Our starting package includes: pre-consultation, 12 lead ECG, blood cholesterol and a written consultant cardiologist report.
A thorough cardiovascular assessment should include a 12 lead electrocardiogram (ECG) interpreted by an experienced cardiologist, since this sophisticated cardiac test is used to assess your heart rhythm, the electrical axis of your heart, the presence of heart disease, such as cardiomyopathy (enlarged heart), electrical abnormalities that can cause palpitation and dizzy spells and any signs of past heart attack.
Combine this with our cardiologist written report taken in context of a detailed patient questionnaire, blood cholesterol, blood pressure and it's easy to see why our Healthscreen Bronze can be a great guide to your cardiovascular health.
What can Bronze miss?
The resting ECG is often completely normal in patients who have severe obstructive coronary artery disease, changing only on exercise or after a heart attack or damage has occurred. In addition, the ECG may be normal during the early stages of cardiomyopathy, so our Healthscreen Bronze can miss conditions only detected by more sophisticated testing such as those used in Silver, Gold and Platinum Healthscreens.
A comprehensive screening tool that combines the features of our Healthscreen Bronze with a screening echocardiogram, an ultrasound technique used by cardiologists to diagnose heart valve abnormalities as well heart muscle conditions.
We recognise that there are many valve and heart muscle conditions such as aortic and mitral valve disease that can cause no symptoms or ECG changes for many years. Healthscreen Silver is aimed at picking these up by combining our Healthscreen Bronze with a detailed heart assessment using screening echocardiography.
What can Silver miss?
The resting ECG and echocardiogram can often be completely normal in patients who have severe obstructive coronary artery disease, changing only after a heart attack or damage has occurred. In addition the resting ECG and echocardiogram may be normal in patients with early hypertension, or prone to intermittent arrhythmia, so our Silver package can miss conditions only detected by more sophisticated testing such as those used in Gold and Platinum.
Combines the features of our Bronze and Silver Healthscreens with an exercise stress ECG, a technique used by cardiologists to diagnose coronary artery disease, early hypertension and arrhythmia, along with an assessment of general fitness.
Healthscreen Gold is the most comprehensive sequence of screening tests available without using ionising radiation and an ideal combination for people who seek peace of mind about coronary artery disease, cardiovascular fitness and other forms of heart disease. The package includes an exercise ECG test where we assess your heart's capacity to exercise and presence of any major coronary artery narrowing (or stenosis).
What can Gold miss?
Although the stress ECG has been a longstanding and evidence-based investigation used by generations of cardiologists, it is prone for both false negative and false positive results. The test can be normal even if there is extensive ‘non flow limiting’ coronary artery disease – meaning that the stress ECG test may be normal for many years, despite the presence of extensive coronary plaque. Heart attacks generally occur in coronary arteries that abruptly change from being non-obstructed to occluded over a period of a few hours so it is no surprise that a stress ECG is a poor indicator of future heart attack risk.
A screening tool that combines the features of our Bronze, Silver and Gold Healthscreens (ECG, stress ECG, echo and bloods) with the option, depending on the results, to go on to have a coronary calcium score (CAC) - which is an CT x-ray technique used by cardiologists to diagnose coronary artery calcification.
The package includes, where clinically indicated, an option for an advanced 160 slice computed tomogram (MSCT) used to detect microscopic coronary calcification, which is a sensitive and sophisticated non-contrast method for detecting coronary heart disease.
Please note that where traditional risk factor analysis indicates 10 year CHD risk below 7.5% and above 20%, in asymptomatic men over 40 and women over 50 we generally do not recommend calcium scoring.