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Home > Heart

  • Overview
  • Symptoms
  • Are you at risk of heart disease?
  • Diagnosis
  • Laboratory Tests
Heart disease is any condition that affects your heart such as
Coronary-Artery-Disease

Coronary Artery Disease

Coronary artery disease that affects the arteries. It is the most common type of heart disease.

Valvular-Heart-Disease

Valvular Heart Disease

Valvular Heart Disease that affects the function of the valves which regulates blood flow in and out of the heart

Arrhythmia

Arrhythmia

Arrhythmia that affects the electrical conduction

Cardiomyopathy

Cardiomyopathy

Cardiomyopathy that affects how the heart muscles squeeze

Congenital-Heart-Defects

Congenital Heart Defects

Congenital heart defects that develop before birth

Heart Tests / Health Program

    Symptoms of Heart Disease

    Common symptoms of heart disease may include:
    Chest-pain

    Chest pain

    It's a discomfort caused when there is less supply of oxygen-rich blood to our heart. It may feel like pressure, crushing or squeezing in your chest.

    Shortness-of-breath

    Shortness of Breath

    Shortness of breath, or dyspnea, is an uncomfortable condition that makes it hard to completely get air into your lungs. Problems with lungs and heart can harm your breathing.

    Sweating

    Sweating

    If there is excessive sweating more than usual without an involvement of any physical activity or hot conditions than it could be an early sign of heart problems.

    Nausea

    Nausea

    A discomfort that creates an urge to vomit. If its prolonged, it can be a sign of health disease.

    Irregular-Heart-Beat

    Irregular Heart Beat

    It's a change in heart beat frequency and occur when the electrical signals that coordinate with heart beat do not function properly.

    Are You at Risk for Heart Disease?

    Factors that can put you at increased risk for heart disease are:
    Smoking

    Smoking

    The action or habit of inhaling and exhaling the smoke of toxic substances like tobacco or a drug.

    Hypertension

    Hypertension

    Hypertension is also called high blood pressure. It can lead to severe health complications and increase the risk of heart disease, stroke, and sometimes death.

    High-Cholesterol

    High Cholesterol

    High blood cholesterol is a condition that causes the levels of certain bad fats, or lipids, to be too high in the blood and is caused by lifestyle factors, such as diet.

    Diabetes

    Diabetes

    A disease in which the body's ability to produce or respond to the hormone insulin is impaired, resulting in abnormal metabolism of carbohydrates and elevated levels of glucose in the blood.

    Family-History

    Family history of Heart Diseases

    A family history of heart disease is generally defined by having a first-degree male relative (i.e., father or brother) who had a heart attack by age 55, or a first-degree female relative (i.e., mother or sister) by age 65.

    Obesity

    Obesity

    The state of being well above one's normal weight. A person has traditionally been considered to be obese if they are more than 20 percent over their ideal weight.

    How is Heart Disease Diagnosed?

    There are various tests used to diagnose heart disease. The doctor may start by asking

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      Personal and Family medical history
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      Current and past symptoms
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      Laboratory tests and an electrocardiogram.

    Based on the results of the assessment and tests, further tests may be required

    Laboratory Tests Related to Heart Disease

    The Laboratory tests include blood tests to determine the risk of heart disease and to evaluate other systems of the body that can affect your cardiovascular health.

    Salient Blood Tests for diagnosing Heart Disease

    Lipid profile

    The test is used to assess the risk of developing Cardiovascular disease (CVD) by measuring the amount and type of lipids (fats) in the blood. The test includes

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      Total Cholesterol

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      LDL Cholesterol

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      HDL Cholesterol

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      Triglycerides

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      Lipoprotein Lp (a)

      The test is used to identify an elevated level of Lipoprotein (a) that carries cholesterol in the blood. The test evaluates the risk of developing Cardiovascular disease (CVD).

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      C-reactive protein (CRP)

      C-reactive protein (CRP) is produced by the Liver as part of the body's response to injury or infection. The test measures the amount of CRP in the blood to detect inflammation due to acute conditions, monitor the severity of disease in chronic conditions and helps create an overall picture of heart health.

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      Homocysteine

      Homocysteine is used to build and maintain tissue. However, too much Homocysteine may increase the risk of heart disease and stroke. This test is usually ordered if you have a high risk of developing heart disease or have a family history of heart disease. It is also used for cases of family history of heart disease but no other known risk factors.

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      HsCRP

      New age test to assess the risk of developing heart attack, stroke. It accurately measures low but persistent levels of inflammation in the body that is associated with Atherosclerosis

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      CK-MB

      Creatine kinase-MB (CK-MB) is a form of an enzyme found primarily in heart muscle cells. This test measures CK-MB in the blood. CK-MB will typically only be present in significant amounts when the heart is damaged.

