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Cardiology FAQs

What is cardiology?
Cardiology is a branch of medicine that deals with the diagnosis and treatment of heart diseases and conditions. Cardiologists, or heart doctors, specialize in managing heart health through various diagnostic tests, treatments, and procedures.

When should I see a cardiologist?
You should consider seeing a cardiologist if you experience symptoms such as chest pain, shortness of breath, palpitations, dizziness, or fainting. Additionally, if you have risk factors for heart disease, such as high blood pressure, high cholesterol, diabetes, or a family history of heart conditions, consulting a cardiology specialist can help manage your heart health proactively.

What are the risk factors for heart disease?
Risk factors for heart disease include:

  • High blood pressure
  • High cholesterol
  • Smoking
  • Diabetes
  • Obesity
  • Physical inactivity
  • Unhealthy diet
  • Family history of heart disease
  • Age (risk increases with age)
  • Gender (men are generally at higher risk, though women's risk increases after menopause)
  • Stress and excessive alcohol consumption

Managing these risk factors often involves working with a cardiology specialist or participating in cardiac rehabilitation programs.

What is high blood pressure?
High blood pressure, or hypertension, is typically defined as having a consistent blood pressure reading of 130/80 mm Hg or higher. Blood pressure is measured using two numbers: systolic (the top number) and diastolic (the bottom number). A reading of 130/80 mm Hg indicates that the systolic pressure is 130 and the diastolic pressure is 80. If you're experiencing symptoms like chest pain, it's important to consult with a heart specialist.

How can you tell if you have high cholesterol?
High cholesterol usually does not present any symptoms, making it difficult to detect without a blood test. A lipid panel is a blood test that measures total cholesterol, LDL (bad cholesterol), HDL (good cholesterol), and triglycerides. Your heart doctor can help interpret these results and determine if your cholesterol levels are high, potentially indicating a need for cardiac rehabilitation or other interventions.

What is a normal resting heart rate?
A normal resting heart rate for adults ranges from 60 to 100 beats per minute (bpm). Athletes and individuals in excellent physical condition may have a resting heart rate below 60 bpm. Monitoring your heart rate is an essential part of cardiac rehab and overall heart health management.

What are the symptoms of a heart arrhythmia?
Symptoms of a heart arrhythmia can vary depending on the type and severity. Common symptoms include:

  • Palpitations or feeling like your heart is racing
  • Slow heartbeat
  • Dizziness or lightheadedness
  • Shortness of breath
  • Chest discomfort or chest pain
  • Fatigue or weakness

Consulting a cardiology specialist can help diagnose and manage these symptoms.

What are the signs/symptoms of a heart attack?
Sudden signs and symptoms of a heart attack can vary but commonly include:

  • Chest pain or discomfort (often described as pressure, tightness, or squeezing)
  • Pain or discomfort in one or both arms, back, neck, jaw, or stomach
  • Shortness of breath
  • Cold sweat
  • Nausea or vomiting
  • Lightheadedness or dizziness

If you experience any of these symptoms, it's essential to call 911 and seek emergency medical help immediately, preferably at a chest pain center or cardiology hospital such as Capital Health.

What are the warning signs of a stroke?
Sudden warning signs of a stroke can include:

  • Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body
  • Sudden confusion, trouble speaking, or difficulty understanding speech
  • Sudden trouble seeing in one or both eyes
  • Sudden trouble walking, dizziness, loss of balance, or lack of coordination
  • Sudden severe headache with no known cause

If you or someone else experiences these symptoms, call 911 immediately.

How can you tell if you have a heart condition?
Detecting a heart condition often requires proper medical evaluation. Symptoms to watch for include chest pain, shortness of breath, palpitations, fainting, fatigue, and swelling in the legs, ankles, or feet. Diagnostic tests such as ECG, echocardiograms, stress tests, and blood tests can help confirm a diagnosis. Consult a cardiology specialist if you experience persistent or concerning symptoms.

What is coronary artery disease?
Coronary artery disease (CAD) is a condition where the coronary arteries, which supply blood to the heart muscle, become narrowed or blocked due to the buildup of plaque. This can lead to chest pain (angina), shortness of breath, and potentially a heart attack. CAD is often managed through lifestyle changes, medications, and interventional procedures performed by a cardiologist.

What are common congenital heart defects?
Common congenital heart defects include:

  • Atrial septal defect (ASD)
  • Ventricular septal defect (VSD)
  • Tetralogy of Fallot
  • Patent ductus arteriosus (PDA)
  • Coarctation of the aorta
  • Transposition of the great arteries (TGA)

These defects are present at birth and may require medical or surgical intervention by a cardiology specialist

What is the difference between atrial fibrillation (AFib) and atrial flutter?
Atrial fibrillation (AFib) and atrial flutter are both types of arrhythmias that affect the heart's upper chambers (atria). In AFib, the atria quiver irregularly and rapidly, leading to an erratic heart rhythm. In atrial flutter, the heart beats in a more organized but still abnormal rhythm, typically faster than normal. Both conditions can increase the risk of stroke and other heart-related complications. Consulting a cardiology specialist can help manage these conditions effectively.

What is an electrocardiogram?
An electrocardiogram (ECG or EKG) is a non-invasive test that records the electrical activity of your heart. It helps diagnose various heart conditions by detecting abnormalities in heart rhythm, structure, and function. Electrodes are placed on your skin to capture and record the heart's electrical signals. This test is often conducted at a heart and vascular institute or a cardiology hospital.

