Medical tests for heart disease are categorized into two types –
PRIMARY and SECONDARY
The first step on Getting a doctor’s exam, which is primary level-
1- Basics of EC¬G- ECG is electrocardiogram
2- Chest X Ray- Look at your chest bones, heart and lungs, fluid in or around your lungs enlarged health, any blood vessel problem to find congenital heart disease.
3- Stress test- Does your heart respond well to exertion? that’s what a stress test looks for, here is a straight forward description, including how to prepare for a stress test.
4- Tilt table test- The head up tilt table test is used to help find the cause of fainting spells, here is we find the problem.
5- Echocardiogram- there are several variations on the Echo as doctor call if it is like ultrasound of heart. An echo is non-invasive exam, which includes an ultrasound of your heart
1- Halter Monitoring- A halter monitor is a portable device you were to record a continuous ECG usually for 24 to 72 hours.
2- Cardiac Catheterization – In this test a short tube (Sheath) is inserted to a vein or artery on your leg (Groin) or arm. A hollow, flexible and longer tube is then inserted in to the sheath aided by xray on a monitor. The pressure in your heart chambers can be measured and dye can be injected which help your doctor to see the blood flow through your heart
3- Cardiac computerized tomography scan- This test is often used to check for heart problems in a cardiac CT scan. You lie on a table inside a doughnut shaped machine. An x-ray tube inside the machine rotates around your body and collects images of your heart and chest.
4- Cardiac magnetic resonance imaging (MRI)- for this test, you lie on a table inside a long tube like machine that produces a magnetic field. The magnetic field produces picture to help your doctor evaluate your heart.
Some blood test also includes like: –
High sensitivity C- reactive protein
a- A cholesterol test or lipid profile, measures the fats in your blood. Ideally your total cholesterol should be below- 130 mg/dl
– LDL (low density lipoprotein) should be less than 130 mg/dl
– HDL (High density lipoprotein) should be greater than 45 mg/dl
– Triglycerides should be less than 100 mg/dl
b- C-reactive protein (CRP) is a protein in your liver makes as part of your body’s response to injury or infection which causes swelling inside the body. Inflammation plays a major role in the process of cardiac problem. Cholesterol lowering statin medications may reduce CRP levels and decrease your heart disease risk.
c- Lipoprotein or LP is a type of LDL cholesterol, your LP level is determined by your genes and is not generally affected by lifestyle. High levels of LP may be a sign of increased risk of heart disease, though it is not clear how much risk.
d- Plasma ceramides – This test measures the levels of ceramides in the blood. Ceramides are produced by all cells and play a significant role in the growth, function and ultimately death of many types of tissue. Ceramides are transported through the blood by lipoprotein and are associated with heart disease.
e- Brain natriuretic peptide also called B-Type Natriuretic peptide (BNP) is a protein that your heart and blood vessels make BNP, helps your body eliminate fluids relaxes blood vessels and moves sodium in your urine.
f- Troponin T is a protein found in heart muscle, measuring troponin T using a high sensitivity troponin T test helps doctors diagnose a heart attack and determine your risk of heart disease. An increased level of troponin T has been linked with a higher risk of heart disease in people who have no symptoms.
As Heart disease is now becoming no. 1 killer disease in India.
For Normal Persons-
Persons after 30 years of age must go for regular health check-up at least twice in a year and those who have family history of heart disease, history of diabetes, blood pressure. Must go through regular cardiac health check-up after 25-30 years of age or as advised by your doctor. For the same visit your cardiologist in the city.
For Heart Patients-
Please always be in touch with your heart doctor in the city and follow his/her instructions.