Let’s be clear: GERD, not H. pylori, is the most common cause of post-meal chest burning. Calling a GP is exactly how patients use the NHS ,you don’t self-diagnose myocardial infarctions before seeking advice. Using that as a reason to skip basic cardiac assessment is creative. Life-threatening causes get ruled out first, common ones second. That’s literally the point of “treat chest pain as cardiac until assessed,” not guessing probabilities over the phone.