Recognise prodromal symptoms

• Red flags that need referral:
  • Exercise-related syncope: always warrants thorough and rapid evaluation
  • Exertional chest pain/discomfort/radiating pain
  • Exercise induced dyspnoea and/or reduced exercise capacity
  • Palpitations - especially when followed by symptoms such as syncope, light-headedness, shortness of breath
  • Positive family history of sudden unexplained death before the age of 50 years

Act promptly