Exercise stress test (treadmill or bike stress test)

Stickers are placed on the chest to record the electrical activity of the heart. You are then asked to walk on a treadmill whilst your blood pressure and heart rate are monitored.  This is recommended in many patients with severe valve disease and normally functioning left ventricles who genuinely have no symptoms – even after […]

Echocardiogram (echo or cardiac ultrasound)

This is an ultrasound scan of the heart and it is harmless.  Echocardiograms are usually done in hospital, sometimes in community centres.  A full study usually takes 30-45 minutes.  During the test an ultrasound probe is placed on the chest and moving pictures of the heart are taken.  The echocardiogram not only diagnoses valve disease, […]

Electrocardiogram (ECG)

Stickers are placed on the chest and the electrical activity of the heart is recorded. A resting ECG is routine for a new patient, although it does not usually show specific abnormalities associated with valve disease. It may also be requested after any change in symptoms including an event like a dizzy spell, or if […]

Chest X-Ray

The chest X-ray is less useful for heart disease diagnosis now that echocardiography is available. However it is still useful to show the lungs, since they may give a clue to respiratory causes of breathlessness e.g. COPD or pleural effusions. It may also show calcium in the valves or pericardium (the lining around the heart). […]

Blood tests

Sometimes blood tests are performed in patients with heart valve disease. If you have symptoms such as shortness of breath or chest pain/discomfort, your healthcare team may wish to check your blood count to ensure you are not anaemic (low red cell count). Often your baseline kidney, liver and thyroid function is also checked. Before […]

Basic observations (blood pressure, pulse, oxygen levels)

It is important to check blood pressure and pulse rate in patients with heart valve disease. High blood pressure is a common condition and should be treated in those where the blood pressure is persistently elevated. Occasionally your healthcare professional may also check your oxygen levels, especially if you experience shortness of breath. 

Shortness of breath

Breathlessness on a normal everyday exertion like walking – not playing sport or using a gym.  Typically, this starts when walking uphill and becomes progressively worse.  It may start to show on minor inclines and then even on the flat, especially when you hurry.  You can help your doctor by noting how severe the breathlessness […]

Heart valve disease

What is heart valve disease? Heart valve disease is a condition where the heart valves do not work as they should. They can either become leaky (regurgitant or incompetent) or narrowed (stenotic).  Mild heart valve degeneration is considered a normal part of the ageing process, and it is common to have mild regurgitation of the […]