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      Troponin -T, I (High Sensitive)

      High-sensitivity troponin tests are primarily ordered to help diagnose a heart attack and rule out other conditions with similar signs and symptoms. Levels of troponin can become elevated in the blood within 3 to 6 hours after heart injury and may remain elevated for 10 to 14 days.

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      BNP and NT-proBNP

      B-type natriuretic peptide (BNP) and N-terminal pro b-type natriuretic peptide (NT-proBNP) are released by the body as a natural response to heart failure. Tests for BNP and NT-proBNP measure their levels in the blood to detect and evaluate heart failure.

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      APOLIPOPROTEINS A1 & B

      Apo A-1 is the main protein component of HDL, the 'good cholesterol'. Apo B is the main protein associated with LDL, the 'bad cholesterol'. Apo A-1 and Apo B are better indicators than LDL Cholesterol etc. and determine the risk of developing cardiovascular disease (CVD).

    Blood Tests for Other Body Systems

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      Complete blood count (CBC)

      CBC is a series of tests that measure red blood cells, white blood cells and platelets.

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      Sodium and potassium levels

      Sodium and potassium levels help in detecting a problem with electrolytes in the body fluids.

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      Blood urea nitrogen and Creatinine

      Blood urea nitrogen and creatinine are measured to check kidney function.

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      Fasting glucose

      Fasting glucose is performed to diagnose diabetes or pre-diabetes.

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      TSH

      TSH is measured to check thyroid function.

    Non Invasive Tests

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      Electrocardiogram

      An Electrocardiogram (EKG or ECG) is a graphic measure of the electrical activity in the heart. The specific patterns on the EKG helps to determine abnormalities such as atrial fibrillation (an abnormal rhythm), or heart attack.

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      Stress EKG

      Stress tests are performed to see how the heart performs under physical stress e.g. with exercise on a treadmill. The EKG wires record electrical signals of the heart while exercising along with Blood Pressure.

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      Thallium Scan

      It involves a treadmill stress test and scanning of the heart via nuclear camera after injection of a radionuclide material. It determines the amount of blood the heart muscle is receiving during rest and stress.

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      Carotid Ultrasound

      Carotid ultrasound is used to evaluate the risk of stroke. A small probe called a transducer is gently pushed against the sides of the neck, which sends images of arteries to a computer screen. It is used to check for Stenosis by monitoring blood flow through the carotid arteries on both sides of the neck.

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      Holter Monitor

      A Holter monitor enables continuous recording of EKG during your daily activities. It can detect arrhythmias that might not show up on a resting EKG.

    Invasive Tests

    Cardiac Catheterisation and Coronary Angiography

    Cardiac catheterisation is a common procedure that helps to diagnose heart disease. It is also used to treat heart disease by opening blocked arteries with balloon angioplasty and stent placement.

    It helps the doctor to know if -

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      The blood vessels in the heart have narrowed
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      The heart is pumping normally
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      The valves in the heart are functioning normally
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      There are any congenital heart abnormalities
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      The pressures in the heart and the lungs are normal

    What is Heart?

    The heart is about the size of a fist which pumps blood throughout the body and is the main organ of your circulatory system. It’s made of muscles and tissue, making it a powerful organ.

    A heart has four chambers that hold blood for a short time before pumping it out. Electrical impulses cause your heart to beat, moving blood through these chambers. The brain and nervous system control how your heart functions.

    What is the Function of the Heart?

    The main function of the heart is to pump blood throughout the body, delivering oxygen and nutrients to tissues and organs while removing carbon dioxide and waste products.

    The primary functions of heart include:

    1. It helps maintain adequate blood pressure to ensure efficient delivery of oxygen and nutrients.
    2. It adjusts blood flow to meet the changing demands of the body's tissues and organs.
    3. It ensures that oxygen-rich blood from the lungs and oxygen-poor blood from the body are properly routed through the heart and lungs for oxygenation.
    4. The heart facilitates the circulation of hormones, immune cells, and other substances essential for maintaining health and homeostasis.

    What are Heart Diseases?

    Various conditions impacting the heart are collectively known as heart disease.

    Heart diseases include:

    1. Blood vessel disease, such as coronary artery disease
    2. Irregular heartbeats (arrhythmias)
    3. Heart problems you're born with (congenital heart defects)
    4. Disease of the heart muscle
    5. Heart valve disease

    Adopting healthy lifestyle choices can prevent many forms of heart disease.

    What are The Types of Heart Diseases?

    1. Coronary Artery Disease (CAD)

    Coronary Artery Disease (CAD) is the most common heart problem. With CAD, blockages may form in coronary arteries, which supply blood to the heart. This reduces blood flow to the heart muscle, depriving it of necessary oxygen. CAD typically begins due to atherosclerosis, a condition often referred to as hardening of the arteries.

    2. Heart Arrhythmias

    It is a condition where the heart beats irregularly, either too fast, too slow, or with an uneven rhythm. This occurs when the electrical signals that coordinate heartbeats malfunction, causing the heart to beat improperly.

