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Manhattan Cardiology
Does everyone over 40 need a heart screening?

February is American Heart Month. At Manhattan Cardiology, we are often asked if heart screenings are necessary for everyone over the age of 40. As we age, heart health is an increasing concern; nevertheless, the necessity for tests varies depending on personal risk factors, lifestyle, and general state of health. Cardiovascular disease recommendations suggest obtaining a screening between 40 and 75 years old. If you have high-risk factors, then start at age 35.

Understanding Heart Screenings

Heart tests include a set of many examinations used to identify early stages of cardiovascular disease. Common screenings include sophisticated testing like coronary calcium scoring, stress tests, or echocardiograms, as well as blood pressure readings and cholesterol panels. These technologies enable us to see possible problems before they show up. The optimal age for a screening depends on your risk factors and sex. 

Who Benefits Most from Screenings?

Not everyone over 40 needs thorough cardiac evaluations. But in most cases, the screenings will help those who have at least one of the following conditions:

  • A family history of heart disease 
  • High blood pressure, high cholesterol, or diabetes
  • A smoking history
  • Obesity or sedentary lifestyle
  • Symptoms like chest pain, shortness of breath, or irregular heartbeats

You may not require many screenings if you’re in good health, active, and don’t have any significant risk factors. For those at lesser risk, seeing a primary care physician regularly for tests on blood pressure and cholesterol should be enough.

Preventive Value of Screening

For those with risk factors, heart screenings can save lives. Early detection allows for interventions like lifestyle modifications, medications, or procedures to prevent heart attacks or strokes. Even if you feel fine, hidden conditions such as high cholesterol or early plaque buildup can lead to serious problems later. *

A Personalized Approach

The decision to undergo heart screening should be based on a discussion with your healthcare provider. Together, you can evaluate your risk factors, family history, and lifestyle to determine the best course of action.

Takeaway

While not everyone over 40 needs a heart screening, many can benefit from preventive measures tailored to their individual risks. Staying informed and proactive about your heart health is the best way to ensure a longer, healthier life. If you’re over 40 and unsure about your risk, talk to your doctor today.