Medical Tests & Procedures Archive

Articles

24-hour blood pressure monitoring outperforms clinic readings

Wearing a device that automatically records blood pressure every 30 to 60 minutes for 24 hours (known as ambulatory blood pressure monitoring) may better predict death from cardiovascular disease and other causes than clinic blood pressure readings.

Calcium score may foretell heart risk better than genetic test

A calcium score, which quantifies the plaque inside the heart's arteries, can sometimes improve the ability to assess a person's risk of heart disease beyond the traditional heart disease risk score.

Screening advice that's not just skin deep

Melanoma kills about 8,000 Americans each year. Most people are at low risk of melanoma and don't need annual skin cancer screenings. People should be screened each year if they have risk factors such as dozens of atypical moles, a family history of melanoma or atypical moles, an earlier skin cancer, certain genetic mutations or predisposition, immune-suppressing therapy after organ transplantation or for inflammatory bowel disease, a history of blistering sunburns, or substantial tanning bed use.

National task force proposes updated breast cancer screening recommendations

The U.S. Preventive Services Task Force released updated draft guidelines in May 2023 proposing that women at average risk of breast cancer be screened every other year starting at age 40.

Angioplasty and stenting through the arm

When doctors insert a stent into the heart's artery, they usually enter the body through an artery at the top of the thigh. But for some people, using a vessel in the arm may be a safer and less costly option.

Our evolving understanding of the problem with plaque

New imaging techniques that use light or sound waves to create images of the inside of coronary arteries have helped researchers better understand the fat-laden plaque that builds up inside artery walls (atherosclerosis). Most heart attacks happen when small, inflamed areas of fatty plaque rupture suddenly, causing a clot that blocks blood flow. This may explain why treating large, obstructive plaques with stents or bypass surgery does not seem to prevent heart attacks or help people live longer.

Beyond "bad" cholesterol: A closer look at your blood lipids

For assessing heart disease risk, a standard cholesterol test doesn't always tell the whole story. Some people with "normal" LDL cholesterol levels might benefit from a test that measures apolipoprotein B (apoB). This test, which measures the number of LDL particles as well as other particles that can contribute to clogged arteries, may be a better indicator of heart disease risk than just an LDL cholesterol value.

What is a silent stroke?

Most strokes are caused by a clot that blocks a blood vessel in the brain. Those that damage small areas of brain tissue that don't control any vital functions are known as silent strokes because they don't cause any noticeable symptoms.

Older men continue to have excessive PSA testing

Guidelines recommend against routine prostate-specific antigen (PSA) testing in men ages 70 and older. Still, two 2023 studies found that men in this age group are having too many PSA tests.

The kidney-heart connection

More than one in seven adults has chronic kidney disease, yet many of them aren't aware of the problem. Early-stage kidney disease often has no symptoms, but the condition slowly and silently worsens over time. The two most common causes of chronic kidney disease—high blood pressure and diabetes—are also leading risk factors for heart disease, which means the two diseases often overlap. Most people know their blood pressure and cholesterol values, but few are familiar with the tests used to assess kidney health. They include serum creatinine, estimated glomerular filtration rate, and urine protein tests.

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