A 75-year-old woman presents with increasing breathlessness. BP 110/60 mmHg, pulse 96 bpm, irregularly irregular. Auscultation: pansystolic murmur at apex radiating to the axilla. 💬 Questions: 1️⃣ What’s the diagnosis? 2️⃣ What investigation confirms it? 3️⃣ What’s the definitive management? Drop your answers below 👇 — I’ll post my consultant answer tomorrow.

As a cardiologist, there’s one ECG I’ll never forget. A young patient came in “just feeling tired.” No chest pain. No collapse. But the ECG showed subtle ST elevation in lead aVR with widespread depression elsewhere — a left main coronary occlusion. We activated the cath lab immediately and saved him within 30 minutes. 💬 Lesson: Never ignore aVR. It often whispers when others shout. 👉 Question: What’s one small detail in medicine that you think most people overlook?

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.

Here’s a tough one for you 🫀: A 68-year-old woman presents with progressive exertional dyspnoea and fatigue. On examination: - BP: 110/70 mmHg - Pulse: irregularly irregular, 96 bpm - JVP: raised - Apex beat: tapping, not displaced - Auscultation: loud S1, opening snap, mid-diastolic rumbling murmur at the apex, best heard in left lateral position. 💡 Question: 1. What is the most likely diagnosis? 2. What is the single most important complication she is at risk of developing? Drop your answers below 👇 — I’ll reveal the correct answers and explanation this evening.