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February 15, 2025 14 mins

Season 2: #15: In this episode of Living Heart Smart, cardiologists Dr. Matt DeVane and Dr. Carolyn Lacey discuss essential cardiology tests, focusing on the EKG and echocardiogram. They demystify the processes involved in these tests, explain the anatomy of the heart, and emphasize the importance of understanding EKG results. The conversation highlights the significance of having a baseline EKG and how technology has evolved in heart monitoring. The episode serves as a comprehensive introduction to basic heart testing for listeners. In this conversation.

The doctors delve into the concept of ejection fraction, what it indicates about heart function, and clarify common misconceptions about heart murmurs and valve issues. They also highlight what echocardiograms do not assess, particularly regarding coronary arteries, and emphasize the need for complementary tests. The discussion aims to demystify these common cardiac tests and reassure patients about their significance in maintaining heart health.

TAKEAWAYS

The EKG is the first test you will receive when seeing a cardiologist.

Understanding the heart's anatomy is crucial for interpreting tests.

EKGs provide a wealth of information about heart rhythms and function.

It's important to have a baseline EKG for future comparisons.

The EKG is a non-invasive test that can be done quickly in the office.

Changes in EKG over time can indicate health issues.

The echocardiogram is another fundamental test for heart evaluation.

Patients should keep a record of their EKG for reference.

The heart's complexity requires multiple tests for accurate diagnosis. Echocardiograms provide a comprehensive view of heart structure and function.

Symptoms like chest pain and shortness of breath often lead to echocardiograms.

Ejection fraction is a key indicator of heart health, typically ranging from 55% to 70%.

Murmurs are often benign and can be evaluated through echocardiograms.

Heart valves can experience wear and tear over time, leading to conditions like regurgitation and stenosis.

Echocardiograms do not assess coronary arteries; additional tests may be needed.

Understanding the purpose of these tests can reduce patient anxiety.

Echocardiograms are non-invasive and safe procedures.

Regular monitoring of heart function is essential for patients with a history of heart disease.

Collaboration between different tests provides a complete picture of heart health.

SOUND BITES

"The heart's pretty complicated."

"We need a baseline for sure."

"It's not a pass-fail test."

"The EKG has withstood the test of time."

"EKG is the gateway test."

"A murmur is just a sound."


Medical Disclaimer

The Living Heart Smart podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.



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