At what age should I see a cardiologist?
By middle age, it's a great practice to begin annual cardiology checkups. But don't let this be your starting point! A study from 2000-2016 has shown that heart attacks are occurring in young patients as early as those in their 20s. Even if you are in your 30s with no symptoms, consider your risk factors.
Cardiologist Age Breakdown
Interestingly enough, the average age of cardiologists is 40+ years old, which represents 74% of the population.
During your first appointment, the cardiology team will take measurements called “vitals.” This may include height, weight, blood pressure, breathing rate, resting heart rate and body temperature. Then your cardiologist will perform a head-to-toe examination of your body with a focus on your heart.
“I strongly warn people against going directly to a cardiologist and undergoing routine cardiac testing unless you are experiencing symptoms such as chest pain,” he says. “Otherwise, you could end up undergoing a lot of unnecessary testing that may lead to unnecessary procedures.”
Heart disease—and the conditions that lead to it—can happen at any age. High rates of obesity and high blood pressure among younger people (ages 35–64) are putting them at risk for heart disease earlier in life.
Checking your pulse
Taking a pulse is a very important part of heart health checks. It measures the number of heart beats per minute, assesses if the pulse is regular or not, and identifies the strength of the pulse. Your nurse or doctor may check your pulse, or you can check it yourself.
Now 1 in 5 heart attack patients are younger than 40 years of age. Here's another troubling fact to highlight the problem: Having a heart attack in your 20s or early 30s is more common. Between the years 2000-2016, the heart attack rate increased by 2% every year in this young age group.
While strokes, heart attacks and other cardiac conditions tend to appear in people over 60, 20-somethings should stay vigilant with their heart health too. In fact, heart disease affects 1 in 10 Americans between 20 to 39 years old.
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Balamurali Ambati | |
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Nationality | Indian,American |
Alma mater | New York University Harvard University Duke University |
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- How does my family history affect my heart health? ...
- What role does my blood pressure play? ...
- What is my cholesterol level and how does it affect my heart? ...
- Am I experiencing problems because my age, gender, or weight? ...
- How would I know if I'm having a heart attack?
How does a cardiologist check your heart?
- Blood tests. ...
- Electrocardiogram (ECG) ...
- Exercise stress test. ...
- Echocardiogram (ultrasound) ...
- Nuclear cardiac stress test. ...
- Coronary angiogram. ...
- Magnetic resonance imaging (MRI) ...
- Coronary computed tomography angiogram (CCTA)
Heart-related chest pain
Pressure, fullness, burning or tightness in your chest. Crushing or searing pain that spreads to your back, neck, jaw, shoulders, and one or both arms. Pain that lasts more than a few minutes, gets worse with activity, goes away and comes back, or varies in intensity. Shortness of breath.
A cardiologist is a healthcare provider who can treat chest pain, high blood pressure and heart failure, as well as problems with your heart valves, blood vessels and other heart and vascular issues. They can order tests like electrocardiograms, echocardiograms and CTs (computed tomography) to find out what's wrong.
It's important to see a cardiologist if you're suffering from any signs and symptoms of heart disease (WebMD, 2021), or heart disease runs in your family. They will be able to assess your heart health, run some tests, and suggest treatment or preventative strategies if needed.
Men age 45 and older and women age 55 and older are more likely to have a heart attack than are younger men and women. Tobacco use. This includes smoking and long-term exposure to secondhand smoke. If you smoke, quit.
- Chest pain, chest tightness, chest pressure and chest discomfort (angina)
- Shortness of breath.
- Pain in the neck, jaw, throat, upper belly area or back.
- Pain, numbness, weakness or coldness in the legs or arms if the blood vessels in those body areas are narrowed.
After 45, men may have a lot of plaque buildup. Signs of atherosclerosis in women are likely to appear after age 55. Plaque is dangerous because it can break off and form a clot that blocks your artery and stops blood flow to your heart, brain, or legs.
Rapid or Irregular Heartbeat The heart may speed up to compensate for its failing ability to adequately pump blood throughout the body. Patients may feel a fluttering in the heart (palpitations) or a heartbeat that seems irregular or out of rhythm. This often is described as a pounding or racing sensation in the chest.
The symptoms of an artery blockage include chest pain and tightness, and shortness of breath.
The difference is that, when extra heartbeats in the upper and lower chambers are the cause of abnormal rhythm, symptoms may feel like an initial skip or hard thumping beat followed by a racing heart. When anxiety is the trigger, heart rate typically increases steadily rather than suddenly.
Can healthy people have heart attacks?
A heart attack can happen even if to those who are relatively young and fit, and genetics can play a role. Prevention is extremely important, says Arora, and health screenings are a perfect way to find out if people are at risk for heart disease.
Heart failure in people between the ages of 20–29 years is not common. Still, it is possible a person in their 20s could develop heart failure. An estimated . 02–1 out of every 1,000 cases of heart failure each year occur in people in their 20s.
In a “mini” heart attack, blood flow to the heart is partially blocked. Symptoms include chest pain and are similar to those of a heart attack, but there is less damage to the heart. The technical term for a “mini” heart attack is a non-ST elevation myocardial infarction (NSTEMI).
Most heart attacks involve discomfort in the center or left side of the chest that lasts for more than a few minutes or that goes away and comes back. The discomfort can feel like uncomfortable pressure, squeezing, fullness, or pain.
In fact, 10 percent of Americans already experience advanced blockages in these arteries by age 20.
Could it be serious? There are many reasons why a 22-year-old could have chest pain. And while it's quite rare, a heart attack can occur in a person in his twenties.
