Our consultations in Paris

The chest-pain assessment explores pain felt in the chest to determine its cause and rule out a serious cardiac origin. It includes a detailed history of the pain's characteristics (type, duration, when it occurs, triggers) and a full clinical examination. Depending on the context, it may involve an ECG, an echocardiogram, a stress test, or a coronary CT scan, to look in particular for coronary artery disease. This assessment gives a fast, reassuring answer when the cause is non-cardiac, or directs you without delay to the right care when a cardiovascular cause is found.

The breathlessness assessment explores a respiratory discomfort felt on exertion or at rest, to determine its cause and rule out a cardiac origin. It includes a detailed history of the breathlessness (when it occurs, how it has evolved, associated signs) and a full clinical examination. Depending on the context, it may involve an ECG, an echocardiogram, a stress test, or blood work, to look in particular for heart failure, a valve problem or a rhythm disorder that could explain the symptoms. This assessment gives a precise answer on the cause of the breathlessness and, if needed, directs you to the most suitable care.

The heart-valve assessment evaluates how the heart valves (mitral, aortic, tricuspid, pulmonary) are working when an abnormality is known or suspected, such as a narrowing (stenosis) or a leak (valve regurgitation). It includes a detailed history, a search for any symptoms (breathlessness, fatigue, palpitations) and a full clinical examination, in particular listening to the heart. It usually involves an echocardiogram, the key test to establish the type and severity of the valve disease and assess its impact on how the heart works. This consultation provides regular monitoring of the valve disease, determines the best moment for any intervention (valve repair or replacement), and coordinates care with the surgical or interventional teams if needed.

The heart-failure consultation assesses and follows how the heart works when it no longer pumps effectively. It includes a detailed history of the symptoms (breathlessness, fatigue, weight gain, swollen legs) and a full clinical examination. It usually involves an echocardiogram, blood work and an ECG, to assess cardiac function and look for its cause. This consultation adjusts medication and optimises doses to improve symptoms and outcome, monitors how the disease evolves, and detects early the signs that may herald a decompensation, so care can be adapted without delay.