Tests for Heart Problems

Introduction

If you are experiencing symptoms such as chest pain, shortness of breath, dizziness, or irregular heartbeats, your doctor may recommend certain tests to assess your heart health. These tests help diagnose conditions such as coronary artery disease, heart failure, arrhythmias, and structural heart defects.

Common Tests for Heart Problems

1. Electrocardiogram (ECG or EKG)

  • Measures the electrical activity of the heart.
  • Helps detect arrhythmias, previous heart attacks, and other abnormalities.

2. Echocardiogram

  • Uses ultrasound waves to create images of the heart.
  • Assesses heart structure, function, and valve abnormalities.

3. Stress Test (Exercise or Pharmacologic)

  • Evaluates how the heart functions under stress, usually while walking on a treadmill.
  • Helps diagnose coronary artery disease and assess exercise tolerance.

4. Cardiac CT or MRI

  • Provides detailed images of the heart and blood vessels.
  • Used to check for blockages, structural defects, and inflammation.

5. Coronary Angiography (Cardiac Catheterization)

  • A catheter is inserted into the arteries to examine blood flow and blockages.
  • Often used before procedures like stenting or bypass surgery.

6. Holter Monitor & Event Recorder

  • Continuous ECG monitoring for 24–48 hours (Holter) or event-based recording.
  • Detects intermittent arrhythmias and symptoms not seen on a standard ECG.

7. Blood Tests for Heart Health

  • Troponin: Detects heart muscle damage, especially in heart attacks.
  • BNP/NT-proBNP: Assesses heart failure severity.
  • Cholesterol and Lipid Panel: Evaluates risk for atherosclerosis and cardiovascular disease.
  • C-reactive protein (CRP): Measures inflammation linked to heart disease.

Conclusion

Early diagnosis of heart problems is crucial for effective treatment and better outcomes. Depending on symptoms and risk factors, your doctor may recommend one or more of these diagnostic tests. If you have concerns about heart health, consult a cardiologist for further evaluation.

Source recommendations

1. American College of Cardiology/American Heart Association (ACC/AHA) Guidelines for the Evaluation and Diagnosis of Chest Pain

  1. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001029
  2. https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2021/10/27/14/06/2021-Guideline-for-Chest-Pain-gl_chestpain
  3. https://pubmed.ncbi.nlm.nih.gov/34709879/
  4. https://www.jacc.org/guidelines/chest-pain
  5. https://professional.heart.org/en/science-news/2021-guideline-for-the-evaluation-and-diagnosis-of-chest-pain

2. European Society of Cardiology (ESC) Guidelines on the Management of Cardiovascular Diseases

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/CVD-and-Diabetes-Guidelines
  2. https://academic.oup.com/eurheartj/article/44/39/4043/7238227
  3. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/CVD-Prevention-Guidelines
  4. https://pubmed.ncbi.nlm.nih.gov/30165544/
  5. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines

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