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After obtaining the physician proceeds to perform a Combination. Depending upon the patient’s condition and suspected medical problem, a physician may include one or more of the following four phases of the physical examination

  • Inspection
  • Palpation or hands-on examination
  • Tension or “upping examination
  • Auscultation or use of a stethoscope

An electrocardiogram is a simple, painless test that measures your heart’s electrical activity. It’s also known as an ECG or EKG. Every heartbeat is triggered by an electrical signal that starts at the top of your heart and travels to the bottom. Heart problems often affect the electrical activity of your heart. Your doctor may recommend an EKG if you’re experiencing symptoms or signs that may suggest a heart problem, including:

  • pain in your chest
  • trouble breathing
  • feeling tired or weak
  • pounding, racing, or fluttering of your heart
  • a feeling that your heart is beating unevenly
  • detection of unusual sounds when your doctor listens to your heart

An EKG will help your doctor determine the cause of your symptoms along with what type of treatment might be necessary.

If you’re 50 or older or if you have a family history of heart disease, your doctor may also order an EKG to look for early signs of heart disease.

D Echo is a test for heart, in which the ultrasound technique is used to take heart pictures. It displays beating heart, chambers, valves and the major blood vessels of the heart in cross-sectional ‘slice’.

‘Doppler’ is a special element of this ultrasound exam that assesses heart blood flow.

A colourless gel is applied to the chest area and then they will ask you to lay on the left side, as the technician moves the transducer across the various location of your chest to get the desired view of the heart.

Certain instructions will be given to the patient to breathe slowly or to hold breathe a few seconds. This helps in getting superior quality pictures. These images are recorded (DVD, paper) and viewed on the monitor.

Some heart problems only appear during exercise. During stress testing, you’ll have an EKG while you’re exercising. Typically, this test is done while you’re on a treadmill or stationary bicycle.

Also known as an ambulatory ECG or EKG monitor, a Holter monitor records your heart’s activity over 24 to 48 hours while you maintain a diary of your activity to help your doctor identify the cause of your symptoms. Electrodes attached to your chest record information on a portable, battery-operated monitor that you can carry in your pocket, on your belt, or on a shoulder strap.

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