jaw/arm 2️⃣ Pain with diaphoresis, nausea, vomiting 3️⃣ Pain worse on exertion, better with rest 4️⃣ Syncope or presyncope with chest pain 5️⃣ Known risk factors (HTN, diabetes, smoking, FHx of IHD) 💡 My advice as a consultant: even as a student or junior doctor, if you see any of these → escalate immediately. 👉 Quick question for you: What’s the most confusing chest pain presentation you’ve seen (or been taught)? Drop it in the comments — let’s restart the conversation 👇

Time for a challenge 🫀 A 72-year-old man presents with sudden shortness of breath. Findings: - BP: 85/60 mmHg - Pulse: 130 bpm, irregularly irregular - JVP: elevated - Lungs: basal crackles - ECG: atrial fibrillation with fast ventricular rate 💡 Questions: 1. What is the immediate management priority? 2. What long-term treatment would you consider to prevent recurrence? Drop your answers below 👇 — I’ll share the consultant perspective this evening.