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Who is Balamurali Amabati? Dr. Balamurali Ambati made a name for himself when he made it to the Guinness Book of Records in 1995 as the World's Youngest Doctor at the age of 17. At four, his vast intellectual expertise was shown by his skill to learn and do calculus.
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Please wear loose comfortable clothing (i.e. tee shirt) and shoes. Shorts or slacks are appropriate.
Why would your doctor send you to a cardiologist?
Multiple risk factors such as high blood pressure or cholesterol levels, being diabetic or smoking are all grounds for a referral to a heart doctor. So are things like being obese or overweight, a lack of physical activity and an unhealthy diet.
A health care provider checks the heartbeat while the person walks on a treadmill or pedals a stationary bike. A stress test usually takes about an hour, including the prep time and the time it takes to do the actual test. The exercise part takes only around 15 minutes.
The cardiologist may order diagnostic testing, such as blood tests, an X-ray, stress test or electrocardiogram. Further testing ensures you are getting the most accurate, complete diagnosis.
Men are usually bare-chested during the test. Women may often wear a bra, T-shirt, or gown. If you are wearing stockings, you should take them off. You will be given a cloth or paper covering to use during the test.
A test called an echocardiogram is often the best test to diagnose your heart failure. Your doctor can also use this test to find out why you have heart failure, and then monitor your condition going forward every three to six months.
A cardiologist injects a contrast agent, or dye, into the catheter to highlight any blockages. This is called an angiogram. The physician performing the procedure explains what your arteries look like and what therapies, if any, are needed.
The two tests that have gained significant popularity in this regard are the Coronary Artery Calcium Score (CAC score) and Lp(a) measurement. Both have shown that if significantly elevated, the risk of heart attack is considerably higher even in the absence of any symptoms or other risk factors.
Heartburn, angina and heart attack may feel very much alike. Even experienced doctors can't always tell the difference from your medical history and a physical exam. That's why, if you go to the emergency room because of chest pain, you'll immediately have tests to rule out a heart attack.
Red flags to alert a possible diagnosis of heart attack
Clammy, unwell patient. Exertional chest pain. Heavy, tight, pressure type chest pain. Pain radiating to left arm, right shoulder or both arms.
Possible causes include an injury, acid reflux, a heart or lung problem, and an infection, such as pneumonia. Some causes of right sided chest pain, such as muscle strain, go away without treatment within a few days. However, chest pain can also stem from a more serious condition, including a heart or lung issue.
What does a cardiologist do on your first visit?
In-office heart tests
Depending on the information your cardiologist needs, you may have a few simple, pain-free tests during the first appointment. Blood tests: Your cardiologist's team may draw blood to test cholesterol level, how well your kidneys are working, blood counts and more.
What your cholesterol levels and other substances in your blood can tell you about your heart health. Your blood may offer many clues about your heart health. For example, high levels of "bad" cholesterol in your blood can be a sign that you're at increased risk of having a heart attack.
If you notice a pattern of heart disease, including high cholesterol and high blood pressure, take action and get checked by a cardiologist.
The closing of your heart's valves makes a "lub dub" noise. The doctor can check your heart and valve health and hear your heart's rate and rhythm by listening to those sounds.
Some of the red flags for referral include palpitations, black outs, and chest pain. In this short video, Dr. Syed Ahsan counsels GPs on when they should refer their patients to a cardiologist. Some of the red flags for referral include palpitations, black outs, and chest pain.
The American Heart Association recommends the following screening tests for coronary artery disease (CAD) starting at age 20. Blood glucose screening should begin at age 45. If you have a heart condition or are at risk for CAD, your doctor may suggest having these screening tests more often.
Heart failure in people between the ages of 20–29 years is not common. Still, it is possible a person in their 20s could develop heart failure. An estimated . 02–1 out of every 1,000 cases of heart failure each year occur in people in their 20s.
Generally speaking, women under the age of 40 should be screened every 3 to 5 years for signs of heart disease, with earlier or more aggressive screening being done based on risk factors. By the age of 40, all women should undergo routine screenings, even in the absence of traditional risk factors or family history.
Listening to Your Heart
Your doctor will use a stethoscope to hear your heartbeat. The closing of your heart's valves makes a "lub dub" noise. The doctor can check your heart and valve health and hear your heart's rate and rhythm by listening to those sounds.
- Blood tests. ...
- Electrocardiogram (ECG) ...
- Exercise stress test. ...
- Echocardiogram (ultrasound) ...
- Nuclear cardiac stress test. ...
- Coronary angiogram. ...
- Magnetic resonance imaging (MRI) ...
- Coronary computed tomography angiogram (CCTA)
How do you know if your heart is weak?
- Shortness of breath with activity or even at rest.
- Peripheral edema (swelling of the legs, ankles, and feet)
- Ascites (abdominal bloating of to fluid buildup)
- Rapid, pounding, or fluttering heartbeat.
- Chest pressure or discomfort.
- Cough while lying down.
- Difficulty lying flat to sleep.
Here's another troubling fact to highlight the problem: Having a heart attack in your 20s or early 30s is more common.
- Neck, jaw, shoulder, upper back or upper belly (abdomen) discomfort.
- Shortness of breath.
- Pain in one or both arms.
- Nausea or vomiting.
- Sweating.
- Lightheadedness or dizziness.
- Unusual fatigue.
- Heartburn (indigestion)
Pain or discomfort in one or both arms, the back, neck, jaw or stomach. Shortness of breath with or without chest discomfort. Other signs such as breaking out in a cold sweat, nausea or lightheadedness. As with men, women's most common heart attack symptom is chest pain or discomfort.