A variety of blood tests are available for analyzing cholesterol transport behavior, HDL, LDL, triglycerides, lipoprotein little a homocysteine, C-reactive protein, blood sugar control: fasting, after eating or averages using glycosylated albumen or hemoglobin, myoglobin, creatine kinase, troponin, brain-type natriuretic peptide, etc. to assess the evolution of coronary artery disease and evidence of existing damage.
Electrocardiography (ECG/EKG) monitors the electrical activity of the heart, primarily as recorded from the skin surface. A 12 lead recording, recording the electrical activity in three planes, anterior, posterior, and lateral.
A Holter monitor records a continuous EKG rhythm pattern (rarely a full EKG) for 24 hours or more. These monitors are used for suspected frequent rhythm abnormalities, especially ones the wearer may not recognize my symptoms. They are more expensive than the event monitors.
An event monitor records short term EKG rhythm patterns, generally storing the last 2 to 5 minutes, adding in new and discarding old data, for 1 to 2 weeks or more.
Cardiac Stress Testing
Cardiac stress testing is used to determine to assess cardiac function and to disclose evidence of exertion-related cardiac hypoxia. Radionuclide testing using thallium or technetium can be used for perfusion abnormalities. With a maximal stress test, the level of exercise is increased until the patient heart rate will not increase any higher, despite increased exercise.