If you want to rule out ischemic heart disease, the usual test is an exercise test, the exercise could be walking fast on aThanksgiving Day Funny Gobble Til You Wobble T Shirt tee or on an exercise bike, or by having dobutamine infused thus making the heart beat faster, the ischemia (having insufficient oxygen supply to the heart muscle) most often is registered by ECG, but can be done by doing a scintigraphy, or looking at contraction pattern by doing echocardiography while having the dobutamine infusion. If you need to exclude a hypertrophic cardiomyopathy, that often is the cause for young fit athletes dying unexpectedly during marathons etc., we need to do an echocardiography. For heart failure clinical findings durig a physical exam, symptoms often are very good indicators whether it exists or not, echocardiography is a very sensitive way to diagnose this condition, so it a blood test looking for an elevated level of atrial natriuretic peptide.
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