Patient Guides

    Cardiology

    Plain-language answers to the most common cardiology questions — written by the Haute MD editorial team.

    What Does a Cardiologist Do?

    A cardiologist diagnoses and treats diseases of the heart and blood vessels — including coronary artery disease, heart failure, arrhythmias, and hypertension.

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    What Causes High Blood Pressure?

    High blood pressure is caused by genetics, sodium intake, alcohol, inactivity, obesity, insulin resistance, stress, and aging. Secondary causes account for 5-10% of cases.

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    What Causes High Cholesterol?

    High cholesterol is caused by genetics, diet, inactivity, obesity, insulin resistance, and certain medications. ApoB provides a more accurate cardiovascular risk measure than LDL.

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    What Is Coronary Artery Disease?

    Coronary artery disease is plaque buildup in the heart's arteries — the most common heart disease and leading cause of death in the United States.

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    What Is Preventive Cardiology?

    Preventive cardiology identifies and reduces cardiovascular risk before events occur — using advanced testing like ApoB, Lp(a), and coronary artery calcium scoring.

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    What Is a Calcium Score Test?

    A coronary artery calcium (CAC) score is a quick low-radiation CT that measures plaque in the heart's arteries — the best predictor of cardiovascular events.

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    What Is an Echocardiogram?

    An echocardiogram is a heart ultrasound showing structure and function in real time — ejection fraction, valve disease, wall motion, and chamber size.

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    What Is Atrial Fibrillation?

    Atrial fibrillation (AFib) is the most common arrhythmia, affecting 2.7M Americans and raising stroke risk 5-fold. Treatment includes rate, rhythm, and stroke prevention.

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    What Causes Heart Palpitations?

    Heart palpitations are most often caused by benign PACs/PVCs, anxiety, caffeine, dehydration, anemia, or thyroid issues. Some indicate arrhythmias needing evaluation.

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    What Is Congestive Heart Failure?

    Congestive heart failure is a chronic condition where the heart cannot pump enough blood, causing fluid buildup. Modern treatment extends survival and quality of life.

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    What Are the Warning Signs of a Heart Attack?

    Heart attack signs include chest pressure, arm/jaw/back pain, shortness of breath, cold sweats, and nausea. Women often have atypical symptoms. Call 911 immediately.

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    What Is Heart Disease?

    Heart disease covers coronary artery disease, heart failure, arrhythmias, valvular disease, and congenital defects. Cardiovascular disease is the leading cause of US death.

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    What Is Cardiovascular Risk Assessment?

    Cardiovascular risk assessment estimates the probability of heart attack or stroke. Advanced assessment adds ApoB, Lp(a), CAC scoring, and inflammatory markers.

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    What Is Lipoprotein(a)?

    Lp(a) is a genetic cardiovascular risk factor elevated in 20% of people. It isn't reduced by statins or lifestyle. Every adult should be tested once.

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    What Blood Tests Evaluate Heart Disease Risk?

    The most important cardiovascular tests go beyond standard cholesterol — ApoB, Lp(a), hsCRP, homocysteine, NT-proBNP, and a comprehensive metabolic panel.

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    What Is Advanced Lipid Testing?

    Advanced lipid testing measures ApoB, Lp(a), LDL particle number and size, oxidized LDL, and small dense LDL — identifying high-risk patients standard panels miss.

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    What Is Heart Health Screening?

    Heart health screening uses blood tests, blood pressure, and imaging — including advanced lipids and coronary artery calcium scoring — to detect early disease.

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    What Is Cardiac CT Imaging?

    Cardiac CT includes coronary artery calcium (CAC) scoring and CT angiography (CCTA) — the best tools for risk stratification and evaluating chest pain.

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    What Is Preventive Heart Care?

    Preventive heart care includes aggressive lipid and blood pressure management, exercise, Mediterranean diet, smoking cessation, sleep, and targeted pharmacotherapy.

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    How Does Exercise Improve Heart Health?

    Exercise raises VO2 max (the strongest mortality predictor), lowers blood pressure, improves lipids, boosts insulin sensitivity, and reduces inflammation.

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    What Foods Improve Heart Health?

    The Mediterranean diet has the strongest evidence for cardiovascular risk reduction — olive oil, vegetables, legumes, whole grains, nuts, and fatty fish.

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    What Is a Heart Health Checkup?

    A heart health checkup includes blood pressure, comprehensive lipids (ideally ApoB and Lp(a)), glucose, HbA1c, BMI, family history — plus CAC scoring and EKG.

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    When Should You See a Cardiologist?

    See a cardiologist for chest pain, shortness of breath, palpitations, family history of early heart disease, multiple risk factors, or abnormal screening tests.

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    How Do You Reduce Heart Disease Risk?

    Reduce heart disease risk through exercise, healthy weight, aggressive lipid and blood pressure management, smoking cessation, Mediterranean diet, sleep, and stress control.

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    How Do You Choose a Cardiologist?

    Choose a cardiologist who is ABIM board-certified in cardiovascular disease, has the right subspecialty training for your condition, and explains findings clearly.

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