50. 50% of Heart Disease Is Diagnosed Too Late—Here’s How to Avoid It
Apr 3, 2025
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Heart disease is more preventable than most realize, yet it's still the leading cause of death. This discussion dives into essential tests and metrics to protect your heart health. Discover the four critical areas to evaluate: ischemia, blood pressure, electrical function, and cardiac capacity. Learn about underutilized tests like the coronary calcium score and Holter monitors that can signal heart issues long before symptoms arise. If you're over 40 or have risk factors, this is crucial knowledge to safeguard your cardiovascular health.
Heart disease is often diagnosed too late, making early awareness and proactive testing vital for prevention, especially for those over 40.
Essential tests like coronary calcium scores and VO2 max can reveal heart health risks long before symptoms occur, empowering individuals to take control of their cardiovascular health.
Deep dives
Understanding Heart Disease Risk Factors
Heart disease remains the leading cause of death, claiming over 700,000 lives annually in the United States alone. Men tend to experience heart attacks earlier, while women's risk ascends after menopause, often presenting symptoms like fatigue and shortness of breath rather than typical chest pains. Awareness of heart disease as a critical health issue is alarmingly low among women, with less than half recognizing it as their primary health threat. This underscores the necessity for both genders, particularly those over 40, to prioritize understanding and addressing their heart health.
The Importance of Early Detection
A significant portion of heart disease is detected following a heart attack, which can lead to fatal outcomes; it is estimated that up to 50% of individuals may receive their first diagnosis at this critical moment. Preventative measures and assessments are imperative, beginning from as early as age 40 to reverse potential chronic health issues before symptoms arise. Regular testing can identify heart problems decades in advance, allowing for proactive management and reducing the chances of severe consequences. Stressing the role of early evaluations reveals the critical nature of initiating preventive care instead of waiting for symptoms.
Utilizing Key Evaluations for Heart Health
Four essential metrics are vital for assessing heart health: ischemia, blood pressure, the electrical system of the heart, and overall cardiovascular capacity. Tests such as the coronary CT calcium score and VO2 max provide invaluable insight into plaque build-up and cardiovascular efficiency, helping to predict future heart attacks even in asymptomatic individuals. While traditional EKGs have limitations, continuous monitoring tools like Holter monitors offer a more comprehensive view of heart rhythms over time. By integrating these evaluations into regular health checks, individuals can gain a clearer understanding of their cardiovascular fitness and take informed steps to enhance their heart health.
Heart disease is still the number one cause of death, yet most people don’t realize how preventable it actually is.
In this solo episode of Extend, I’m kicking off our new series on preventative medicine by breaking down the essential tests and metrics you need to know to protect your heart. I’ll walk you through the four key areas I evaluate in every patient—ischemia, blood pressure, electrical function, and cardiac capacity—and explain how you can assess your own risk starting today.
You’ll also learn about the most underutilized tests in cardiology, including the coronary calcium score, CLEARLY CT angiogram, Holter monitors, and VO2 max. These tools can help you detect heart disease decades before symptoms appear—and long before it's too late.
This episode is your roadmap to taking control of your cardiovascular health, starting now. If you’re over 40 (or even younger with risk factors), this is a conversation you can’t afford to miss.