    3. Heart Failure

    It is a chronic condition where the heart is unable to pump blood effectively to meet the body's needs. This can result from the heart being too weak or too stiff to function properly. 

    Symptoms often include shortness of breath, fatigue, and fluid buildup in the legs, ankles, and lungs. Heart failure can develop due to various underlying conditions, such as coronary artery disease, high blood pressure, or previous heart attacks.

    4. Heart Valve Disease

    Heart valve disease occurs when one or more of the heart's valves don't function properly, disrupting blood flow through the heart. This can happen when the valves don't open fully (stenosis), don't close properly (regurgitation), or both. 

    As a result, the heart must work harder to pump blood, which can lead to symptoms such as fatigue, shortness of breath, and swelling in the legs and feet. Heart valve disease can be congenital or develop later in life due to conditions like infections, aging, or other heart-related issues

    5. Pericardial Disease

    Pericardial disease refers to conditions that affect the pericardium, the thin sac-like membrane surrounding the heart. This disease can lead to inflammation (pericarditis), fluid buildup (pericardial effusion), or thickening and restriction (constrictive pericarditis) of the pericardium. Symptoms may include chest pain, shortness of breath, and swelling of the abdomen or legs.

    6. Cardiomyopathy (Heart Muscle Disease)

    Cardiomyopathy is a heart muscle disease characterized by the muscle becoming enlarged, thickened, or rigid. This condition weakens the heart's ability to pump blood effectively and can lead to symptoms such as fatigue, shortness of breath, swelling in the legs, and irregular heartbeats. 

    There are different types of cardiomyopathy, including dilated cardiomyopathy (enlarged heart chambers), hypertrophic cardiomyopathy (thickened heart muscle), and restrictive cardiomyopathy (stiffened heart muscle).

    7. Congenital Heart Disease

    Congenital heart disease (CHD) includes different heart defects present from birth. These defects affect the structure of the heart and how it functions. They can involve abnormalities in the heart's walls, valves, or blood vessels, impacting blood flow through the heart. CHD can vary from mild, requiring little to no intervention, to severe, necessitating surgical correction early in life.

    Blood Test for Heart Diseases

    Blood tests can provide valuable insights into heart health, with certain substances indicating the risk of developing fatty deposits known as plaques in the arteries. However, it's important to note that a single blood test alone cannot determine the risk of heart disease.

    1. Cholesterol Test

    A cholesterol test, also called a lipid panel or lipid profile, assesses the fats present in the blood. The results may help predict the likelihood of experiencing a heart attack or other cardiovascular conditions. The test typically measures:

    • Total cholesterol: This reflects the overall amount of cholesterol in the blood, where high levels can elevate the risk of heart disease.
    • Low-density lipoprotein (LDL) cholesterol: Also Known as "bad" cholesterol. Excess LDL cholesterol may lead to plaque buildup in the arteries, restricting blood flow and causing heart and vascular problems.
    • High-density lipoprotein (HDL) cholesterol: Referred to as "good" cholesterol because it transports LDL ("bad") cholesterol away from the arteries, maintaining arterial openness and smooth blood flow.
    • Triglycerides: Another type of fat in the blood, elevated triglyceride levels may heighten the risk of heart disease.
    • Non-HDL cholesterol: Calculated by subtracting HDL cholesterol from total cholesterol.  Non-HDL cholesterol is involved in arterial plaque formation and may serve as a more accurate indicator of risk compared to total cholesterol or LDL cholesterol alone.

    2. High-sensitivity C-reactive protein

    The liver produces C-reactive protein (CRP) in response to injury or infection, triggering inflammation, which involves swelling inside the body. Inflammation is crucial in the development of arterial plaques, known as atherosclerosis.

    High-sensitivity CRP (hs-CRP) tests are used to assess the risk of heart disease before symptoms appear. Elevated hs-CRP levels are associated with increased risks of heart attack, stroke, and heart disease.

    3. Lipoprotein (a)

    Lipoprotein (a), or Lp(a), is a subtype of LDL cholesterol associated with increased risk of heart disease. Doctors may advise an Lp(a) test if you have a risk of heart disease or heart disease despite normal cholesterol levels, or if there's a family history of early-onset heart disease, sudden death, or stroke.

    How can you Prevent Heart Diseases?

    The lifestyle adjustments effective in managing heart disease may also help in its prevention.

    Follow these heart-healthy guidelines to prevent heart diseases:

    1. Quit smoking.
    2. Consume a diet low in salt and saturated fat.
    3. Exercise for at least 30 minutes daily, most days of the week.
    4. Maintain a healthy weight.
    5. Manage and reduce stress levels.
    6. Control conditions like high blood pressure, high cholesterol, and diabetes.
    7. Ensure adequate sleep. Adults should aim for 7 to 9 hours nightly.