Tudor Lodge Surgery

Look after your heart

High cholesterol, high blood pressure and smoking are the biggest causes of heart attacks and strokes. Most people feel nothing until something goes wrong. The good news is that all three can be checked easily, and there is a lot you can do about them.

Reviewed November 2026Next review November 2027

Do you know the difference between a heart attack and a cardiac arrest? A heart attack is not always obvious, and can happen with no chest pain. If in doubt, call 999.

Learn more here ↓

Cholesterol

How cholesterol affects your heart

  1. High cholesterol

    Extra cholesterol travels around in your blood.

  2. Plaque builds up

    It sticks to the artery walls, making them narrower.

  3. Blood flow is blocked

    A clot can form and stop blood getting through.

  4. Heart attack or stroke

    Without blood, part of the heart or brain can be damaged.

Smoking

Why smoking harms your heart

Smoking is not only a risk for your lungs. It is one of the main causes of heart attacks and strokes, because of what it does to your blood and arteries.

Damages artery walls

Chemicals in smoke injure the lining of your arteries, so cholesterol sticks more easily and plaque builds up faster.

Makes blood stickier

Your blood is more likely to form clots, which can block a narrowed artery to the heart or brain.

Less oxygen in your blood

Carbon monoxide from smoke takes the place of oxygen, so your heart has to work harder to keep your body going.

Raises heart rate and blood pressure

Nicotine makes your heart beat faster and your blood pressure rise, adding extra strain every day.

Stopping helps at any age. Your risk of heart attack and stroke starts to fall soon after you quit.

Know your numbers

Free checks that could save your life

40–74

NHS Health Check

If you are aged 40 to 74 and do not already have heart disease, diabetes or kidney disease, you can have a free check every 5 years. It looks at your blood pressure, cholesterol, weight and your risk of heart attack and stroke.

No booking

Blood pressure check at the surgery

Our patient pod is available for you to use without booking, from 8am until 6.30pm. It is in a quiet room behind reception, and the receptionist can direct you to it. Your results go straight into your medical record, so we can see them.

Red flags

Do you know the difference between a heart attack and a cardiac arrest?

Many people expect a heart attack to look like it does on television: someone clutching their chest and collapsing. That is usually a cardiac arrest. A heart attack is often not obvious. You may still be walking around and talking, you may have no chest pain at all, and the symptoms can come and go over hours or even days.

Heart attack

A blood supply problem

  • An artery to the heart is blocked, so part of the heart muscle is not getting blood
  • The person is usually awake and may be able to walk and talk
  • Symptoms can be mild, can come and go, and may last hours or days

Call 999 straight away.

Cardiac arrest

An electrical problem

  • The heart suddenly stops pumping blood around the body
  • The person collapses, is unconscious and is not breathing normally
  • A heart attack can sometimes lead to a cardiac arrest

Call 999, start CPR and use a defibrillator. The 999 call handler will talk you through it and tell you where the nearest defibrillator is.

There is a public defibrillator outside our surgery ↓

Where heart attack pain can be felt

  • Centre of the chestJust under the breastbone, or across a wider area of the chest
  • Chest, neck and jawA common combination
  • Chest and armsSpreading to the arms, most often the left arm and shoulder
  • Upper tummyOften mistaken for indigestion

Other symptoms to look out for

  • Pain, pressure or tightness in the chest
  • Pain spreading to the arms, back, neck, jaw or tummy
  • Shortness of breath
  • Feeling sick or being sick
  • Sweating
  • Feeling light-headed or dizzy

You can have a heart attack without any chest pain at all. This is more common in women, older people and people with diabetes.

Why we ask you to go to hospital, not the surgery

If you have any of these symptoms, please do not book a GP appointment or come to the surgery. It is not safe, and it delays the treatment you may need.

A special blood test

When the heart is damaged, it slowly releases certain proteins into your blood. Only the hospital can test for these quickly. We cannot do this test at the surgery.

An emergency ECG

An ECG measures the electrical activity of your heart. In an emergency it needs to be done, read and acted on straight away, alongside the blood test.

Time matters

The sooner a blocked artery is treated, the less damage there is to the heart. Seeing a GP first only adds delay.

Your safety comes first

We know it is frustrating to be told to go to A&E, and that waits can be long. Please do not risk it by trying to see a GP first. Most of the time it will not be your heart, and we do not want to frighten you. We simply want to make sure you are safe and get the right diagnosis and treatment.

If you think you are having a heart attack, call 999. Do not drive yourself to hospital.

Lifesaving equipment

A public defibrillator outside our surgery

We now have a public access defibrillator on the main wall at the front of the surgery, between the pharmacy hatch and the back door by the car park, at 3 Nithsdale Road, Weston-super-Mare BS23 4JP. It is registered on The Circuit, the national defibrillator network, so 999 call handlers can direct people to it.

If someone collapses

  1. Call 999 straight away.
  2. Start CPR. The call handler will talk you through it.
  3. The call handler will tell you where the nearest defibrillator is, and give you the code to open the cabinet if it is locked.
  4. Switch the defibrillator on and follow its spoken instructions. You do not need any training, and it will only give a shock if one is needed.

Please do not come into the surgery for help

In an emergency, always call 999 first. Our clinical team needs to stay with patients in the building, so the 999 service, the public defibrillator and the ambulance crew are the quickest way to get help to someone who has collapsed.

The story behind our defibrillator

A few months ago, a member of the public dashed into the surgery and asked for our defibrillator. Our team sprang into action, grabbed our crash trolley (which holds the defibrillator, oxygen and other emergency equipment) and went out of the front door, expecting to find someone in difficulty just outside. In fact, the poorly person was a couple of streets away, in their own home. Thankfully they were fine in the end, and the person who came to us for help had acted quickly: when the 999 service asked if they knew where a defibrillator was, they said yes and ran round to us.

When we looked back at what happened, we realised that people will naturally come to a GP surgery for help. With hindsight we should not have taken our emergency equipment out of the building, but we could not stand by and not help either. The best answer was a public defibrillator outside the building, registered on The Circuit, so the 999 service could direct people straight to it.

We approached Donate for Defib WsM, who work with Great Western Air Ambulance Charity and AMS Electrical South West. All we needed to do was raise £2,000 for the equipment. AMS Electrical would fit it, and Donate for Defib and the air ambulance charity would make sure it was set up correctly and added to The Circuit.

We remembered that one of our patients had once asked if he could make a donation to the surgery, as thanks for the care he had received. So we very cheekily asked whether he might donate towards this goal, and he immediately said he would pay for the whole defibrillator.

Before we knew it, the machine had been delivered, AMS Electrical had fitted it as part of their charitable work, and it was set up and ready for use. The only thing still to come is the plaque for the wall.

It is amazing that an incident in which essential equipment left the building has turned into a lasting legacy for local people who may one day need it.

Our heartfelt thanks to Donate for Defib WsM, Great Western Air Ambulance Charity, AMS Electrical South West and, above all, the patient who funded the defibrillator.

The good news: you can lower your risk

Keeping your cholesterol and blood pressure under control and being smoke-free slows down the build-up in your arteries and reduces your chance of having a heart attack or stroke. It is never too late to start.

Based on information from the NHS and the British Heart Foundation. General information for our patients; it does not replace advice about your own care.

Did you know?

Alcohol affects this too

Alcohol can raise blood pressure, add hidden calories, upset blood sugar and strain your liver and kidneys. That pint could have as many calories as a cheeseburger!

Alcohol: know your numbers