How is heart disease diagnosed?

Determining the exact nature of a patient's heart problems usually involves a number of diagnostic steps, and a broad range of diagnostic techniques. In addition to taking a detailed medical history, the physician will carry out a physical examination which may include auscultation using a stethoscope and blood pressure measurements, and may provide important information that suggest possible heart disease.

Non-invasive diagnostic techniques:

Computed tomography

This imaging technique is crucial when cross-sectional images are required that can be used to map exact anatomical structures and anatomical correlations, such as in preparation for surgery, or when a patient has a tumor that is located inside the chest cavity. If used in combination with contrast agents, this imaging technique can also be used to visualize blood vessels. more



An electrocardiogram (ECG) is an essential and simple diagnostic technique that measures the electrical activity inside the heart. Many different conditions - not just acute heart attack - become apparent through characteristic ECG changes, including chronically reduced blood flow (myocardial ischemia) and cardiac arrhythmias, which can be detected using a resting ECG, ambulatory ECG or exercise ECG. more


Myocardial perfusion scintigraphy

Myocardial perfusion scintigraphy, another specialist imaging technique, uses radioactive markers to assess myocardial (heart muscle) perfusion and vitality, for example in patients with suspected coronary heart disease. more



Telemetry, or real time monitoring, can be used in conjunction with electrocardiography (ECG) to monitor the heart's activity and detect or confirm cardiac arrhythmias. This technology can provide the physician with information on different treatment options available. more


Invasive diagnostic techniques:

Intracoronary pressure measurements

Intracoronary pressure measurements provide direct measurements of blood pressure inside the coronary arteries. This procedure allows an exact assessment of the extent to which blood flow is reduced inside a narrowed blood vessel. more


Coronary angiography

Coronary angiography is a diagnostic procedure that takes x-ray images (angiograms) of the coronary arteries. The procedure involves the visualization of the coronary arteries using a contrast medium that is injected into the coronary arteries using a catheter. more

Relevant information

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    +49 3338-69 45 21

Contact person

  • Univ.-Prof. Dr. med.
    Christian Butter
    Head of the Department of Cardiology, Immanuel Hospital Bernau Brandenburg Heart Center

    PA to Head of Department Christine Meinecke
    Immanuel Hospital Bernau Brandenburg Heart Center
    Ladeburger Str. 17
    16321 Bernau bei Berlin
    T +49 3338 694-610
    F +49 3338 694-644
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