Dial 999 for a heart attack or stroke.
Heart attacks typically present with central dull, continuous, crushing or vice-like chest pain, sweating, grey pallor and shortness of breath. If this happens ring 999 first before you call the Practice.
The NHS offers a first-class service where you are taken direct to a cardiac catheter laboratory where angiograms are immediately performed, and stent procedures (PCIs) are carried out if necessary. The private system is often slower for this type of emergency and any delay can risk lives. When the ambulance is on its way, you can of course call our doctor on call. He or she can meet you at your house if necessary, together with the ambulance so long as a delay is not incurred – speed is crucial.
The NHS is also best for the emergency treatment of strokes. 80% of strokes are due to ‘infarction’ where there is lack of blood flow to an area of the brain, and 20% are due to bleeds (haemorrhages).
In the case of a suspected stroke, the ambulance will take a patient direct to the nearest Hyper-acute Stroke Unit (HASU) where a brain scan will be performed. Brain preserving/lifesaving treatment can then be started usually with clot-dissolving agents or occasionally direct removal of
clots from blocked arteries.
You do not need to have an NHS GP to access these emergency services. Local London HASU units include Charing Cross Hospital, University College Hospital, Kings College Hospital, St Georges Hospital Tooting and the London Hospital. These are accessed via the ambulance service – Dial 999 and say you have an emergency – a patient with a suspected stroke.