7 preventative heart screenings to get in 2024
Not sure which screenings make the most sense for you? Experts break down the top seven.
Medical history
Your primary care doctor, internist or general practitioner will gather a medical history, which includes your family history of medical conditions and your lifestyle practices, such as diet, exercise, and substance use.
“This is probably the most basic but most cost-effective screening tool we have because it’s (a) cheap (b) easy to perform (c) non-invasive, no blood draws and (d) provides so much insight to clinicians on what’s the next best step,” said Tanayan.
For instance, if you smoke, Dr. Roger Blumenthal, spokesperson for the AHA and director of the Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease, said your doctor will prioritize guidance on helping you quitTrusted Source.
“We try to use nicotine replacement therapy like patches or gum or medications like bupropion and varenicline. Also, behavior modification plays a key role,” he said.
Body weight and BMI
By measuring your waist circumference and body mass index (BMI), your doctor can gauge if you have overweight or obesity, which increases your risk for heart disease, stroke, atrial fibrillation, congestive heart failure, and more.
“BMI [is a] non-invasive measurement during an office visit,” said Tanayan. “Losing weight significantly impacts blood pressure control, sleep apnea, insulin resistance, ability to exercise.”
Blood pressure reading
High blood pressure increases the risk of heart disease and stroke. Because high blood pressure often doesn’t have any symptoms, many people don’t know they have it until they are monitored for it.
The American Heart Association (AHA) states that people whose blood pressure is below 120/80 mm Hg, should get it checked at least once every two years, starting at age 20. Those who have blood pressure higher than that should talk to their doctor about having it checked more often. Your doctor can check your blood pressure or you can check it at home.
Lifestyle changes and medication can help control blood pressure.
Fasting lipoprotein profile
This blood test is taken to measure total cholesterol, which includes LDL (bad) cholesterol and HDL (good) cholesterol.
“Everybody should have their cholesterols checked at least once a year after a certain age. Normal LDL or bad cholesterol would be less than 100 and the same with triglycerides, which are the blood fats,” said Blumenthal.
The test is also important for detecting genetic abnormalities in cholesterol metabolism and the results provide target threshold numbers for treatment, said Tanayan. Lifestyle changes and medication are used to treat high cholesterol.
This test is taken every four to six years, starting at age 20 or more often for people at an increased risk for heart disease or stroke.
Blood glucose test
High blood sugar levels increase your risk of developing insulin resistance, prediabetes and type 2 diabetes, which can all lead to heart disease and stroke, if they are not treated. Specifically, high blood sugar can damage blood vessels and nerves that control the functioning of your heartTrusted Source.
One way to screen for type 2 diabetes is by measuring hemoglobin A1c levels (A1c %) in your blood. Diabetes is determined with an A1c level of 6.5% or higher.
Risk scores
Blumenthal said the AHA just released a new risk calculator called PREVENTTrusted Source that estimates the 10- and 30-year risk of total cardiovascular disease for people aged 30 years and older. The calculator estimates the risk of heart attack, stroke and, for the first time, heart failure. In the past, physicians would calculate risk for heart attack and stroke only.
“Congestive heart failure is many times more common than the risk of a heart attack or stroke,” said Blumenthal.
The AHA statesTrusted Source that the calculator was created based on health information from more than 6 million adults, including people from diverse racial and ethnic, socioeconomic and geographic backgrounds.
Coronary artery calcium scan
For some people who are at least 35 years old and have at least two risk factors for heart disease, their doctor might recommend a coronary artery calcium (CAC) test, which determines how much plaque is in your heart arteries. This involves a CT scan of the heart that takes images of the arteries that supply blood to the heart muscle. The test helps a doctor determine a person’s risk of heart disease.
“[It’s] really for people who are on the fence about whether or not to add a medication, generally for cholesterol but sometimes for blood pressure control,” said Blumenthal.
The test is appropriate for the following people, according to the AHATrusted Source.
- Those who are hesitant to go on statin therapy and want to have a clearer understanding of their risk and potential benefit from medication.
- People who stopped statin therapy due to side effects but are considering taking them again.
- Men ages 55 to 80 or women 60 to 80 who don’t have many risks and want to know if statin therapy will be beneficial.
- People ages 40 to 55 with an estimated 10-year risk for developing heart disease between 5% and 7.5%, and risk factors that increase their chances of heart disease.
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