• High blood pressure, diabetes or high cholesterol

• Smoking or tobacco use in any form

• Family history of heart attack, stent, bypass or sudden death, especially at a young age

• Age above 35 to 40

• Obesity, low physical activity or long sedentary hours

• Previous heart attack, stent, bypass or heart surgery, where regular follow-up is essential

• Planning major surgery, when a heart assessment may be needed first

• Starting a new exercise programme after a long gap

• Chest pain, pressure or burning lasting more than a few minutes

• Pain spreading to the left arm, jaw, neck, back or upper abdomen

• Sudden severe breathlessness

• Cold sweat, nausea or vomiting with chest discomfort

• Sudden fainting or collapse

• A very fast or very slow heartbeat with weakness or confusion

• All previous cardiac reports: ECG, echocardiogram, TMT, Holter, angiography films or reports

• Blood test reports, especially sugar, cholesterol, kidney and thyroid tests

• Current medicines, including supplements and over-the-counter drugs

• Discharge summaries or procedure notes from any earlier hospital stay, stent or surgery

• Home readings, such as blood pressure and sugar logs, if you keep them

• Photo ID and, if you plan to claim, your insurance or TPA documents. Please confirm accepted schemes with the hospital.

• A family member, ideally someone who knows your history, especially if you are older or anxious

1. Registration. The front desk will register you and note your concern. Arriving about 15 minutes early avoids a rushed start.

2. Initial checks. A nurse or assistant records your pulse, blood pressure, weight and, if needed, blood sugar.

3. Consultation. Dr. Singh will ask about your symptoms, when they started, what brings them on, your medical history, medicines, lifestyle and family history.

4. Examination. This includes listening to your heart and lungs and checking for swelling or other signs.

5. Tests, if needed. An ECG is commonly done during the visit. Depending on your findings, you may be advised to have an echocardiogram, treadmill test, Holter monitoring, blood tests or, in selected cases, coronary angiography. Please confirm which tests are available on-site and same-day.

6. Explanation and plan. You will be told what the findings mean, how serious they are, and what your options are. The plan may include medicines, lifestyle changes, further testing, a procedure or, when appropriate, referral to a surgeon or higher centre.

7. Follow-up. You will be told when to return and which warning signs should bring you back sooner.

ECG. A painless recording of the heart's electrical activity, done in minutes.

Echocardiography (2D Echo). An ultrasound that shows heart size, pumping strength and valve function.

Treadmill Test (TMT). Records the heart while you walk on a treadmill, helping to detect blockages that may not show at rest.

Holter monitoring. A small wearable recorder that tracks heart rhythm over 24 to 48 hours.

Ambulatory blood pressure monitoring. Tracks blood pressure across a full day and night, which is more reliable than one clinic reading.

Blood tests. Cholesterol, blood sugar, kidney function, thyroid and cardiac markers when indicated.

Coronary angiography. An X-ray study of the heart's arteries, often done through the wrist, advised only when your symptoms and earlier tests suggest it is needed.

• Coronary artery disease and angina

• Heart attack, including follow-up after emergency treatment

• Heart failure

• High blood pressure

• Arrhythmias such as atrial fibrillation, palpitations and slow heart rate

• Valvular heart disease

• Cardiomyopathy and other heart muscle problems

• High cholesterol and metabolic risk

• Heart problems in people with diabetes, kidney disease or thyroid disorders

• Pre-operative cardiac evaluation

• Preventive cardiology and routine heart health checkups

• After starting or changing medicines, to check effect, side effects and blood pressure response

• After a heart attack, stent or heart failure admission, usually within a few weeks and then at regular intervals

• For long-term conditions such as hypertension, heart failure, rhythm disorders or valve disease, at the interval your cardiologist advises

• When symptoms change, for example more breathlessness, new swelling or more frequent chest discomfort

• Be specific about symptoms. Say when they happen, how long they last, what triggers or relieves them, and how they have changed.

• Be honest about habits. Smoking, tobacco, alcohol and missed medicines are not judged here. Accurate information leads to safer treatment.

• Mention all medicines, including Ayurvedic, homeopathic and over-the-counter products, since some interact with heart drugs.

• Do not fast unless told to. Most OPD visits and ECGs do not require fasting. If blood tests need it, the staff will tell you.

• Wear comfortable clothing. For ECG and examination, easy-to-open clothing helps. If a TMT is planned, bring comfortable shoes.

• Ask what to watch for. Request a clear list of warning signs and when to return.

• Bring someone along to help remember instructions.

• Quit tobacco in every form. It is the single most powerful step you can take.

• Walk regularly. About 30 minutes of brisk walking on most days suits many adults, unless advised otherwise.

• Eat sensibly. Choose vegetables, fruit, pulses, whole grains and nuts, and cut back on salt, sugar, fried snacks and packaged foods.

• Know your numbers. Check blood pressure, blood sugar and cholesterol regularly.

• Manage stress and sleep. Both affect blood pressure and heart rhythm.

• Limit alcohol.

• Take medicines as prescribed, every day.