What is the most comprehensive test to check my heart for blockages or potential future problems...?

 

I did have some of the basic tests but I want something more thorough.

 

Not worried about expense. 

 

Thanks

14 minutes ago, 1FinickyOne said:

What is the most comprehensive test to check my heart for blockages or potential future problems...?

 

I did have some of the basic tests but I want something more thorough.

 

Not worried about expense. 

 

Thanks

Heart CT Scan, recently have done one after a problem showed up during a Exercise Stress Test.

Triple A test. Abdominal Aortic Aneurysm (AAA) screening

I would suggest:

 

1. Coronary Calcium CT

 

2. Exercise Stress Test

 

The first is the best way to check for calcium deposits in the coronary arteries.

 

The second will test your overall cardiac fitness and how well the heart performs under stress.

 

I am assuming you have already had blood tests for risk factors (lipid panel, HB1Ac) and also that you are asymptomatic.

31 minutes ago, Sheryl said:

am assuming you have already had blood tests for risk factors (lipid panel, HB1Ac)

yes, thanks. My new heart doc seems neither careful or concerned... triglycerides were high and treating with meds...

3 minutes ago, 1FinickyOne said:

yes, thanks. My new heart doc seems neither careful or concerned... triglycerides were high and treating with meds...

why do you have a heart doctor? Are you symptomatic/do you have history of heart disease? As this might alter recommendation

I had a stent put in about ten years ago... I was having a little tightness in my chest after recent exercise and I wasn't;t sure if it was a slight muscle pull... 

2 minutes ago, Sheryl said:

why do you have a heart doctor?

 

5 minutes ago, 1FinickyOne said:

I was having a little tightness in my chest after recent exercise

Give up that for a while, see if it gets any better. 

I personally do very little exercise, and have no chest problems!   555

34 minutes ago, KannikaP said:

Give up that for a while, see if it gets any better. 

I personally do very little exercise, and have no chest problems!   555

Exercise but more importantly a better diet leads to healthy low triglycerides 

12 hours ago, 1FinickyOne said:

 

Not worried about expense. 

 

 

Along with the other suggestions, if cost is truly not an issue throw in an angiogram to see the current state of your arteries.

 

13 hours ago, 1FinickyOne said:

What is the most comprehensive test to check my heart for blockages or potential future problems...?

 

I did have some of the basic tests but I want something more thorough.

 

Not worried about expense. 

 

Thanks

Fall in love?

ask him ....

 

13 hours ago, 1FinickyOne said:

What is the most comprehensive test to check my heart for blockages or potential future problems...?

 

I did have some of the basic tests but I want something more thorough.

 

Not worried about expense. 

 

Thanks

A specific blood test plus ECG.

42 minutes ago, newbee2022 said:

You're not a doctor. Keep this in mind. Always. No diagnosis, no treatments, no recommendations.

the op did not post on here to obtain information from a doctor, for that i assume he would speak to a 'Doctor'

46 minutes ago, steve187 said:

the op did not post on here to obtain information from a doctor, for that i assume he would speak to a 'Doctor'

Op is in contact with a heart specialist already and got multiple problems. Only a qualified doctor can help him, not anyone here on AN.

2 hours ago, Paradise Pete said:

 

Along with the other suggestions, if cost is truly not an issue throw in an angiogram to see the current state of your arteries.

 

I am doubtful a doctor would agree to do an angiogram (invasive procedure with some risks) in an asymptomatic person unless other tests (EST, CT) indicated likely blicjage. 

22 minutes ago, newbee2022 said:

Op is in contact with a heart specialist already and got multiple problems. Only a qualified doctor can help him, not anyone here on AN.

personal experiences are always a source of good information

14 hours ago, 1FinickyOne said:

yes, thanks. My new heart doc seems neither careful or concerned... triglycerides were high and treating with meds...

you dont treat high triglycerides with meds!!!!!!

that is just putting on a band aid for goodness sake

you have to address why your triglycerides are high...........dont you realise that?

adjust your diet.........lose weight.......exercise more........then test your tris again...........jeez

just have an Echo, Stress Test and EKG.

4 minutes ago, Sheryl said:

I am doubtful a doctor would agree to do an angiogram (invasive procedure with some risks) in an asymptomatic person unless other tests (EST, CT) indicated likely blicjage. 

OP got a specialized Doctor already who will know the history (anamnesis). 

There are many tests (risky) available. However, OP is free to consult another specialist in a different hospital. At the end OP should discuss his case with a doctor he trusts.

2 minutes ago, steve187 said:

personal experiences are always a source of good information

Experiences are personal, not able to be copied. Every case is too different for generalisation.

In addition don't forget OP uses already the advice of his heart specialist. I doubt this Doctor would need advice by "experienced laypersons"

The absolute gold standard to check the complete status of your heart is an angiogram!

echocardiogram ultrasound. check the EF function... Ejection function. Should be in the 50s range. It can spot other anomalies if you have any. 

2 hours ago, James26 said:

The absolute gold standard to check the complete status of your heart is an angiogram!

Angiograms are invasive and not without risk, so usually only performed if uninvasive tests, or symptoms, indicate a likely problem.

17 hours ago, scubascuba3 said:

Exercise but more importantly a better diet leads to healthy low triglycerides 

 

Daily omega 3s will lower them. And weight control. 

5 minutes ago, Ebumbu said:

 

Daily omega 3s will lower them. And weight control. 

Have you got low triglycerides? i don't go out of my way to eat Omega 3 and i have low triglycerides 

18 hours ago, KannikaP said:

Give up that for a while, see if it gets any better. 

I personally do very little exercise, and have no chest problems!   555

 

You still taking all your meds, or added more? Last confession included these:

 

Bestatin – needed to reduce worry over high cholesterol.
Baby aspirin – previous stroke or heart attack?
Micardis, Doxadozin – also antihypertensive drugs that may affect BP

49 minutes ago, scubascuba3 said:

Have you got low triglycerides? i don't go out of my way to eat Omega 3 and i have low triglycerides 

 

But you exercise a lot and are fit. Exercise lowers TG.

52 minutes ago, scubascuba3 said:

Have you got low triglycerides? i don't go out of my way to eat Omega 3 and i have low triglycerides 

 

 

 

Well you are the universal yardstick, so I guess that solves everything.

12 minutes ago, BigStar said:

 

But you exercise a lot and are fit. Exercise lowers TG.

Yes but can still exercise with higher triglycerides if you eat a bad diet