What is an echocardiogram?
An echocardiogram is a type of ultrasound test that uses sound waves to create detailed images of the heart. This test allows doctors, including those at a heart center, to see the heart's structure, assess its function, and diagnose conditions such as heart valve problems, heart defects, and cardiomyopathy. Echocardiography is a key aspect of cardiac services provided by top cardiology hospitals.

What is echo cardiology?
Echo cardiology, often referred to as echocardiography, involves using ultrasound technology to produce images of the heart. This diagnostic tool helps evaluate the structure and function of the heart, including heart chambers, valves, and blood flow. Echo cardiology is commonly used to diagnose heart conditions and monitor the effectiveness of treatments. It is a critical service offered at heart and vascular institutes and top cardiology hospitals.

What is a cardiology stress test?
cardiology stress test, also known as a stress test or exercise stress test, evaluates how your heart performs under physical stress. During the test, you walk on a treadmill or pedal a stationary bike while your heart rate, blood pressure, and ECG are monitored. This test helps identify issues with blood flow to the heart and assess the severity of existing heart conditions. Cardiology doctors often recommend this test as part of cardiac services to diagnose and manage heart diseases.

What is Holter Monitoring?
Where stress tests determine how your heart responds to active or increased rates of stress, Holter monitoring determines how well your heart is performing during normal activity. This is usually done for those who have already suffered a heart attack, those who may have heart rhythm problems and those who are starting a new heart medicine.

A Holter monitor is machine that continuously records your hearts rhythms through small electrodes that are attached to your chest through an adhesive. These small patches send a signal to a small recording monitor that you can carry in your pocket or in a small pouch worn around your neck or waist. This battery-powered monitor keeps track of your heart’s electrical activity for 24-48 hours. During this time, you’re asked to record your symptoms and activities so that when you return to our office to look over the results with your cardiologist, your notes are matched up with any possible irregularities.

What is Event Monitoring?
While a Holter monitor continuously records your hearts rhythms over a period of one to two days, an event monitor is used to record rhythms only when you feel a symptom of irregularity coming on. Event monitors are small devices that are worn over a longer period (weeks to months, typically one month) than Holter monitors. Event monitors are worn as much as possible every day to increase the chances of recording your rhythm when you experience symptoms.

The monitor is always on but will only store your rhythm when you or your caregiver pushes the button on the monitor. Most monitors will save the rhythm for several seconds of rhythm before the button is even pushed. The rhythm is also saved for a period after the button is pushed.

What is cardiac catheterization?
A cardiac catheterization is a procedure used to diagnose and treat certain cardiovascular conditions. During the procedure, a thin, flexible tube (catheter) is inserted into a blood vessel and guided to the heart. This allows cardiologists to evaluate the heart's function, measure pressures, and perform treatments such as angioplasty or stent placement.

What is interventional cardiology?
Interventional cardiology is a branch of cardiology that focuses on diagnosing and treating cardiovascular diseases using minimally invasive procedures. These procedures typically involve catheters inserted through blood vessels to perform treatments such as angioplasty, stent placement, and atherectomy. Interventional cardiology aims to improve heart function and reduce symptoms with less recovery time compared to traditional cardiac surgery. Top cardiology hospitals and heart and vascular institutes offer these advanced treatments.

What is cardiac rehabilitation?
Cardiac rehabilitation is a medically supervised program designed to improve cardiovascular health after a heart attack, heart surgery, or other heart conditions. The program typically includes exercise training, education on heart-healthy living, and counseling to reduce stress and improve mental health.

What are the symptoms of heart failure?
Heart failure treatment usually involves a combination of lifestyle changes, medications, and medical procedures. Medications may include ACE inhibitors, beta-blockers, diuretics, and others to manage symptoms and improve heart function. In severe cases, devices such as pacemakers or implantable cardioverter-defibrillators (ICDs) may be recommended.

What is the role of a vascular surgeon?
vascular surgeon specializes in diagnosing and treating conditions related to the blood vessels, including arteries, veins, and lymphatic systems. They perform surgeries and minimally invasive procedures to address issues such as aneurysms, peripheral artery disease, and varicose veins.

What are some vascular conditions?
Vascular conditions affect the blood vessels (arteries, veins, and capillaries) throughout the body. Common vascular conditions include:

  • Peripheral artery disease (PAD)
  • Aneurysms
  • Deep vein thrombosis (DVT)
  • Varicose veins
  • Carotid artery disease
  • Chronic venous insufficiency
  • Vasculitis

These conditions are often treated by a vascular surgeon or vascular specialist at specialized clinics such as Capital Health Heart and Vascular Institute.

How does diet affect heart health?
Diet plays a critical role in heart health. Consuming a balanced diet that is low in saturated fats, trans fats, cholesterol, and sodium can help reduce the risk of heart disease. A heart-healthy diet includes plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats such as those found in nuts, seeds, and fish.

What lifestyle changes can improve heart health?
To improve heart health, consider the following lifestyle changes:

  • Adopt a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins
  • Engage in regular physical activity, aiming for at least 150 minutes of moderate exercise per week
  • Maintain a healthy weight
  • Avoid smoking and limit alcohol consumption
  • Manage stress through relaxation techniques and mindfulness practices
  • Monitor and control blood pressure, cholesterol, and blood sugar levels

What are the benefits of regular cardiovascular exercise?
Regular cardiovascular exercise offers numerous benefits for heart health, including:

  • Improved circulation and oxygen delivery to tissues
  • Lower blood pressure and cholesterol levels
  • Enhanced heart muscle strength and efficiency
  • Weight management
  • Reduced stress and improved mental health
  • Decreased risk of heart disease and stroke