Question 1

Who should undergo preventive heart testing?

Accepted Answer

Anyone with cardiac risk factors including family history, hypertension, diabetes, smoking, sedentary lifestyle, age over 40, or metabolic syndrome should discuss early screening with a healthcare provider.

Question 2

Can heart disease exist without symptoms?

Accepted Answer

Yes, absolutely. Silent ischemia and subclinical disease progression are common. Many patients have significant coronary disease without symptoms, making early testing crucial for identifying risk before cardiac events occur.

Question 3

Is angioplasty always necessary?

Accepted Answer

No. In stable coronary disease, angioplasty does not improve life expectancy compared to medical management with lifestyle modification. It is primarily indicated for acute coronary syndromes or specific high-risk presentations.

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