Cardiology diagnostic tests and procedures
Cardiology diagnostic tests and procedures
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Cardiology diagnostic tests and procedures

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Cardiology diagnostic tests and procedures

The diagnostic tests in cardiology are methods of identifying heart conditions associated with healthy vs. unhealthy, pathologic heart function.

Obtaining a medical history is always the first "test", part of understanding the likelihood of significant disease, as detectable within the current limitations of clinical medicine. Yet heart problems often produce no symptoms until very advanced, and many symptoms, such as palpitations and sensations of extra or missing heart beats correlate poorly with relative heart health vs disease. Hence, a history alone is rarely sufficient to diagnose a heart condition.

Auscultation employs a stethoscope to more easily hear various normal and abnormal sounds, such as normal heart beat sounds and the usual heart beat sound changes associated with breathing versus heart murmurs.

A variety of blood tests are available for analyzing cholesterol transport behavior, HDL, LDL, triglycerides, lipoprotein little a, homocysteine, C-reactive protein, blood sugar control: fasting, after eating or averages using glycated albumen or hemoglobin, myoglobin, creatine kinase, troponin, brain-type natriuretic peptide, etc. to assess the evolution of coronary artery disease and evidence of existing damage. A great many more physiologic markers related to atherosclerosis and heart function are used and being developed and evaluated in research.

(*) due to the high cost, LDL is usually calculated instead of being measured directly
source: Beyond Cholesterol, Julius Torelli MD, 2005 ISBN 0-312-34863-0

Electrocardiography (ECG/EKG in German vernacular. Elektrokardiogram) monitors electrical activity of the heart, primarily as recorded from the skin surface. A 12 lead recording, recording the electrical activity in three planes, anterior, posterior, and lateral is the most commonly used form. The ECG allows observation of the heart electrical activity by visualizing waveform beat origin (typically from the sinoatrial or SA node) following down the bundle of HIS and ultimately stimulating the ventricles to contract forcing blood through the body. Much can be learned by observing the QRS morphology (named for the respective portions of the polarization/repolarization waveform of the wave, P,Q,R,S,T wave). Rhythm abnormalities can also be visualized as in slow heart rate bradycardia, or fast heart rate tachycardia.

A Fasegraphy allows expanding the system of Electrocardiography diagnostic features, based on the evaluation of the speed characteristics of the process, and thereby increasing the sensitivity and specificity of ECG-diagnostics.

Fasegraphy allows determining the initial features of changes in the cardiac muscle, even on a single-channel ECG, which are underestimated in traditional ECG diagnostics.

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