Detection and Diagnostics

Detection and DiagnosticsTests for Evaluating Heart Disease and Measuring Risk Factors

  • Blood Pressure
  • Cholesterol Blood Test – Total, LDL, VLD, HDL
  • Free Testosterone Blood Test
  • Vitamin K Blood Test
  • Vitamin D Blood Test
  • C-Reactive Protein Blood Test – A by-product of inflammation; a protein that is found in the blood that signals acute inflammation.
  • Homocysteine Blood Test – An amino acid used normally by the body in cellular metabolism and the manufacturing of proteins. Elevated concentrations in the blood are thought to increase the risk of heart disease by damaging the lining of blood vessels and enhancing blood clotting.
  • EKG
  • Exercise Stress Test
  • Thallium Stress Test
  • Echo-Cardiogram
  • Heart Scan – calcium score
  • Virtual Heart Scan
  • MRI Angiography
  • Angiogram
  • Digital Pulsewave Analysis

Traditional Diagnostics

Electrocardiogram (EKG or ECG)

Probably the most well known test for heart health, the electrocardiogram usually is the first test given to diagnose problems of the heart. The test, which is simple and non-invasive, is frequently done in the doctor’s office as part of a routine physical, but it is also used to monitor patients who are hospitalized.


This uses sound waves to measure the health of your heart, similar to an ultrasound test. As the sounds bounce or echo off the chambers of the heart, they are formed into a picture of the beating heart. This is usually done externally, but may be done through the esophagus.

Advanced Technology Diagnostics

The Angiogram

The Angiogram is done in the hospital under sedation. A wire is run up from the groin to the heart to look for blockages. It is an excellent test, but has some drawbacks:

  • One percent have a heart attack after the procedure.
  • One in three thousand have some other kind of adverse reaction.
  • It is expensive and invasive.
  • It is not considered a screening tool.

CAT Scan or Virtual Heart Scan

The limitations of the CAT Scan are: Radiation, expense, and it does not visualize the small arteries. In spite of this, it is a very good test especially for people over the age of forty-five to get a baseline calcium score.

Pulsewave Analysis

Pulsewave Analysis checks:

  • Hydration levels
  • Pulse rate
  • Ejection time (Etc)
  • Pulse Height (PH) – pulse amplitude
  • Ejection Elastic Index (EEI) – indicator of Left Ventricle ejection and elasticity of large arteries
  • Dicrotic Dilation Index (DDI) – indicator of small artery compliance
  • Dicrotic Elastic Index (DEI) – peripheral vessel elasticity (arterioles to veins)
  • Heart Rate Variability (HRV)

“Pulsewave Analysis is an excellent tool to diagnose vascular endothelial dysfunction. Once the diagnosis is established, the nutritional supplement L-arginine is an effective therapy which works by increasing vascular endothelial production of Nitric Oxide, a potent vasodilator. The major benefits are blood pressure reduction and reduced incidence of heart attack and stroke because of improved vascular endothelial function. This simple test could save thousands of lives each year.”

Dennis M. Spiller D.O. FACO