Medical Tests & Procedures Archive

Articles

Should I get genetic testing for breast cancer?

Women should consider genetic testing for breast cancer if they have a personal or family history of breast or ovarian cancer, especially diagnosed at age 50 or younger; family history of BRCA1 or BRCA2 gene mutations; or Ashkenazi Jewish heritage.

Do you pass the hearing test?

Approximately one in three people ages 65 to 74 has hearing loss, and nearly half of those older than 75 have difficulty hearing. Getting a hearing test is recommended to identify any hearing loss before it worsens and prescribe a hearing aid if needed. While hearing aids are traditionally expensive, new over-the-counter devices can make them more affordable for people with mild or moderate hearing loss.

Do I still need a colonoscopy?

A 2022 study led to questions regarding whether colonoscopy is the best strategy to reduce the risk of death from colon cancer. But overwhelming evidence supports the procedure for lowering the risk of colon cancer and related death, and experts continue to recommend people at average risk get at least one colonoscopy beginning at age 45.

The latest on lipoprotein(a), an inherited cause of early heart disease

About 20% of people have high blood levels of lipoprotein(a)—Lp(a) for short—a fatty particle that's like the evil twin of the more familiar LDL ("bad") cholesterol. Elevated Lp(a) which can double or triple risk of a heart attack and raise stroke risk, and is linked to problems with the heart's aortic valve. With new treatments that can lower Lp(a) on the horizon, cardiologists are now testing more people for this biomarker, which is not included in standard cholesterol tests.

A lethal cancer's long reach

While ovarian cancer is not always inherited, family history is the top risk factor for the disease, which is diagnosed in 20,000 American women and kills 13,000 annually. Symptoms, such as bloating, pelvic pain, bowel or bladder habit changes, and unusual vaginal discharge or bleeding, are often vague and subtle until the disease is advanced, making it hard to detect and cure. No standard screening test is available for ovarian cancer. Women with symptoms can ask for a pelvic ultrasound. Women with a family history should seek genetic counseling and testing.

Novel procedure may lower stubbornly high blood pressure

Renal denervation is a minimally invasive procedure that destroys some of the nerves inside the renal arteries, which supply the kidneys. The procedure lowers blood pressure by disrupting communication between the brain and the kidneys that leads to elevated blood pressure. People with stubbornly high blood pressure may be candidates for the procedure, which is currently approved for use in Europe but not in the United States.

Chest pain from inflamed joints

Costochondritis, which is caused by inflammation of the cartilage between the ribs and the breastbone, causes chest pain that's often mistaken for a heart problem.

Checking for heart murmurs

A heart murmur is the sound of turbulent blood flow within the heart as heard through a stethoscope. In adults, most abnormal murmurs are caused by an aortic or mitral valve that's not working correctly.

Tracking blood pressure at home

Nearly half of U.S. adults have high blood pressure; however, only one-third of those who have the problem are aware of it. This is mostly because people only have blood pressure checked at doctor visits, so they don't know when it increases and requires medical attention. A simple solution is to take regular measurements with a home blood pressure monitor and keep track of their numbers to note changes.

Decoding the price of heart tests and procedures

Prices for six common heart tests and procedures at top-ranked U.S. hospitals showed surprisingly wide variations, according to a 2022 Harvard study. There was a 10-fold difference in the median prices patients pay for a heart ultrasound, and even larger disparities for procedures such as implanting a pacemaker. The differences may reflect power dynamics between hospitals and insurance companies. For both entities, factors such as location, size, and popularity influence that dynamic — which, in turn, affects the market dynamics that dictate costs.

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